Skilled nursing facility · CMS certification number 175435

HOLTON HEALTH CARE CENTER

HOLTON, Kansas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 45

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 22 March 2024 to 24 January 2025 — a reporting period of 308 days, on form CMS-2540-10, settled, processed by CMS on 20 March 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$3,423,597	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$811,700	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,611,897	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,931,061	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$680,836	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$166	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$681,002	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $680,083 (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 2025
Figure	As filed	Where it comes from
Total facility beds, all components	45	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	13,905	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	568	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	4,291	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,117	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	8,976	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	24	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	3	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	5	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	32	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,430.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	280.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448668, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended 21 March 2024

Cost report for 1 November 2023 to 21 March 2024 — a reporting period of 141 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 April 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$712,962	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$96,196	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$809,158	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,391,593	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$582,435	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,726	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$574,709	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$574,709 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	2,925	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	20	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	146.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1420219, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 October 2023

Cost report for 1 November 2022 to 31 October 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$2,330,655	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$168,292	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,498,947	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,680,873	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,181,926	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,645	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,167,281	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,167,281 (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	45	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,233	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	55	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	167.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389109, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 October 2022

Cost report for 1 November 2021 to 31 October 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 May 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$2,814,437	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$59,932	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,754,505	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,253,544	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$499,039	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$98,120	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$400,919	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$400,919 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,171	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	70	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	159.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346716, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 October 2021

Cost report for 1 November 2020 to 31 October 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,315,200	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$106,102	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,209,098	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,205,490	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$3,608	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$147,952	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$151,560	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $151,560 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,689	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	70	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	181.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314850, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 October 2020

Cost report for 1 November 2019 to 31 October 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,809,787	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$18,963	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,790,824	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,668,327	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$122,497	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$172,605	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$295,102	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $295,102 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,781	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	87	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	66.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	181.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1290929, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 October 2019

Cost report for 1 November 2018 to 31 October 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 May 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,643,201	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$93,087	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,736,288	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,706,064	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$30,224	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,230	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$36,454	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $36,454 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,439	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	89	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	88.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	184.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1255828, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 October 2018

Cost report for 1 November 2017 to 31 October 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,793,168	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$56,695	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,849,863	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,709,024	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$140,839	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,992	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$147,831	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $147,831 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,982	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	54	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	314.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1225043, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 October 2017

Cost report for 1 November 2016 to 31 October 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,153,503	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$54,814	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,098,689	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,998,938	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$99,751	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,219	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$117,970	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $117,970 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,524	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	105	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	185.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1189939, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 October 2016

Cost report for 1 November 2015 to 31 October 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 June 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,235,025	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$183,668	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,051,357	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,308,160	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$256,803	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$31,052	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$225,751	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$225,751 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,931	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	116	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	180.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1163741, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 October 2015

Cost report for 1 November 2014 to 31 October 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 May 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$4,242,686	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$90,942	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,333,628	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,107,367	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$226,261	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,444	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$247,705	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $247,705 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,727	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	44	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	516.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1123294, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 October 2014

Cost report for 1 November 2013 to 31 October 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 May 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,231,677	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$62,348	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,294,025	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,285,285	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$8,740	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$38,787	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$47,527	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $47,527 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	2,006	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	32	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	62.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089761, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 October 2013

Cost report for 1 November 2012 to 31 October 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 May 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,153,366	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$21,639	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,131,727	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,165,694	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$33,967	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$80,324	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$46,357	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $46,357 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,789	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	32	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	774.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1059839, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 October 2012

Cost report for 1 November 2011 to 31 October 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 May 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,941,630	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$110,756	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,830,874	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,984,668	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$153,794	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$131,552	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$22,242	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$22,242 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,515	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	49	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	87.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	439.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1029166, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 October 2011

Cost report for 1 November 2010 to 31 October 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 May 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$3,719,919	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,709,238	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$10,681	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$195,907	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2,559	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $204,029 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,500	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	54	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	80.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	379.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 429432, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 31 October 2010

Cost report for 1 November 2009 to 31 October 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 April 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,275,489	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,275,328	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$161	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$76,902	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2,925	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $74,138 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,188	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	70	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	57.79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	274.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398055, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 October 2009

Cost report for 1 November 2008 to 31 October 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 May 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,261,649	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,111,988	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$149,661	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$94,707	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,754	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $240,614 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,579	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	84	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	233.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 369139, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 October 2008

Cost report for 1 November 2007 to 31 October 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 May 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,884,729	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,115,426	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$230,697	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$111,319	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$365	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$119,743 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,083	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	116	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.13	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	173.13	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 339716, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 October 2007

Cost report for 1 April 2007 to 31 October 2007 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 10 June 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$1,545,168	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,538,738	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$993,570	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$842,510	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$20	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$151,080 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	70	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,400	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	62	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	296.77	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 312474, read from the public cost report file SNFFY2007.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
BAHR-SLOCUM, JENNIFER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/25/2025
DESTEFANE, RICHARD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/25/2025
HOLTON ASSOCIATES, L.L.C.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/25/2025
MANZER, JONATHAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/25/2025
RELIANT CARE MANAGEMENT COMPANY LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/05/2025
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/25/2025
TLG II LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/25/2025
DESTEFANE, RICHARD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/25/2025
RELIANT CARE GROUP LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/25/2025
DESTEFANE, RICHARD	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 01/25/2025
RCG INC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/25/2025
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/25/2025
BAHR-SLOCUM, JENNIFER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/25/2025
MANZER, JONATHAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/25/2025
RELIANT CARE MANAGEMENT COMPANY LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/25/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HOLTON HEALTH CARE CENTER LLC (enrollment ID O20250403000202).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
RELIANT CARE GROUP LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/25/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
RICHARD J DESTEFANE	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/25/2025	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.
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/25/2025	Private equity company: No Real estate investment trust: No Holding company: No
HOLTON ASSOCIATES, L.L.C.	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.	1/25/2025	Private equity company: No Real estate investment trust: No Holding company: No
JENNIFER BAHR-SLOCUM	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.	1/25/2025	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.
JONATHAN L MANZER	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.	1/25/2025	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.
RELIANT CARE MANAGEMENT COMPANY 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.	2/5/2025	Private equity company: No Real estate investment trust: No Holding company: No
RICHARD J DESTEFANE	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.	1/25/2025	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.
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/25/2025	Private equity company: No Real estate investment trust: No Holding company: No
TLG II LLP	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.	1/25/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
RICHARD J DESTEFANE	Individual	CORPORATE OFFICER	100	1/25/2025	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.
RELIANT CARE GROUP LLC	Organization	DIRECT OWNERSHIP INTEREST	100	1/25/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
RCG INC	Organization	INDIRECT OWNERSHIP INTEREST	0.01	1/25/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
RICHARD J DESTEFANE	Individual	INDIRECT OWNERSHIP INTEREST	100	1/25/2025	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.
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST	Organization	INDIRECT OWNERSHIP INTEREST	100	1/25/2025	Private equity company: No Real estate investment trust: No Holding company: No
JENNIFER BAHR-SLOCUM	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.	1/25/2025	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.
JONATHAN L MANZER	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.	1/25/2025	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.
RELIANT CARE MANAGEMENT COMPANY LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/25/2025	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 December 2025: ANEW HEALTHCARE MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARK A HASTINGS no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARK A HASTINGS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARK A HASTINGS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JONATHAN L MANZER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JONATHAN L MANZER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JENNIFER BAHR-SLOCUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JENNIFER BAHR-SLOCUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HOLTON ASSOCIATES, L.L.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RELIANT CARE MANAGEMENT COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RELIANT CARE MANAGEMENT COMPANY LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TLG II LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RELIANT CARE GROUP LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RELIANT CARE GROUP LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J DESTEFANE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J DESTEFANE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J DESTEFANE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J DESTEFANE appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J. DESTEFANE REVOCABLE LIVING TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J. DESTEFANE REVOCABLE LIVING TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J. DESTEFANE REVOCABLE LIVING TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RCG INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 March 2025: MARK A HASTINGS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: MARK A HASTINGS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: MARK A HASTINGS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JENNIFER BAHR-SLOCUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JENNIFER BAHR-SLOCUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 November 2024: BLAIR WAGNER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SHANNON M LAGER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SCOTT L HINES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SCOTT L HINES no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: GAREN L COX no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: GAREN L COX no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: TERESA COOVER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: MEDICALODGES INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: MEDICALODGES INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: DIANE S VOSS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: GAYLE M DOLL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: CAROL MARSHALL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: STACI CARDENAS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: PAMELA L SMITH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: RICHARD BUTLER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: TRAVIS I MCBRIDE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: KATHLEEN L LANTZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: RON OTT no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: CATHERINE W ROHLING MCCORD no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: ANEW HEALTHCARE MANAGEMENT, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: MARK A HASTINGS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: MARK A HASTINGS appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv

Recent changes on this record

20 March 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 December 2025: ANEW HEALTHCARE MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARK A HASTINGS no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARK A HASTINGS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARK A HASTINGS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JONATHAN L MANZER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JONATHAN L MANZER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JENNIFER BAHR-SLOCUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JENNIFER BAHR-SLOCUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: HOLTON ASSOCIATES, L.L.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RELIANT CARE MANAGEMENT COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RELIANT CARE MANAGEMENT COMPANY LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TLG II LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RELIANT CARE GROUP LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RELIANT CARE GROUP LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J DESTEFANE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J DESTEFANE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J DESTEFANE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J DESTEFANE appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J. DESTEFANE REVOCABLE LIVING TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J. DESTEFANE REVOCABLE LIVING TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RICHARD J. DESTEFANE REVOCABLE LIVING TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RCG INC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: enrollment_id changed from O20240801000265 to O20250403000202. Skilled_Nursing_Facility_Enrollments_:_2025-12-01.csv
30 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 March 2025: MARK A HASTINGS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: MARK A HASTINGS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: MARK A HASTINGS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JENNIFER BAHR-SLOCUM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 March 2025: JENNIFER BAHR-SLOCUM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
1 November 2024: BLAIR WAGNER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SHANNON M LAGER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SCOTT L HINES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: SCOTT L HINES no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: GAREN L COX no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: GAREN L COX no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: TERESA COOVER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: MEDICALODGES INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: MEDICALODGES INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: DIANE S VOSS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	26 August 2025	26 August 2025	27	12
2	29 January 2024	29 January 2024	22	12
3	10 August 2022	10 August 2022	11	8

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

Deficiencies cited

60 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
26 August 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0584	Resident Rights Deficiencies	Honor 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.	E	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	E	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	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.	E	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0699	Quality of Life and Care Deficiencies	Provide care or services that was trauma informed and/or culturally competent.	D	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	F	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	F	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0802	Nutrition and Dietary Deficiencies	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	E	No	Deficient, Provider has date of correction	3 October 2025
26 August 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	3 October 2025
26 August 2025	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	F	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	E	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	No	Deficient, Provider has date of correction	3 October 2025
26 August 2025	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	F	No	Deficient, Provider has date of correction	3 October 2025
30 December 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.	G	Yes	Past Non-Compliance	20 December 2024
19 August 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	G	Yes	Deficient, Provider has date of correction	5 September 2024
19 August 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J	Yes	Deficient, Provider has date of correction	5 September 2024
19 August 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.	G	Yes	Deficient, Provider has date of correction	5 September 2024
29 January 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0553	Resident Rights Deficiencies	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	D	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 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	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 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.	E	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0699	Quality of Life and Care Deficiencies	Provide care or services that was trauma informed and/or culturally competent.	J	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0742	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.	J	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	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	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0841	Nursing and Physician Services Deficiencies	Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.	F	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0851	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	F	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0865	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	F	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	26 February 2024
29 January 2024	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	Yes	Deficient, Provider has date of correction	26 February 2024
16 October 2023	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	J	Yes	Past Non-Compliance	9 October 2023
10 August 2022	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	16 September 2022
10 August 2022	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	16 September 2022
10 August 2022	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	16 September 2022
10 August 2022	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	16 September 2022
10 August 2022	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	16 September 2022
10 August 2022	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	16 September 2022
10 August 2022	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	16 September 2022
10 August 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	16 September 2022
10 August 2022	Health	F 0882	Infection Control Deficiencies	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	F	No	Deficient, Provider has date of correction	16 September 2022
10 August 2022	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	16 September 2022

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

Penalties

Penalty date	Type	Fine amount	Fine ID
30 December 2024	Fine	$14,672	82464
19 August 2024	Fine	$126,089	82417
29 January 2024	Fine	$49,636	82316
16 October 2023	Fine	$15,931	82275

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	HOLTON HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services	2007-04-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Jackson
Telephone Number	7853284636
Chain Name	RELIANT CARE MANAGEMENT
Chain ID	446
Special Focus Status	SFF Candidate
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	45
Average Number of Residents per Day	36.8
Overall Rating	1
Health Inspection Rating	1
QM Rating	2
Long-Stay QM Rating	2
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 20 March 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.

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The citable document for HOLTON HEALTH CARE CENTER

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