Velarion Records

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Skilled nursing facility · CMS certification number 155745

HOLY CROSS VILLAGE AT NOTRE DAME INC

NOTRE DAME, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 52

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 July 2024 to 31 December 2024 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 9 May 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,555,690CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$775,848CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,779,842CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,122,841CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,342,999CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,679,845CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$336,846CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $336,846 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components128CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components23,552CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,256CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days1,131CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days14,992CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components17,379CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges39CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges1CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges26CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components66CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.21CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,131CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days263.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421680, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 June 2023

Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 March 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$10,885,539CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,056,005CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,829,534CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,157,287CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$10,327,753CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,775,546CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$447,793CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $447,793 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components128CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,187CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components189CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days165.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1374504, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended 30 June 2022

Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 January 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$16,050,589CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,934,266CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,116,323CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,617,398CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,501,075CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,997,888CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,503,187CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,503,187 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,800CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components191CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,428CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1340901, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 30 June 2021

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 January 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,820,678CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,170,389CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,650,289CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,581,274CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$10,930,985CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,147,403CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,783,582CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,783,582 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,844CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components125CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.15CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days206.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309661, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 30 June 2020

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 January 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,987,592CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,093,267CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,894,325CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,665,324CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,770,999CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,786,067CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,984,932CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,984,932 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components126CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,266CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components145CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days201.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1279269, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 30 June 2019

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 January 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$9,198,516CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,292,558CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,905,958CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,068,886CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,162,928CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,471,627CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,691,301CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,691,301 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,418CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components164CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days957CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days185.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1250094, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended 30 June 2018

Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 February 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$8,968,823CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,230,852CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,737,971CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,921,184CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,183,213CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,933,130CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,250,083CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,250,083 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,687CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components157CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days195.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1219384, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 30 June 2017

Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$8,713,830CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,816,690CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,897,140CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,840,990CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$8,943,850CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,258,565CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$685,285CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$822,449 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,784CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components136CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days204.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1182308, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended 30 June 2016

Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$9,065,648CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,579,787CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,485,861CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,220,510CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$8,734,649CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,369,820CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,364,829CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,323,206 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,620CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components99CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days319.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151312, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended 30 June 2015

Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 February 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$9,243,535CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,740,495CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,503,040CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,933,863CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$10,430,823CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,999,720CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,431,103CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,502,395 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,217CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components110CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days283.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118725, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended 30 June 2014

Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 January 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$8,873,591CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,574,430CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,299,161CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,293,864CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,994,703CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,073,566CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,921,137CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,279,577 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,983CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components106CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days301.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1084258, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended 30 June 2013

Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 December 2013.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$8,577,326CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,483,194CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,094,132CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,069,241CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$7,975,109CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,051,024CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,924,085CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,985,906 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,603CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components125CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days252.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1053115, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended 30 June 2012

Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 February 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$8,084,814CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,406,620CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,678,194CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,801,118CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,122,924CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,485,574CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,637,350CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,637,350 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,406CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components137CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days221.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024620, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended 30 June 2011

Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 December 2011.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$6,227,048CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$15,841,035CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$9,613,987CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$25,648,024CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$16,630CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $16,017,407 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,148CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components195CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.85CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days144.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 422077, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended 30 June 2010

Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$6,439,001CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$14,977,208CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$8,538,207CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,318,715CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$3,251CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$1,222,743 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,109CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components102CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.78CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days304.99CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398547, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended 30 June 2009

Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 December 2009.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$6,217,830CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$15,401,838CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$9,184,008CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,774,607CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$342CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$3,409,743 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components124CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,157CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components81CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days384.65CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 361354, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended 30 June 2008

Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 January 2009.

None of these figures is carried on this report.

CMS report record 332804, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended 30 June 2007

Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 September 2008.

None of these figures is carried on this report.

CMS report record 325955, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended 30 June 2006

Cost report for 4 January 2006 to 30 June 2006 — a reporting period of 177 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 13 September 2007.

None of these figures is carried on this report.

CMS report record 293432, read from the public cost report file SNFFY2006.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
HOLY CROSS VILLAGE AT NOTRE DAME, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 08/17/1999
BROTHERS OF HOLY CROSS INCADP OF THE SNFOrganizationNOT APPLICABLEsince 07/01/2005
CASSADY, ROBERTADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2019
HUGE, ELIZABETHADP OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024
MUELLER, JACKADP OF THE SNFIndividualNOT APPLICABLEsince 04/18/2021
BEAUCHAMP, EDWARDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2024
CHOLIS, PAULCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2024
FREEL, CHESTERCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2012
HADERS, CSC, KENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2024
LACKENMIER, CSC, JAMESCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2024
NEFF, MARKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2024
PASKIEWICZ, LINDACORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2016
PLACE, ANDREWCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2024
SHAKOUR, MICHELLECORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2024
TINGWALD, S.CORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2024
FREEL, CHESTERCORPORATE OFFICERIndividualNOT APPLICABLEsince 07/01/2024
HUGE, ELIZABETHCORPORATE OFFICERIndividualNOT APPLICABLEsince 07/01/2024
KASTNER, BRANDONCORPORATE OFFICERIndividualNOT APPLICABLEsince 07/01/2024
LACKENMIER, CSC, JAMESCORPORATE OFFICERIndividualNOT APPLICABLEsince 07/01/2024
MUELLER, JACKCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/18/2021
NEFF, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 07/01/2024
PASKIEWICZ, LINDACORPORATE OFFICERIndividualNOT APPLICABLEsince 07/01/2024
MUELLER, JACKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/18/2021
BEAUCHAMP, EDWARDTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024
CHOLIS, PAULTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024
FREEL, CHESTERTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024
HADERS, CSC, KENTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024
LACKENMIER, CSC, JAMESTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024
NEFF, MARKTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024
PASKIEWICZ, LINDATRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024
PLACE, ANDREWTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024
SHAKOUR, MICHELLETRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024
TINGWALD, S.TRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 07/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HOLY CROSS VILLAGE AT NOTRE DAME, INC. (enrollment ID O20051115000459).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
HOLY CROSS VILLAGE AT NOTRE DAME, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST1008/17/1999
Private equity company: No
Real estate investment trust: No
Holding company: No
BROTHERS OF HOLY CROSS INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2005
Private equity company: No
Real estate investment trust: No
Holding company: No
ELIZABETH HUGEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACK MUELLERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/18/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT A CASSADYIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANDREW PLACEIndividualCORPORATE DIRECTOR1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHESTER FREELIndividualCORPORATE DIRECTOR1007/1/2012
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EDWARD BEAUCHAMPIndividualCORPORATE DIRECTOR1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES LACKENMIER, CSCIndividualCORPORATE DIRECTOR1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEN HADERS, CSCIndividualCORPORATE DIRECTOR1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LINDA PASKIEWICZIndividualCORPORATE DIRECTOR1007/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK J NEFFIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHELLE SHAKOURIndividualCORPORATE DIRECTOR1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PAUL T. CHOLISIndividualCORPORATE DIRECTOR1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
S. SCOTT TINGWALDIndividualCORPORATE DIRECTOR1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRANDON M KASTNERIndividualCORPORATE OFFICER1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHESTER FREELIndividualCORPORATE OFFICER1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ELIZABETH HUGEIndividualCORPORATE OFFICER1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACK MUELLERIndividualCORPORATE OFFICER1004/18/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES LACKENMIER, CSCIndividualCORPORATE OFFICER1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LINDA PASKIEWICZIndividualCORPORATE OFFICER1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK J NEFFIndividualCORPORATE OFFICER1007/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACK MUELLERIndividualOPERATIONAL/MANAGERIAL CONTROL1004/18/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANDREW PLACEIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHESTER FREELIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EDWARD BEAUCHAMPIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES LACKENMIER, CSCIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEN HADERS, CSCIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LINDA PASKIEWICZIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK J NEFFIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHELLE SHAKOURIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PAUL T. CHOLISIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
S. SCOTT TINGWALDIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
16 May 20266 May 2026713
213 March 202513 March 202513
325 March 202425 March 202464

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

14 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
6 May 2026HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction12 June 2026
6 May 2026HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DNoDeficient, Provider has date of correction12 June 2026
6 May 2026HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction12 June 2026
6 May 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction12 June 2026
6 May 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction12 June 2026
6 May 2026HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correction12 June 2026
6 May 2026HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DNoDeficient, Provider has date of correction12 June 2026
27 September 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesPast Non-Compliance31 July 2024
26 June 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction9 July 2024
25 March 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction13 April 2024
25 March 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction13 April 2024
25 March 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction18 May 2024
25 March 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction13 April 2024
25 March 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction13 April 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

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Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameHOLY CROSS VILLAGE AT NOTRE DAME, INC.
Date First Approved to Provide Medicare and Medicaid Services2006-01-04
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishSt. Joseph
Telephone Number5742871838
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds52
Average Number of Residents per Day45.5
Overall Rating3
Health Inspection Rating3
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating3
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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One email a day naming what moved on HOLY CROSS VILLAGE AT NOTRE DAME INC: the field, the value before, the value after, and the date of the file that first showed it.

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On 1 July 2026: PAUL T. CHOLIS no longer appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for HOLY CROSS VILLAGE AT NOTRE DAME INC

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Indiana at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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