Skilled nursing facility · CMS certification number 155819

WELLBROOKE OF KOKOMO

KOKOMO, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 70

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 29 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$15,425,237	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,796,614	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,628,623	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,790,054	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$838,569	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$46,057	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$884,626	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $884,626 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,188	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	7,643	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	3,264	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	18,382	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	29,289	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	272	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	22	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	699	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	993	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	148.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	29.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440277, 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 9 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$15,167,073	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,983,127	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,183,946	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,874,708	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$309,238	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$75,786	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$385,024	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $385,024 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,499	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	918	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	189.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	32.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394270, 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 9 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$15,026,069	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,688,226	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,337,843	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,570,911	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$766,932	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$3,292,563	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,525,631	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,525,631 (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	108	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,183	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	843	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	310.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	36.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1363894, 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 11 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$14,282,492	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,649,798	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,632,694	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,507,181	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,125,513	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$89,778	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,215,291	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,215,291 (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	108	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,779	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	835	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	83.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	36.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329479, 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 2 May 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$10,566,244	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,101,891	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,464,353	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,688,547	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,224,194	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$589,791	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$634,403	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$634,403 (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	108	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,466	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	554	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	151.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	45.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1315097, 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 6 August 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$12,763,836	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,099,283	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,664,553	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,656,688	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$7,865	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$37,934	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$45,799	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $45,799 (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	108	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,835	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	648	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	606.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	50.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1262537, 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 28 June 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$12,528,115	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,584,201	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,943,914	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,241,927	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$298,013	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,500	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$286,513	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$286,513 (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	108	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,990	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	594	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	305.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	52.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1233927, 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 5 June 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$13,751,564	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,057,464	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,694,100	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,081,623	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$387,523	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$387,523	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$387,523 (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	108	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,481	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	587	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	248.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	55.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1191342, 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 17 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$12,366,295	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,664,316	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,701,979	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,324,466	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$622,487	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$622,487	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$622,487 (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	108	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,597	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	33.86	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	57.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1168993, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 July 2015 to 31 December 2015 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 27 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$5,404,295	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,751,307	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,652,988	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,513,252	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$860,264	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,349	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$858,915	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$858,915 (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	108	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,739	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	214	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	172.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	59.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138292, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 13 May 2014 to 31 December 2014 — a reporting period of 232 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,607,959	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$979,194	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,628,765	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,636,537	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,007,772	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,200	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,997,572	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,997,572 (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	108	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,586	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	161	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	65.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103711, 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 07/01/2015
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
DUNKLE, AMORETTE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/03/2025
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 KOKOMO, 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
RAVINDRA, BAIKADI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/15/2025
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 07/03/2025
TRILOGY PROPCO MASTER TENANT III LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/03/2025
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
TRILOGY HEALTHCARE HOLDINGS INC	INDIRECT OWNERSHIP INTEREST	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 08/28/2025
DAVIS, DAVID	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/10/2025
BAYSTON, BRETT	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 12/01/2023
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
BARDOCZI, STEPHEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/02/2013
BRAVERMAN, KELLY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2021
DUNKLE, AMORETTE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/14/2016
LCS KOKOMO LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 07/01/2015
RAVINDRA, BAIKADI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/15/2025
SELLERS, DANIEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/20/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WITHAM MEMORIAL HOSPITAL (enrollment ID O20150914000887).

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	7/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY PROPERTY HOLDINGS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	8/1/2022	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
AMORETTE DUNKLE	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.	7/3/2025	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.
BAIKADI A RAVINDRA	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.	7/15/2025	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.
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
MS KOKOMO, 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.	7/3/2025	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.	7/3/2025	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
TRILOGY HEALTHCARE HOLDINGS INC	Organization	INDIRECT OWNERSHIP INTEREST	100	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.	12/1/2023	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.
AMORETTE DUNKLE	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.	11/14/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BAIKADI A RAVINDRA	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.	7/15/2025	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.
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.
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.
LCS KOKOMO 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.	7/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
STEPHEN J BARDOCZI	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.	9/2/2013	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.

Changes in ownership

1 July 2026: KELLY BRAVERMAN 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 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: 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 MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 October 2025: BRETT BAYSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JOHN W BRAND no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CLAUDE A HAWKINS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FRANCES JENKINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ANDREA CASTETTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: GEORGE POGAS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY MANAGEMENT SERVICES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: STEPHEN J BARDOCZI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: STEPHEN J BARDOCZI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KELLY BRAVERMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JACK JONES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: LCS KOKOMO LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: GAHC4 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CONTINENTAL MERGER SUB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY PROPCO MASTER TENANT III LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: BRETT BAYSTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY PROPERTY HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY HEALTHCARE HOLDINGS INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY INVESTORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: PARAGON OUTPATIENT REHABILITATION SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JOHN W BRAND appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CLAUDE A HAWKINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ANDREA CASTETTER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MS KOKOMO, L.P. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MICHAEL JASON HORNBECKER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: BAIKADI A RAVINDRA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: BAIKADI A RAVINDRA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMORETTE DUNKLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMORETTE DUNKLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMERICAN HEALTHCARE REIT HOLDINGS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DANIEL E SELLERS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: GAHC3 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY MANAGEMENT SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: STEPHEN J BARDOCZI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY REIT HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY REAL ESTATE INVESTMENT TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KELLY BRAVERMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMERICAN HEALTHCARE REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JULIE REAGAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 February 2024: LCS KOKOMO LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: NANCY MORTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: MARGARET MCFRYE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: BEVERLY NEWHART no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: BRETT BAYSTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: ANDREA CASTETTER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
1 February 2024: TRILOGY MANAGEMENT SERVICES, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv

Recent changes on this record

1 July 2026: KELLY BRAVERMAN 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 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: 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 MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 October 2025: BRETT BAYSTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JOHN W BRAND no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CLAUDE A HAWKINS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: FRANCES JENKINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ANDREA CASTETTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: GEORGE POGAS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY MANAGEMENT SERVICES, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: STEPHEN J BARDOCZI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: STEPHEN J BARDOCZI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: KELLY BRAVERMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JACK JONES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: LCS KOKOMO LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: GAHC4 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CONTINENTAL MERGER SUB LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY PROPCO MASTER TENANT III LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: BRETT BAYSTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY PROPERTY HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY HEALTHCARE HOLDINGS INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY INVESTORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: PARAGON OUTPATIENT REHABILITATION SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: JOHN W BRAND appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: CLAUDE A HAWKINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: ANDREA CASTETTER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MS KOKOMO, L.P. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: MICHAEL JASON HORNBECKER appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: BAIKADI A RAVINDRA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: BAIKADI A RAVINDRA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMORETTE DUNKLE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMORETTE DUNKLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: AMERICAN HEALTHCARE REIT HOLDINGS LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: DANIEL E SELLERS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: GAHC3 TRILOGY JV LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: TRILOGY MANAGEMENT SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
1 October 2025: STEPHEN J BARDOCZI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	20 February 2026	20 February 2026	6	6
2	18 March 2025	18 March 2025	3	3
3	14 February 2024	14 February 2024	9	3

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

Deficiencies cited

18 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
20 February 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	20 March 2026
20 February 2026	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	20 March 2026
20 February 2026	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	20 March 2026
20 February 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	20 March 2026
20 February 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	20 March 2026
27 August 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	29 August 2025
18 March 2025	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E	No	Deficient, Provider has date of correction	21 March 2025
18 March 2025	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	E	No	Deficient, Provider has date of correction	21 March 2025
18 March 2025	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	21 March 2025
14 February 2024	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	8 March 2024
14 February 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	8 March 2024
14 February 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	8 March 2024
14 February 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	No	Deficient, Provider has date of correction	8 March 2024
14 February 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	8 March 2024
14 February 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	8 March 2024
14 February 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	8 March 2024
14 February 2024	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	No	Deficient, Provider has date of correction	8 March 2024
1 December 2023	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 date of correction	17 December 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
14 February 2024	Fine	$8,824			51368

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

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	2014-05-13
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Howard
Telephone Number	7654554443
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	70
Average Number of Residents per Day	58.8
Overall Rating	5
Health Inspection Rating	4
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: KELLY BRAVERMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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