Skilled nursing facility · CMS certification number 155816

ARLINGTON PLACE HEALTH CAMPUS

INDIANAPOLIS, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 84

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, as submitted, processed by CMS on 6 June 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,358,165	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,167,303	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,190,862	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,164,071	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$973,209	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,168	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$958,041	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$958,041 (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	110	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	37,370	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,280	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	9,662	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	9,356	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	22,298	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	87	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	83	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	210	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	380	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	116.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	58.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1427515, 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 28 August 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$10,030,117	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,213,047	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,817,070	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,910,692	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,093,622	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$4,685	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,098,307	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,098,307 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,119	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	417	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	99.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	50.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433703, 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 29 February 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$12,278,940	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,593,078	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,685,862	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,398,269	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$287,593	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$720,794	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$433,201	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$433,201 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,302	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	621	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	108.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	39.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1374066, 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 18 April 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$10,413,891	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,381,242	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,032,649	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,495,471	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$462,822	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$67,858	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$394,964	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$394,964 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,919	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	588	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	125.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	37.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345471, 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 29 December 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$8,315,271	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,076,783	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,238,488	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,220,508	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,982,020	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$604,160	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,377,860	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,377,860 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,640	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	404	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	240.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	48.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339148, 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 January 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$12,508,871	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,107,329	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,401,542	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,922,503	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$520,961	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,864	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$504,097	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$504,097 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,009	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	674	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	122.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	38.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278349, 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 16 October 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$13,110,468	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,541,040	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,569,428	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,778,184	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$208,756	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,218	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$207,538	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$207,538 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,936	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	611	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	121.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	42.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1244391, 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 13 October 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$15,454,026	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,098,000	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,356,026	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,135,679	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$220,347	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$220,347	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $220,347 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,366	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	510	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	264.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	59.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1212538, 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 14 September 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$14,656,932	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,144,027	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,512,905	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,001,776	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$488,871	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$488,871	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$488,871 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,890	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	537	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	136.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	57.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175905, 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 October 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$13,876,025	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,161,874	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,714,151	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,091,258	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$377,107	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$377,107	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$377,107 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,765	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	469	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	142.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	63.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1145517, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 27 March 2014 to 31 December 2014 — a reporting period of 279 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 10 March 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$5,838,107	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,871,842	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,966,265	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,016,187	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,049,922	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$510	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,049,412	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,049,412 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,788	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	234	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	177.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	46.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1120288, read from the public cost report file SNF10FY2014.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 01/01/2015
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
BLACKWELL, CORY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/19/2025
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
MS ARLINGTON, L.P.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2015
PARAGON OUTPATIENT REHABILITATION SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2015
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 09/19/2025
TRILOGY PROPCO MASTER TENANT III LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/16/2025
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
YASSIN KASSAB, MAHMOUD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/16/2025
BAYSTON, BRETT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2023
BRAND, JOHN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2015
CASTETTER, ANDREA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2023
HAWKINS, CLAUDE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/09/2013
HORNBECKER, MICHAEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2024
REAGAN, JULIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/25/2024
BARDOCZI, STEPHEN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 09/03/2013
BRAVERMAN, KELLY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/01/2021
SELLERS, DANIEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 06/21/2024
BARNEY, LEIGH	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/19/2025
DAVIS, DAVID	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/19/2025
BLACKWELL, CORY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/15/2025
RHS PARTNERS OF ARLINGTON LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2015
YASSIN KASSAB, MAHMOUD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/16/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WITHAM MEMORIAL HOSPITAL (enrollment ID O20150714002889).

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	1/1/2015	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
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
CORY BLACKWELL	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.	9/19/2025	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.
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
MAHMOUD YASSIN KASSAB	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.	7/16/2025	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.
MS ARLINGTON, L.P.	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
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 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.	9/19/2025	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY PROPCO MASTER TENANT III 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.	7/16/2025	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	CORPORATE DIRECTOR	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	CORPORATE DIRECTOR	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	CORPORATE DIRECTOR	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.	9/9/2013	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	CORPORATE DIRECTOR	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	CORPORATE DIRECTOR	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	CORPORATE DIRECTOR	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.
DANIEL E SELLERS	Individual	CORPORATE OFFICER	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.	6/21/2024	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.
KELLY BRAVERMAN	Individual	CORPORATE OFFICER	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.
STEPHEN J BARDOCZI	Individual	CORPORATE OFFICER	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.	9/3/2013	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.
CORY BLACKWELL	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.	9/15/2025	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.
MAHMOUD YASSIN KASSAB	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.	7/16/2025	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.
RHS PARTNERS OF ARLINGTON 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.	1/1/2015	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

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: RHS PARTNERS OF ARLINGTON LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMERICAN HEALTHCARE REIT INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE REAGAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELLY BRAVERMAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RHS PARTNERS OF ARLINGTON LLC appears as OPERATIONAL/MANAGERIAL CONTROL 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: JULIE REAGAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: TRILOGY MANAGEMENT SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEPHEN J BARDOCZI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEPHEN J BARDOCZI appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RHS PARTNERS OF ARLINGTON LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GAHC4 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CONTINENTAL MERGER SUB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TRILOGY PROPCO MASTER TENANT III LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MS ARLINGTON, L.P. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TRILOGY INVESTORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PARAGON OUTPATIENT REHABILITATION SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MAHMOUD YASSIN KASSAB appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MAHMOUD YASSIN KASSAB appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AMERICAN HEALTHCARE REIT HOLDINGS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CORY BLACKWELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CORY BLACKWELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GAHC3 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TRILOGY MANAGEMENT SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TRILOGY REIT HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TRILOGY REAL ESTATE INVESTMENT TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AMERICAN HEALTHCARE REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JULIE REAGAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 September 2024: MATT SHAFER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: GEORGE POGAS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: STEPHEN J BARDOCZI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: RHS PARTNERS OF ARLINGTON LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: JACK JONES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: MICHAEL JASON HORNBECKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: DANIEL E SELLERS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: TRILOGY MANAGEMENT SERVICES, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: STEPHEN J BARDOCZI appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 November 2023: NANCY MORTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: MARGARET MCFRYE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: BEVERLY NEWHART no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: BRETT BAYSTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
1 November 2023: ANDREA CASTETTER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv

Recent changes on this record

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: RHS PARTNERS OF ARLINGTON LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMERICAN HEALTHCARE REIT INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JULIE REAGAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELLY BRAVERMAN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RHS PARTNERS OF ARLINGTON LLC appears as OPERATIONAL/MANAGERIAL CONTROL 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: JULIE REAGAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: TRILOGY MANAGEMENT SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEPHEN J BARDOCZI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: STEPHEN J BARDOCZI appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RHS PARTNERS OF ARLINGTON LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GAHC4 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CONTINENTAL MERGER SUB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TRILOGY PROPCO MASTER TENANT III LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MS ARLINGTON, L.P. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TRILOGY INVESTORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PARAGON OUTPATIENT REHABILITATION SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MAHMOUD YASSIN KASSAB appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MAHMOUD YASSIN KASSAB appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AMERICAN HEALTHCARE REIT HOLDINGS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CORY BLACKWELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CORY BLACKWELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: GAHC3 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TRILOGY MANAGEMENT SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TRILOGY REIT HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TRILOGY REAL ESTATE INVESTMENT TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: AMERICAN HEALTHCARE REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JULIE REAGAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
28 August 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
6 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 September 2024: MATT SHAFER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: GEORGE POGAS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: STEPHEN J BARDOCZI no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: RHS PARTNERS OF ARLINGTON LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: JACK JONES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: MICHAEL JASON HORNBECKER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: DANIEL E SELLERS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: TRILOGY MANAGEMENT SERVICES, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: STEPHEN J BARDOCZI appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	8 December 2025	8 December 2025	9	2
2	21 October 2024	21 October 2024	4	5
3	25 July 2023	25 July 2023	8	8

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

Deficiencies cited

21 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
29 May 2026	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	Yes	Deficient, Provider has date of correction	15 June 2026
29 May 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	Yes	Deficient, Provider has date of correction	15 June 2026
8 December 2025	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	23 December 2025
8 December 2025	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	23 December 2025
8 December 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	23 December 2025
8 December 2025	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	23 December 2025
8 December 2025	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	23 December 2025
8 December 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	23 December 2025
8 December 2025	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	D	No	Deficient, Provider has date of correction	23 December 2025
21 October 2024	Health	F 0622	Resident Rights Deficiencies	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	D	Yes	Deficient, Provider has date of correction	8 November 2024
21 October 2024	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 November 2024
21 October 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	8 November 2024
21 October 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	8 November 2024
25 July 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	17 August 2023
25 July 2023	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	17 August 2023
25 July 2023	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	17 August 2023
25 July 2023	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 August 2023
25 July 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	No	Deficient, Provider has date of correction	17 August 2023
25 July 2023	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 August 2023
25 July 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	17 August 2023
25 July 2023	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	17 August 2023

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

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Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Partnership
Legal Business Name	WITHAM MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services	2014-03-27
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Marion
Telephone Number	3173536000
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	84
Average Number of Residents per Day	67.5
Overall Rating	4
Health Inspection Rating	3
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	5
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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