Skilled nursing facility · CMS certification number 265865

BIRCH POINTE HEALTH AND REHABILITATION

SPRINGFIELD, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

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
Figure	As filed	Where it comes from
Total patient revenue	$15,035,469	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,374,904	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,660,565	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,242,393	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$418,172	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,837	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$427,009	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $427,009 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,920	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,917	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	21,810	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	14,133	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	37,860	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	79	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	30	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	232	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	341	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	727	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437332, 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 12 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$12,892,307	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,700,234	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,192,073	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,249,259	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$57,186	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,911	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$45,275	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$45,275 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,791	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	330	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	994.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394632, 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 4 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$13,953,926	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,446,134	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,507,792	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,884,518	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$623,274	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,495	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$629,769	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $629,769 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,018	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	325	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	422.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	116.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361049, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$12,573,395	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,150,401	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,422,994	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,662,827	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$239,833	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,311	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$235,522	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$235,522 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,411	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	361	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	461.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	103.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331991, 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 21 January 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$11,517,665	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,901,807	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,615,858	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,246,830	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$630,972	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,827	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$629,145	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$629,145 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,325	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	341	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	375.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	106.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309215, 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 14 October 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$11,922,485	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,292,412	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,630,073	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,890,254	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$260,181	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$252	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$259,929	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$259,929 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,901	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	378	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	488.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	97.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1270905, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 28 December 2017 to 31 December 2018 — a reporting period of 368 days, on form CMS-2540-10, settled, processed by CMS on 10 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,671,119	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,574,596	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,096,523	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,594,782	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$498,259	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$117	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$498,142	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$498,142 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,443	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	257	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	185.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	71.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1236325, 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 manager	Role	Type	Ownership percentage	Association
3B HOLDINGS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/13/2015
50 EGGS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2020
ADAMS, ANTHONY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/13/2015
ADAMS, BRYAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/13/2015
ALUMNO, MARTIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/28/2024
DVORAK, NORA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/28/2017
ELLIS, JOHN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/28/2017
FIRST SECURITY BANCORP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/13/2015
FIRST SECURITY BANK	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/13/2015
INCITE REHAB, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/28/2017
KOEHLER, TOBEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/28/2017
LOWE, CLINTON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/15/2024
LTC SYSTEMS/RX, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/28/2017
MAINORD, WILLIAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/28/2007
MCGINNIS, LARRY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/28/2017
MILLER COMMERCE ASSETS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/13/2015
MILLER, MATTHEW	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/13/2015
PEDIGO, RITA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/28/2007
PHARMACY CONSULTS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/28/2017
PRIMROSE SENIOR LIVING, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/13/2015
RELIANCE HEALTH CARE, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/28/2017
SCROGGINS, JESSE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/28/2024
DVORAK, NORA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2017
ADAMS, ANTHONY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/13/2015
ADAMS, BRYAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/13/2015
DVORAK, NORA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 12/28/2017
LOWE, CLINTON	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 07/15/2024
SCROGGINS, JESSE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/28/2024
ALUMNO, MARTIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/28/2024
LOWE, CLINTON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/15/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SENIOR LIVING MANAGEMENT GROUP, LLC (enrollment ID O20171108002210).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
RHC OPERATIONS INC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/13/2015	Private equity company: No Real estate investment trust: No Holding company: Yes
ANTHONY BRANDON ADAMS	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	5/13/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRYAN MILBURN ADAMS	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	5/13/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
3B HOLDINGS, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/13/2015	Private equity company: No Real estate investment trust: No Holding company: Yes
50 EGGS, 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.	1/1/2020	Private equity company: No Real estate investment trust: No Holding company: No
ANTHONY BRANDON ADAMS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/13/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRYAN MILBURN ADAMS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/13/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CLINTON LOWE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/15/2024	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.
FIRST SECURITY BANCORP	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.	5/13/2015	Private equity company: No Real estate investment trust: No Holding company: Yes
FIRST SECURITY BANK	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.	5/13/2015	Private equity company: No Real estate investment trust: No Holding company: No
INCITE REHAB, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2017	Private equity company: No Real estate investment trust: No Holding company: No
JESSE A SCROGGINS	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.	8/28/2024	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.
JOHN ELLIS	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.	12/28/2017	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.
LARRY M MCGINNIS	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.	12/28/2017	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.
LTC SYSTEMS/RX, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2017	Private equity company: No Real estate investment trust: No Holding company: No
MARTIN R A ALUMNO	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.	8/28/2024	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 E MILLER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/13/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MILLER COMMERCE ASSETS, 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.	5/13/2015	Private equity company: No Real estate investment trust: No Holding company: No
NORA DVORAK	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.	12/28/2017	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.
PHARMACY CONSULTS, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2017	Private equity company: No Real estate investment trust: No Holding company: No
PRIMROSE SENIOR LIVING, 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.	5/13/2015	Private equity company: No Real estate investment trust: No Holding company: No
RELIANCE HEALTH CARE, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2017	Private equity company: No Real estate investment trust: No Holding company: No
RITA PEDIGO	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.	12/28/2007	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.
TOBEY KOEHLER	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.	12/28/2017	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.
WILLIAM MAINORD	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.	12/28/2007	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.
NORA DVORAK	Individual	CORPORATE DIRECTOR	0	1/1/2017	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.
ANTHONY BRANDON ADAMS	Individual	CORPORATE OFFICER	0	5/13/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRYAN MILBURN ADAMS	Individual	CORPORATE OFFICER	0	5/13/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CLINTON LOWE	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/15/2024	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.
JESSE A SCROGGINS	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/28/2024	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.
NORA DVORAK	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/28/2017	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.
CLINTON LOWE	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	7/15/2024	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.
MARTIN R A ALUMNO	Individual	OPERATIONAL/MANAGERIAL CONTROL	0	8/28/2024	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.

Changes in ownership

1 July 2026: BRYAN MILBURN ADAMS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRYAN MILBURN ADAMS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRYAN MILBURN ADAMS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRYAN MILBURN ADAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRYAN MILBURN ADAMS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRYAN MILBURN ADAMS appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: CLINTON LOWE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: FIRST SECURITY BANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JESSE A SCROGGINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JESSE A SCROGGINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ANTHONY BRANDON ADAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PRIMROSE SENIOR LIVING, 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: NORA DVORAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NORA DVORAK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NORA DVORAK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TOBEY KOEHLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: 3B HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RELIANCE HEALTH CARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JOHN ELLIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARTIN R A ALUMNO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WILLIAM MAINORD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MILLER COMMERCE ASSETS, 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: RITA PEDIGO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: INCITE REHAB, 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: PHARMACY CONSULTS, 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: LARRY M MCGINNIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: 50 EGGS, 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: FIRST SECURITY BANCORP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CLINTON LOWE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CLINTON LOWE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MATTHEW E MILLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: LTC SYSTEMS/RX, 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: BRYAN MILBURN ADAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 November 2024: JOHN A MILLER 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: JOHN A MILLER 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: MARTIN R A ALUMNO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: CLINTON LOWE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: CLINTON LOWE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv

Recent changes on this record

1 July 2026: BRYAN MILBURN ADAMS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRYAN MILBURN ADAMS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRYAN MILBURN ADAMS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRYAN MILBURN ADAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRYAN MILBURN ADAMS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRYAN MILBURN ADAMS appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: CLINTON LOWE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: FIRST SECURITY BANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JESSE A SCROGGINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JESSE A SCROGGINS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ANTHONY BRANDON ADAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: PRIMROSE SENIOR LIVING, 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: NORA DVORAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NORA DVORAK appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NORA DVORAK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TOBEY KOEHLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: 3B HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: RELIANCE HEALTH CARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: JOHN ELLIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MARTIN R A ALUMNO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: WILLIAM MAINORD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MILLER COMMERCE ASSETS, 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: RITA PEDIGO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: INCITE REHAB, 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: PHARMACY CONSULTS, 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: LARRY M MCGINNIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: 50 EGGS, 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: FIRST SECURITY BANCORP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CLINTON LOWE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CLINTON LOWE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: MATTHEW E MILLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: LTC SYSTEMS/RX, 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: BRYAN MILBURN ADAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 November 2024: JOHN A MILLER 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: JOHN A MILLER 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: MARTIN R A ALUMNO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: CLINTON LOWE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
1 November 2024: CLINTON LOWE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
12 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	13 February 2025	13 February 2025	8	2
2	1 December 2023	1 December 2023	8	1
3	2 June 2021	2 June 2021	14	4

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

Deficiencies cited

30 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
13 February 2025	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E	No	Deficient, Provider has date of correction	30 March 2025
13 February 2025	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	No	Deficient, Provider has date of correction	30 March 2025
13 February 2025	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.	E	No	Deficient, Provider has date of correction	30 March 2025
13 February 2025	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	30 March 2025
13 February 2025	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.	E	No	Deficient, Provider has date of correction	30 March 2025
13 February 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	30 March 2025
13 February 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	30 March 2025
13 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	30 March 2025
22 August 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	Yes	Deficient, Provider has date of correction	2 October 2024
12 July 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	26 August 2024
1 December 2023	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	No	Deficient, Provider has date of correction	15 January 2024
1 December 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.	E	Yes	Deficient, Provider has date of correction	15 January 2024
1 December 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	15 January 2024
1 December 2023	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	15 January 2024
1 December 2023	Health	F 0678	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	D	No	Deficient, Provider has date of correction	15 January 2024
1 December 2023	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	15 January 2024
1 December 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	15 January 2024
1 August 2023	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	14 September 2023
1 August 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	Yes	Deficient, Provider has date of correction	14 September 2023
1 August 2023	Health	F 0776	Administration Deficiencies	Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.	D	Yes	Deficient, Provider has date of correction	14 September 2023
2 June 2021	Health	F 0557	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	D	No	Deficient, Provider has date of correction	17 July 2021
2 June 2021	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	E	No	Deficient, Provider has date of correction	17 July 2021
2 June 2021	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	No	Deficient, Provider has date of correction	17 July 2021
2 June 2021	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	17 July 2021
2 June 2021	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	17 July 2021
2 June 2021	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	17 July 2021
2 June 2021	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	17 July 2021
2 June 2021	Health	F 0790	Quality of Life and Care Deficiencies	Provide routine and 24-hour emergency dental care for each resident.	D	No	Deficient, Provider has date of correction	17 July 2021
2 June 2021	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	D	No	Deficient, Provider has date of correction	17 July 2021
2 June 2021	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	17 July 2021

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	SENIOR LIVING MANAGEMENT GROUP, LLC
Date First Approved to Provide Medicare and Medicaid Services	2017-12-28
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Greene
Telephone Number	4178890773
Chain Name	ANTHONY & BRYAN ADAMS
Chain ID	36
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	120
Average Number of Residents per Day	106.0
Overall Rating	3
Health Inspection Rating	3
QM Rating	4
Long-Stay QM Rating	4
Short-Stay QM Rating	3
Processing Date	2026-08-01

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

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On 1 July 2026: BRYAN MILBURN ADAMS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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