Skilled nursing facility · CMS certification number 155783

GREENLEAF HEALTH CAMPUS

ELKHART, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

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 24 October 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$14,510,418	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,528,259	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,982,159	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,326,596	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,655,563	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$33,475	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,689,038	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,689,038 (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
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	41,724	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	6,435	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	9,862	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	19,009	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	35,306	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	175	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	26	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	198	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	399	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.77	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	379.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	88.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441401, 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 7 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$13,361,760	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,410,480	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,951,280	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,462,946	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,488,334	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$32,569	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,520,903	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,520,903 (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
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,589	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	312	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	503.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	104.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391318, 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 14 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$11,632,621	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,260,886	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,371,735	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,996,316	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,375,419	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$310,852	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,064,567	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,064,567 (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
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,532	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	284	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	362.81	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358840, 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 25 July 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$11,910,232	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,563,414	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,346,818	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,690,640	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,656,178	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$59,754	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,715,932	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,715,932 (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 2021
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,849	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	296	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	410	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327824, 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, settled, processed by CMS on 16 September 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$10,277,894	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,345,394	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,932,500	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,435,652	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$496,848	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$512,904	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,009,752	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,009,752 (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
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,557	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	321	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	199.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	82.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300322, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 July 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$12,361,012	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,357,255	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,003,757	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,963,606	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,040,151	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$44,732	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,084,883	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,084,883 (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
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,940	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	457	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	232.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1288860, 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 26 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$11,199,984	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,225,183	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,974,801	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,590,632	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$384,169	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,034	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$395,203	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $395,203 (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
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,871	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	461	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	226.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	64.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238368, 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 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$11,802,122	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,331,326	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,470,796	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,943,228	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$527,568	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,216	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$542,784	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $542,784 (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
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,224	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	515	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.95	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	274.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	66.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1206897, 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 18 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$12,300,349	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,731,827	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,568,522	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,988,380	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,419,858	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,600	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$3,416,258	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,416,258 (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
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,772	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	446	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	345.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	80.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169816, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 May 2015 to 31 December 2015 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,133,229	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,890,385	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,242,844	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,232,509	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$10,335	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$10,335	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $10,335 (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
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,845	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	263	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	211.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	86.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136287, 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.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$11,103,162	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,069,475	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,033,687	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,705,727	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,327,960	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,757	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,337,717	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,337,717 (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
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,102	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	251	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	627.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	147.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105238, 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 13 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$10,258,709	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,413,471	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,845,238	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,259,554	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,585,684	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,238	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,587,922	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,587,922 (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%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	114	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,281	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	285	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,172.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	127.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075838, 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 23 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$9,246,456	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,065,411	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,181,045	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,604,047	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,576,998	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$50,828	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,627,826	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,578,080 (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
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,482	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	310	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	111.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043141, 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.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$7,345,827	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$336,979	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,008,848	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,089,504	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$919,344	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$919,344	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $919,344 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,733	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	299	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	92.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1016731, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 20 July 2010 to 31 December 2010 — a reporting period of 164 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 9 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,260,132	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,468,065	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$207,933	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,813	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$204,120 (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
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	11,429	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	133	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.52	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	85.93	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417544, read from the public cost report file SNFFY2010.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 manager	Role	Type	Ownership percentage	Association
WITHAM MEMORIAL HOSPITAL	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 05/01/2015
AMERICAN HEALTHCARE REIT HOLDINGS LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2015
AMERICAN HEALTHCARE REIT INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2018
CONTINENTAL MERGER SUB LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2021
GAHC3 TRILOGY JV LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2015
GAHC4 TRILOGY JV LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2018
PARAGON OUTPATIENT REHABILITATION SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2015
PLANTINGA, BRITTNEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/11/2025
SIDDIQI, ISRAR	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/16/2026
TRILOGY HEALTHCARE MASTER TENANT II, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/10/2025
TRILOGY INVESTORS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2015
TRILOGY MANAGEMENT SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2015
TRILOGY REAL ESTATE INVESTMENT TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2015
TRILOGY REIT HOLDINGS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2015
BARNEY, LEIGH	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/16/2026
DAVIS, DAVID	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/22/2025
BAYSTON, BRETT	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2023
BRAND, JOHN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2015
CASTETTER, ANDREA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2023
HAWKINS, CLAUDE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 09/01/2013
HORNBECKER, MICHAEL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2024
REAGAN, JULIE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 09/25/2024
BRAVERMAN, KELLY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2021
PLANTINGA, BRITTNEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/23/2022
SELLERS, DANIEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/20/2024
SIDDIQI, ISRAR	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2015
TRILOGY HEALTHCARE OF ELKHART, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 05/01/2015

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WITHAM MEMORIAL HOSPITAL (enrollment ID O20150706001900).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
WITHAM MEMORIAL HOSPITAL	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
AMERICAN HEALTHCARE REIT HOLDINGS LP	Organization	ADP OF THE SNF	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.	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: Yes
AMERICAN HEALTHCARE REIT INC	Organization	ADP OF THE SNF	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.	10/1/2018	Private equity company: No Real estate investment trust: Yes Holding company: No
BRITTNEY PLANTINGA	Individual	ADP OF THE SNF	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.	7/11/2025	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.
CONTINENTAL MERGER SUB LLC	Organization	ADP OF THE SNF	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.	10/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
GAHC3 TRILOGY JV LLC	Organization	ADP OF THE SNF	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.	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
GAHC4 TRILOGY JV LLC	Organization	ADP OF THE SNF	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.	10/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
ISRAR A SIDDIQI	Individual	ADP OF THE SNF	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.	4/16/2026	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.
PARAGON OUTPATIENT REHABILITATION SERVICES LLC	Organization	ADP OF THE SNF	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.	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY HEALTHCARE MASTER TENANT II, LLC	Organization	ADP OF THE SNF	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.	7/10/2025	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY INVESTORS LLC	Organization	ADP OF THE SNF	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.	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY MANAGEMENT SERVICES LLC	Organization	ADP OF THE SNF	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.	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY REAL ESTATE INVESTMENT TRUST	Organization	ADP OF THE SNF	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.	12/1/2015	Private equity company: No Real estate investment trust: Yes Holding company: No
TRILOGY REIT HOLDINGS LLC	Organization	ADP OF THE SNF	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.	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
ANDREA CASTETTER	Individual	MANAGING CONTROL - GOVERNING BODY	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.	1/1/2023	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.
BRETT BAYSTON	Individual	MANAGING CONTROL - GOVERNING BODY	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.	1/1/2023	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.
CLAUDE A HAWKINS	Individual	MANAGING CONTROL - GOVERNING BODY	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.	9/1/2013	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.
JOHN W BRAND	Individual	MANAGING CONTROL - GOVERNING BODY	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.	1/1/2015	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.
JULIE REAGAN	Individual	MANAGING CONTROL - GOVERNING BODY	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.	9/25/2024	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.
MICHAEL JASON HORNBECKER	Individual	MANAGING CONTROL - GOVERNING BODY	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.	1/1/2024	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.
BRITTNEY PLANTINGA	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	10/23/2022	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.
DANIEL E SELLERS	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	6/20/2024	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.
ISRAR A SIDDIQI	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	7/1/2015	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.
KELLY BRAVERMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	12/1/2021	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.
TRILOGY HEALTHCARE OF ELKHART, LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	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.	5/1/2015	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: BRETT BAYSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN W BRAND no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CLAUDE A HAWKINS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANDREA CASTETTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEORGE POGAS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JUDY PLANTINGA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHEN J BARDOCZI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHEN J BARDOCZI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELLY BRAVERMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JACK JONES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GAHC4 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CONTINENTAL MERGER SUB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRETT BAYSTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRILOGY INVESTORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PARAGON OUTPATIENT REHABILITATION SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN W BRAND appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CLAUDE A HAWKINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELLY BRAVERMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANDREA CASTETTER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMERICAN HEALTHCARE REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISRAR A SIDDIQI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISRAR A SIDDIQI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MICHAEL JASON HORNBECKER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE REAGAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRILOGY HEALTHCARE MASTER TENANT II, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMERICAN HEALTHCARE REIT HOLDINGS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DANIEL E SELLERS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GAHC3 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRILOGY MANAGEMENT SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRITTNEY PLANTINGA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRITTNEY PLANTINGA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRILOGY REIT HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRILOGY REAL ESTATE INVESTMENT TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
2 October 2023: NANCY MORTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MARGARET MCFRYE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: BEVERLY NEWHART no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: BRETT BAYSTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ANDREA CASTETTER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Recent changes on this record

1 July 2026: BRETT BAYSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN W BRAND no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CLAUDE A HAWKINS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANDREA CASTETTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GEORGE POGAS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JUDY PLANTINGA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHEN J BARDOCZI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHEN J BARDOCZI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELLY BRAVERMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JACK JONES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GAHC4 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CONTINENTAL MERGER SUB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRETT BAYSTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRILOGY INVESTORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PARAGON OUTPATIENT REHABILITATION SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOHN W BRAND appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CLAUDE A HAWKINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELLY BRAVERMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANDREA CASTETTER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMERICAN HEALTHCARE REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISRAR A SIDDIQI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ISRAR A SIDDIQI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MICHAEL JASON HORNBECKER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE REAGAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRILOGY HEALTHCARE MASTER TENANT II, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMERICAN HEALTHCARE REIT HOLDINGS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DANIEL E SELLERS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GAHC3 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRILOGY MANAGEMENT SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRITTNEY PLANTINGA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRITTNEY PLANTINGA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRILOGY REIT HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRILOGY REAL ESTATE INVESTMENT TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
24 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
7 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
2 October 2023: NANCY MORTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: MARGARET MCFRYE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: BEVERLY NEWHART no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: BRETT BAYSTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: ANDREA CASTETTER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	26 September 2025	26 September 2025	8	0
2	17 September 2024	17 September 2024	10	5
3	11 October 2023	11 October 2023	7	1

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

Deficiencies cited

25 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
1 July 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has plan of correction	8 July 2026
26 September 2025	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	19 December 2025
26 September 2025	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	No	Deficient, Provider has date of correction	19 December 2025
26 September 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	19 December 2025
26 September 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	19 December 2025
26 September 2025	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	E	No	Deficient, Provider has date of correction	19 December 2025
26 September 2025	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	19 December 2025
26 September 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	19 December 2025
17 September 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	17 October 2024
17 September 2024	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	No	Deficient, Provider has date of correction	17 October 2024
17 September 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	17 October 2024
17 September 2024	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	No	Deficient, Provider has date of correction	17 October 2024
17 September 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	17 October 2024
17 September 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	17 October 2024
17 September 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	17 October 2024
17 September 2024	Health	F 0773	Administration Deficiencies	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	D	No	Deficient, Provider has date of correction	17 October 2024
17 September 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	17 October 2024
17 September 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	17 October 2024
11 October 2023	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	15 November 2023
11 October 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	15 November 2023
11 October 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	15 November 2023
11 October 2023	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	15 November 2023
11 October 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	15 November 2023
9 August 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	8 September 2023
9 August 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	Yes	Deficient, Provider has date of correction	8 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	For profit - Limited Liability company
Legal Business Name	WITHAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services	2010-07-20
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Elkhart
Telephone Number	5742060086
Chain Name	TRILOGY HEALTH SERVICES
Chain ID	524
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	60
Average Number of Residents per Day	57.1
Overall Rating	3
Health Inspection Rating	2
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	4
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 1 July 2026: BRETT BAYSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for GREENLEAF HEALTH CAMPUS

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