Skilled nursing facility · CMS certification number 155766
MAPLE MANOR CHRISTIAN HOME INC
SELLERSBURG, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 57
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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,356,443 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$767,696 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,124,139 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,318,133 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$193,994 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,357 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$189,637 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$189,637 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 20,862 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 813 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,993 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,720 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,526 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 6 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 49 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 135.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 224.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 257.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433683, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,345,531 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $417,725 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,927,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,057,680 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,129,874 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $239,055 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$890,819 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$890,819 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 465.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 381.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395505, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,647,884 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $56,736 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,591,148 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,516,708 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$925,560 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $126,287 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$799,273 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$799,273 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,969 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 261.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 245.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366099, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,269,112 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $336,899 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,932,213 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,597,163 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$664,950 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $184,472 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$480,478 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$480,478 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,925 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 333.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 306.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331740, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, reopened, processed by CMS on 5 May 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,788,622 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $344,350 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,444,272 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,799,084 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$354,812 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $574,788 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $219,976 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $219,976 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,812 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 98.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 339.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 323.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346841, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 February 2019 to 31 December 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,017,449 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $583,120 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,434,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,650,959 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$216,630 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $708 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$215,922 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$215,922 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,365 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 101.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 328.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 297.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261817, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,099,851 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $681,201 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,418,650 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,432,061 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,411 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,688 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $49,277 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $49,277 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,971 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 163.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,210.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 748.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240935, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,890,424 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $537,874 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,352,550 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,135,031 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $217,519 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $247,939 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $247,939 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,609 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 104.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 923.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 652.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202630, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,626,034 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $730,932 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,895,102 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,833,520 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $61,582 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,447 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $110,029 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $110,029 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,784 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 30 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,148.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 592.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170826, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,778,122 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $836,349 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,941,773 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,996,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$54,924 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,540 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $8,616 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $8,616 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,414 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 616.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 354.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138285, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,761,333 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $876,555 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,884,778 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,849,085 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $35,693 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $146,904 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $182,597 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $182,597 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,712 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 597.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 410.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104514, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 June 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,520,534 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $700,503 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,820,031 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,838,236 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$18,205 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,800 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$405 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$405 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,923 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 38 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 103.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 912.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 497.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1066975, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,254,215 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $660,940 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,593,275 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,846,137 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $747,138 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,982 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $800,120 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $800,120 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,254 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 462.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 315.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047438, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,308,623 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $389,953 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,918,670 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,485,062 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $433,608 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $53,379 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $486,987 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $486,987 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,408 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 22 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 160.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,827.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 882.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016721, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,715,185 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,450,985 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $264,200 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $59,317 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $323,517 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,960 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,194.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 421.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429399, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 June 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,555,835 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,560,721 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,886 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,813 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $53,927 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,314 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 35 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 94.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 774.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 523.26 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 403490, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 6 December 2007 to 31 December 2008 — a reporting period of 391 days, on form CMS-2540-96, settled, processed by CMS on 10 December 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,535,243 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,518,971 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $16,272 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $78,071 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $94,343 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,273 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 116 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,002.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 482.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 360543, read from the public cost report file SNFFY2008.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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| PULASKI MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 02/01/2019 |
| MALOTT, GREGG | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/01/2019 |
| BARRY, THOMAS | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2019 |
| RAFALSKI, ROSEMARIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2019 |
| CUNNINGHAM, STEVEN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2019 |
| MCKINLEY, JAMES | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/01/2019 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PULASKI MEMORIAL HOSPITAL (enrollment ID O20190328000294).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PULASKI MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| GREGG A MALOTT | Individual | CORPORATE DIRECTOR | 100 | 2/1/2019 | 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. |
| ROSEMARIE RAFALSKI | Individual | CORPORATE OFFICER | 100 | 2/1/2019 | 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. |
| THOMAS F BARRY | Individual | CORPORATE OFFICER | 100 | 2/1/2019 | 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. |
| JAMES MCKINLEY | Individual | W-2 MANAGING EMPLOYEE | 100 | 2/1/2019 | 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. |
| STEVEN CUNNINGHAM | Individual | W-2 MANAGING EMPLOYEE | 100 | 2/1/2019 | 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. |
Changes in ownership
No change in ownership appears in the CMS files on record since 20 September 2022.
Recent changes on this record
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 23 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 11 October 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 5 May 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 29 July 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 21 October 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 15 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 25 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 26 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 27 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 23 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 27 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 23 May 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 13 June 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 10 December 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 11 February 2026 | 11 February 2026 | 5 | 9 |
| 2 | 14 January 2025 | 14 January 2025 | 2 | 8 |
| 3 | 17 November 2023 | 17 November 2023 | 3 | 14 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
10 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 9 June 2026 | Health | F 0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Yes | Past Non-Compliance | |
| 11 February 2026 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 6 March 2026 |
| 11 February 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 6 March 2026 |
| 11 February 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure 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. | D | No | Deficient, Provider has date of correction | 6 March 2026 |
| 11 February 2026 | Health | F 0770 | Administration Deficiencies | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | No | Deficient, Provider has date of correction | 6 March 2026 |
| 14 January 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | 28 January 2025 |
| 22 November 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Yes | Past Non-Compliance | 29 October 2024 |
| 3 June 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | 30 May 2024 |
| 1 February 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | 21 December 2023 |
| 12 September 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 28 September 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Church related |
| Legal Business Name | PULASKI MEMORIAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 2007-12-06 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Clark |
| Telephone Number | 8122464866 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 57 |
| Average Number of Residents per Day | 49.4 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for MAPLE MANOR CHRISTIAN HOME 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.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 155766.