Skilled nursing facility · CMS certification number 155850

BELLTOWER HEALTH & REHABILITATION CENTER

GRANGER, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 96

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 25 December 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$13,188,548	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,016,158	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,172,390	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,099,480	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$72,910	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$846,995	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$919,905	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $919,905 (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	96	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	35,136	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,262	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	19,401	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	8,534	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	30,197	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	62	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	17	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	115	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	194	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,141.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	155.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445669, 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 24 March 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$11,523,105	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,559,289	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,963,816	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,053,126	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,089,310	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$873,834	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$215,476	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$215,476 (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	96	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,207	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	282	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	206.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	107.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405699, 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 25 July 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$10,866,683	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,363,246	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,503,437	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,634,224	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,130,787	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,296,428	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$165,641	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $165,641 (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	96	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,721	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	248	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	220.99	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390277, 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 22 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$8,824,141	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,215,007	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,609,134	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,168,586	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,559,452	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,417,368	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$142,084	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$142,084 (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	22,673	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	143	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	364.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	158.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333600, 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 28 January 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$10,505,013	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,232,528	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,272,485	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,901,961	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,629,476	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,359,415	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$270,061	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$270,061 (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	26,918	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	115	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	87.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	818.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	234.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309590, 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 22 April 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$12,529,924	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,758,938	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,770,986	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,054,583	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$283,597	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$257,308	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$26,289	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$26,289 (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	29,457	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	177	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	443.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	166.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282725, 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 2 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$12,192,103	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,585,274	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,606,829	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,652,615	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$45,786	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$214	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$45,572	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$45,572 (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 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	27,089	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	176	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	66.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	324.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	153.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239273, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$8,926,389	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,954,789	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,971,600	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,257,689	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$286,089	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,577	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$284,512	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$284,512 (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	18,055	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	81	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	91.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	474.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	222.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208527, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 27 July 2016 to 31 December 2016 — a reporting period of 157 days, not a full year, 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	$1,782,130	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$608,359	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,173,771	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,708,289	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$534,518	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$534,507	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$534,507 (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	3,258	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	29	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	363.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	112.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1168596, read from the public cost report file SNF10FY2016.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
CARMEAN, MARTI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/06/2019
CLAXTON, RYAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/27/2025
FUNDAMENTAL ADMINISTRATIVE SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/05/2016
FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/05/2016
MORGAN POWERS, DEANNA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/01/2021
VAN DEN DRIESSCHE, THOMAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2021
BEATY, JEFF	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/01/2003
BLACK, STEPHEN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2013
BURTON, KAREN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2013
CALDWELL, DANA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/01/2008
COFFIN, JOHN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2009
HAEHL, PHILLIP	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2013
MERCURI, RALPH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/01/2008
SANDMAN, JAN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/01/2006
STEVENS, MELANIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/01/2006
TANDY, SHERRI	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/01/2006
CLAXTON, RYAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/27/2025
GUSTAFSON, PAULA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2013
KUHN, HEATHER	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2013
MERCURI, RALPH	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 09/01/2008
CARMEAN, MARTI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/06/2019
CLAXTON, RYAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/27/2025
SHIPPENSBURG HEALTH CARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 05/20/2016
VAN DEN DRIESSCHE, THOMAS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MAJOR HOSPITAL (enrollment ID O20160526000363).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
MAJOR HOSPITAL	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	11/1/2013	Private equity company: No Real estate investment trust: No Holding company: No
DEANNA MORGAN POWERS	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.	2/1/2021	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.
FUNDAMENTAL ADMINISTRATIVE 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.	7/5/2016	Private equity company: No Real estate investment trust: No Holding company: No
FUNDAMENTAL CLINICAL AND OPERATIONAL 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.	7/5/2016	Private equity company: No Real estate investment trust: No Holding company: No
MARTI E CARMEAN	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.	5/6/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RYAN CLAXTON	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.	3/27/2025	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.
THOMAS P VAN DEN DRIESSCHE	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.	1/1/2021	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	9/12/2025	Private equity company: No Real estate investment trust: No Holding company: No
DANA CALDWELL	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.	2/1/2008	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.
JAN N SANDMAN	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.	2/1/2006	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.
JEFF BEATY	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.	2/1/2003	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 COFFIN	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.	10/1/2009	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.
KAREN BURTON	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.	1/1/2013	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.
MELANIE STEVENS	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.	2/1/2006	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.
PHILLIP HAEHL	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.	1/1/2013	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.
RALPH MERCURI	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.	9/1/2008	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.
SHERRI LYNN TANDY	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.	2/1/2006	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 BLACK	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.	1/1/2013	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.
HEATHER KUHN	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.	1/1/2013	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.
PAULA A GUSTAFSON	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.	1/1/2013	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.
RALPH MERCURI	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.	9/1/2008	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.
RYAN CLAXTON	Individual	CORPORATE OFFICER	100	3/27/2025	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.
MARTI E CARMEAN	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.	5/6/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RYAN CLAXTON	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.	3/27/2025	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.
SHIPPENSBURG HEALTH CARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	5/20/2016	Private equity company: No Real estate investment trust: No Holding company: No
THOMAS P VAN DEN DRIESSCHE	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.	1/1/2021	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.

Changes in ownership

1 July 2026: JEFF BEATY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MAJOR HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFF BEATY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MAJOR HOSPITAL appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: DANA CALDWELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JAN N SANDMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LORRI L MAPLES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN M HORNER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN M HORNER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN M HORNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CURTIS JONES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CURTIS JONES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RALPH MERCURI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DOUGLAS S CARTER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DOUGLAS S CARTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOANNE KNISLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN COFFIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LINDA WESSIC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LINDA WESSIC no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LINDA WESSIC no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SHERRI LYNN TANDY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JEFF BEATY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MAJOR HOSPITAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: STEPHEN BLACK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: HEATHER KUHN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PHILLIP HAEHL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: KAREN BURTON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PAULA A GUSTAFSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RYAN CLAXTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RYAN CLAXTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RYAN CLAXTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THOMAS P VAN DEN DRIESSCHE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THOMAS P VAN DEN DRIESSCHE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DEANNA MORGAN POWERS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARTI E CARMEAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARTI E CARMEAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MELANIE STEVENS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MAJOR HOSPITAL appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv

Recent changes on this record

1 July 2026: JEFF BEATY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MAJOR HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFF BEATY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MAJOR HOSPITAL appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: DANA CALDWELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JAN N SANDMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LORRI L MAPLES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN M HORNER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN M HORNER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN M HORNER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CURTIS JONES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CURTIS JONES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RALPH MERCURI no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DOUGLAS S CARTER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DOUGLAS S CARTER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOANNE KNISLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN COFFIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LINDA WESSIC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LINDA WESSIC no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LINDA WESSIC no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SHERRI LYNN TANDY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JEFF BEATY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MAJOR HOSPITAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: STEPHEN BLACK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: FUNDAMENTAL ADMINISTRATIVE SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: HEATHER KUHN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PHILLIP HAEHL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: KAREN BURTON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: PAULA A GUSTAFSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RYAN CLAXTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RYAN CLAXTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RYAN CLAXTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THOMAS P VAN DEN DRIESSCHE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: THOMAS P VAN DEN DRIESSCHE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DEANNA MORGAN POWERS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARTI E CARMEAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MARTI E CARMEAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MELANIE STEVENS appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	9 June 2025	9 June 2025	2	24
2	29 July 2024	29 July 2024	5	8
3	14 August 2023	14 August 2023	15	9

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

Deficiencies cited

22 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
29 October 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	30 December 2025
9 June 2025	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	30 June 2025
8 May 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	4 June 2025
8 May 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	4 June 2025
29 July 2024	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	12 August 2024
29 July 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	12 August 2024
29 July 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	12 August 2024
14 August 2023	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	18 September 2023
14 August 2023	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.	D	No	Deficient, Provider has date of correction	18 September 2023
14 August 2023	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	18 September 2023
14 August 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	18 September 2023
14 August 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.	E	No	Deficient, Provider has date of correction	18 September 2023
14 August 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	18 September 2023
14 August 2023	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	18 September 2023
14 August 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	18 September 2023
14 August 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	18 September 2023
14 August 2023	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	18 September 2023
14 August 2023	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	18 September 2023
14 August 2023	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	18 September 2023
14 August 2023	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	18 September 2023
14 August 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	18 September 2023
14 August 2023	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.	E	No	Deficient, Provider has date of correction	18 September 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 - Corporation
Legal Business Name	MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services	2016-07-27
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	St. Joseph
Telephone Number	5744066600
Chain Name	FUNDAMENTAL HEALTHCARE
Chain ID	231
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	96
Average Number of Residents per Day	89.4
Overall Rating	4
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	4
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: JEFF BEATY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for BELLTOWER HEALTH & REHABILITATION CENTER

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