Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 155856

RESTORACY OF GOSHEN, THE

GOSHEN, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 48

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 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,400,905CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,361,097CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,039,808CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,206,907CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,167,099CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,167,089CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,167,089 (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
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components17,568CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days891CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days9,708CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days5,831CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components16,430CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges23CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges55CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges100CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components178CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.74CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days176.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days92.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436736, 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 22 January 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,317,037CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,039,718CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,277,319CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,977,108CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$699,789CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$206,363CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$493,426CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$493,426 (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
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,296CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components157CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days279.8CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1402505, 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
FigureAs filedWhere it comes from
Total patient revenue$6,765,558CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$932,170CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,833,388CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,466,323CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$632,935CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$407,265CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$225,670CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$225,670 (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
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,344CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components116CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,141CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days140.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1364006, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 June 2021 to 31 December 2021 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,292,170CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$376,844CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,915,326CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,309,531CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,394,205CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$242,233CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,151,972CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,151,972 (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
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,283CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components53CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days393.54CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days175.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333601, 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 20 October 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,071,924CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$719,941CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,351,983CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,919,221CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$432,762CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$432,762CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $432,762 (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
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,575CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components145CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days790.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days107.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302391, 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 30 April 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$8,384,673CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,373,834CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,010,839CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,032,923CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$22,084CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$164,232CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$142,148CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $142,148 (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
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,766CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components145CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days715.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days101.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283150, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 11 April 2018 to 31 December 2018 — a reporting period of 264 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$2,982,571CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$220,058CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,762,513CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,402,853CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$359,660CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,071CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$361,731CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $361,731 (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
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components8,446CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components69CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days223.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237648, read from the public cost report file SNF10FY2018.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 managerRoleTypeOwnership percentageAssociation
DAVIESS COUNTY HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 06/01/2021
CARDOSO, AMBERADP OF THE SNFIndividualNOT APPLICABLEsince 08/05/2025
DAVIESS COUNTY HOSPITALADP OF THE SNFOrganizationNOT APPLICABLEsince 10/24/2024
EUSON LINDSAY NORTH LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/24/2024
EUSON, MATTHEWADP OF THE SNFIndividualNOT APPLICABLEsince 10/24/2024
GOSHEN SENIOR NURSING LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/24/2024
LINDSAY, BRYANADP OF THE SNFIndividualNOT APPLICABLEsince 10/24/2024
OFFERLE, ANDREWADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2025
RIDDELL, KARAADP OF THE SNFIndividualNOT APPLICABLEsince 10/24/2024
RSCR MANAGEMENT LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/24/2024
SETTLES, APRILCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
RIDDELL, KARAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 01/06/2026
DAVIESS COUNTY HOSPITALOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/10/2024
EUSON LINDSAY NORTH LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/24/2024
EUSON, MATTHEWOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/24/2024
LINDSAY, BRYANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/24/2024
RIDDELL, KARAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/24/2024
RSCR MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/24/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of DAVIESS COUNTY HOSPITAL (enrollment ID O20210825003837).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
DAVIESS COUNTY HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
AMBER CARDOSOIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/5/2025
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.
ANDREW OFFERLEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2025
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.
BRYAN K LINDSAYIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
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.
DAVIESS COUNTY HOSPITALOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
EUSON LINDSAY NORTH LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
GOSHEN SENIOR NURSING LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
KARA RIDDELLIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
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.
MATTHEW EUSONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
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.
RSCR MANAGEMENT LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/5/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
APRIL D SETTLESIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2025
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.
BRYAN K LINDSAYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
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.
DAVIESS COUNTY HOSPITALOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/10/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
EUSON LINDSAY NORTH LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
KARA RIDDELLIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
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.
MATTHEW EUSONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
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.
RSCR MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/24/2024
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
12 June 20252 June 2025616
221 June 202421 June 2024914
36 June 20236 June 2023144

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

Deficiencies cited

29 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
27 August 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction19 September 2025
2 June 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction20 June 2025
2 June 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction20 June 2025
2 June 2025HealthF 0771Administration DeficienciesEnsure laboratory services, blood blanks and transfusion services provided on-site meet requirements for certified laboratories.DNoDeficient, Provider has date of correction20 June 2025
2 June 2025HealthF 0773Administration DeficienciesProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DNoDeficient, Provider has date of correction20 June 2025
2 June 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction20 June 2025
9 August 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction30 August 2024
9 August 2024HealthF 0659Resident Assessment and Care Planning DeficienciesProvide care by qualified persons according to each resident's written plan of care.DYesDeficient, Provider has date of correction30 August 2024
9 August 2024HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DYesDeficient, Provider has date of correction30 August 2024
21 June 2024HealthF 0575Resident Rights DeficienciesPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.CNoDeficient, Provider has date of correction22 July 2024
21 June 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction22 July 2024
21 June 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction22 July 2024
21 June 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction22 July 2024
21 June 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction22 July 2024
21 June 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction22 July 2024
21 June 2024HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.DNoDeficient, Provider has date of correction22 July 2024
14 March 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction5 April 2024
14 March 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction5 April 2024
30 November 2023HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EYesDeficient, Provider has date of correction28 December 2023
30 November 2023HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.FYesDeficient, Provider has date of correction28 December 2023
22 September 2023HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EYesDeficient, Provider has date of correction13 October 2023
6 June 2023HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction3 July 2023
6 June 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction3 July 2023
6 June 2023HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correction3 July 2023
6 June 2023HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction3 July 2023
6 June 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction3 July 2023
6 June 2023HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DNoDeficient, Provider has date of correction3 July 2023
6 June 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction3 July 2023
6 June 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction3 July 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
24 June 2025Payment Denial24 September 20258

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Individual
Legal Business NameDAVIESS COUNTY HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services2018-04-11
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishElkhart
Telephone Number3176535767
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds48
Average Number of Residents per Day47.2
Overall Rating4
Health Inspection Rating3
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating4
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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