Velarion Records

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

Skilled nursing facility · CMS certification number 365777

TRINITY COMMUNITY

BEAVERCREEK, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 95

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 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$17,704,223CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,883,060CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,821,163CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,265,417CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$555,746CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$97,072CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$652,818CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $652,818 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components34,770CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,618CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days4,893CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days23,098CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components30,609CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges90CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges22CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges305CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components417CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days222.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days73.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435050, 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 6 March 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$16,435,894CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,636,654CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,799,240CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,862,516CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$63,276CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$360,731CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$297,455CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $297,455 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,953CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components467CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.28CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days211.12CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1404791, 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 21 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$14,630,009CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,849,596CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,780,413CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,522,253CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$741,840CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$429,412CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$312,428CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$312,428 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,935CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components718CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.92CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days140.13CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days41.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359518, 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 5 August 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$14,256,063CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,301,396CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,954,667CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,458,896CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$504,229CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$46,633CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$457,596CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$457,596 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,960CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components458CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days131.41CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days63.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329101, 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 October 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$12,888,902CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,445,819CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,443,083CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,141,697CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$698,614CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$28,213CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$726,827CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$726,827 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components95CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,300CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components697CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days90.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days40.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302908, 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 17 July 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$13,863,414CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,011,240CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,852,174CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,527,264CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$324,910CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,598CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$327,508CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $327,508 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,435CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components550CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days143.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days57.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1260482, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$13,252,838CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,915,818CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,337,020CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,549,431CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$212,411CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$29,170CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$183,241CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$183,241 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,784CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components526CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days394.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days60.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1235729, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$13,048,315CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,628,154CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,420,161CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,237,069CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$183,092CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$60,118CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$243,210CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $243,210 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,695CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components379CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days109.91CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days83.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200007, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$12,505,675CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,502,771CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,002,904CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,773,814CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$229,090CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,041CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$244,131CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $244,131 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,433CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components243CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days344.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days133.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170020, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$12,790,051CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,568,919CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,221,132CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,828,162CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$392,970CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$36,042CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$429,012CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $429,012 (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
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,589CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components452CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days54.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days74.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1137550, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

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

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$12,462,349CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,845,900CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,616,449CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,646,232CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$970,217CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$16,166CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$986,383CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $986,383 (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
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,300CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components256CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days700.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146194, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 November 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$17,228,833CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,860,244CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,368,589CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,738,860CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,629,729CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$64,680CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,694,409CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,694,409 (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
FigureAs filedWhere it comes from
Total facility beds, all components218CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components78,079CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components502CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days212CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days155.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1113441, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 December 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$17,224,617CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,843,046CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,381,571CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,175,130CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,206,441CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,028CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,232,469CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,232,469 (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
FigureAs filedWhere it comes from
Total facility beds, all components218CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components80,405CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components326CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days618.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days246.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081278, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 March 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$16,669,273CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,303,050CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,366,223CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,143,643CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,222,580CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20,512CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,243,092CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,232,730 (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 2011
FigureAs filedWhere it comes from
Total facility beds, all components218CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components74,443CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components344CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days670.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days216.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1026616, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 July 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$14,044,280CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$12,064,173CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,980,107CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$22,204CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$190,197CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,812,114 (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
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components36,550CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components278CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days635.41CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days131.47CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 413114, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 January 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$13,263,477CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,056,927CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$2,206,550CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$176,205CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$425CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $2,382,330 (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
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components36,778CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components227CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days394.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days162.02CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 392857, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 January 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$12,891,722CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,872,988CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,018,734CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,518CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$426,166CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $611,086 (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
FigureAs filedWhere it comes from
Total facility beds, all components218CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components76,867CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components330CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.84CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days417.04CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days232.93CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 363038, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 February 2009.

None of these figures is carried on this report.

CMS report record 333913, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 December 2007.

None of these figures is carried on this report.

CMS report record 298370, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 February 2007.

None of these figures is carried on this report.

CMS report record 271762, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 March 2006.

None of these figures is carried on this report.

CMS report record 245978, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 February 2005.

None of these figures is carried on this report.

CMS report record 208167, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 May 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$9,597,239CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,437,129CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$160,110CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,200CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $161,310 (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 2002
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components81,103CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components105CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days86.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days772.41CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 178741, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$9,227,076CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,995,905CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$231,171CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,200CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $232,371 (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 2001
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components81,083CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components105CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days70.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days772.22CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 144268, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 March 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$8,657,687CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,039,158CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$618,529CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,200CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $619,729 (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 2000
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components81,563CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components95CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days83.42CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days858.56CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 47839, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 July 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$7,976,327CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,485,978CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$490,349CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,200CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $491,549 (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 1999
FigureAs filedWhere it comes from
Total facility beds, all components225CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components81,059CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components98CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days52.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days827.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 47837, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 October 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$7,971,660CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,669,304CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$302,356CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,075CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $303,431 (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 1998
FigureAs filedWhere it comes from
Total facility beds, all components210CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components74,384CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components88CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days93CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days845.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 47835, read from the public cost report file SNFFY1998.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
UNITED CHURCH HOMES, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 04/01/2000
FARRELL, LAURAADP OF THE SNFIndividualNOT APPLICABLEsince 01/07/2026
UNITED CHURCH HOMES, INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2000
VENKATESH, LATHAADP OF THE SNFIndividualNOT APPLICABLEsince 01/30/2026
BAILEY, PETERCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2024
BATES, TREVORCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/01/2017
BENJAMIN, PAMELACORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2021
BLACK, GEOFFREYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2016
D'AGOSTINO, JOANNACORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2024
GRAHAM, GEORGECORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2025
GUESS, JAMESCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2021
HAWES-SAUNDERS, RO NITACORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/01/2024
HENRY, JAMESCORPORATE DIRECTORIndividualNOT APPLICABLEsince 12/31/2014
JAMES, JILLCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2025
LONG-HIGGINS, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/01/2018
SANDMAN, ROBERTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2025
ULRICH, KARLCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2016
WILLIAMS, STEPHANIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2014
WINFREY, LAPEARLCORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/01/2020
NADERHOFF, JUDITHCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2026
YOUNG, KENNETHCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/07/2025
BILLS, ASHLEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/26/2022
BOLLINGER, NATHANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/31/2023
BROWN, DALEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/12/2012
BRUBAKER, TAMRAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/19/2022
DURBIN, DEBRAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/15/2022
EUSANIO, VINCENTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/31/2025
FARRELL, LAURAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/08/1994
FAULKNER, MICHELLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2026
HURWITZ, GLORIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/07/2013
KELLEY, MEGANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2023
KLENZMAN, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/15/2022
LONG-HIGGINS, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/02/2022
MAGHES, MICHELLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/24/2025
MILLER, DANIELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/04/2017
MULLIKIN, JUDYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/19/1986
NADERHOFF, JUDITHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2026
SLUTZ, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2016
SPITZNAGEL, TERESAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/15/2022
STACEY, AMANDAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2026
SZEWCZYK, MELODYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/22/1986
THORP-SWEITZER, KIMBERLYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/15/1994
TILLMAN, MICHELLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/21/2020
UNITED CHURCH HOMES, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2000
VAUGHAN, CORRYEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/20/2004
VAUGHN, RICHARDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/06/2006
VENKATESH, LATHAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/22/2019
WARREN, ASHLEYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2026
YOUNG, KENNETHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/07/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of UNITED CHURCH HOMES, INC. (enrollment ID O20070910000304).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
UNITED CHURCH HOMES, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST1004/1/2000
Private equity company: No
Real estate investment trust: No
Holding company: No
LATHA VENKATESHIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/30/2026
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.
LAURA FARRELLIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/7/2026
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.
UNITED CHURCH HOMES, INC.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2000
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/31/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/31/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/31/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
DAVID LONG-HIGGINSIndividualCORPORATE DIRECTOR011/1/2018
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.
GEOFFREY BLACKIndividualCORPORATE DIRECTOR06/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GEORGE GRAHAMIndividualCORPORATE DIRECTOR06/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES GUESSIndividualCORPORATE DIRECTOR06/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES L HENRYIndividualCORPORATE DIRECTOR012/31/2014
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.
JILL JAMESIndividualCORPORATE DIRECTOR06/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOANNA D'AGOSTINOIndividualCORPORATE DIRECTOR06/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KARL ULRICHIndividualCORPORATE DIRECTOR06/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAPEARL LOGAN WINFREYIndividualCORPORATE DIRECTOR06/1/2020
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.
PAMELA BENJAMINIndividualCORPORATE DIRECTOR06/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PETER BAILEYIndividualCORPORATE DIRECTOR06/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RO NITA HAWES-SAUNDERSIndividualCORPORATE DIRECTOR02/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT SANDMANIndividualCORPORATE DIRECTOR06/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHANIE WILLIAMSIndividualCORPORATE DIRECTOR06/1/2014
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.
TREVOR BATESIndividualCORPORATE DIRECTOR02/1/2017
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.
JUDITH NADERHOFFIndividualCORPORATE OFFICER01/1/2026
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.
KENNETH L YOUNGIndividualCORPORATE OFFICER02/7/2025
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.
AMANDA STACEYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2026
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.
ASHLEY BILLSIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/26/2022
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.
ASHLEY WARRENIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2026
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.
CORRYE VAUGHANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/20/2004
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.
DALE BROWNIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/12/2012
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANIEL J MILLERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/4/2017
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.
DEBRA DURBINIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/15/2022
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.
ELIZABETH LONG-HIGGINSIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/2/2022
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.
GLORIA T HURWITZIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/7/2013
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JUDITH NADERHOFFIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2026
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.
JUDY MULLIKINIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/19/1986
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.
KENNETH L YOUNGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/7/2025
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.
KIMBERLY THORP-SWEITZERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/15/1994
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.
LATHA VENKATESHIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/22/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAURA FARRELLIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/8/1994
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.
MEGAN KELLEYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MELODY SZEWCZYKIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/22/1986
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.
MICHELLE FAULKNERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2026
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.
MICHELLE MAGHESIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/24/2025
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.
MICHELLE TILLMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/21/2020
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.
NATHAN BOLLINGERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/31/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RICHARD VAUGHNIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/6/2006
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT SLUTZIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TAMRA BRUBAKERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/19/2022
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.
TERESA D SPITZNAGELIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/15/2022
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.
UNITED CHURCH HOMES, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2000
Private equity company: No
Real estate investment trust: No
Holding company: No
VINCENT EUSANIOIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/31/2025
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.
WILLIAM KLENZMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/15/2022
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

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
13 April 20253 April 202567
225 April 202225 April 2022105
328 February 201928 February 2019144

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 dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
3 April 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction1 May 2025
3 April 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction1 May 2025
3 April 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction1 May 2025
3 April 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction1 May 2025
3 April 2025HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.FNoDeficient, Provider has date of correction1 May 2025
3 April 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction1 May 2025
18 April 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction19 April 2024
21 August 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction11 September 2023
21 August 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correction11 September 2023
25 April 2022HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction20 June 2022
25 April 2022HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correction20 June 2022
25 April 2022HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction20 June 2022
25 April 2022HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction20 June 2022
25 April 2022HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction20 June 2022
25 April 2022HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction20 June 2022
25 April 2022HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correction20 June 2022
25 April 2022HealthF 0810Nutrition and Dietary DeficienciesProvide special eating equipment and utensils for residents who need them and appropriate assistance.DNoDeficient, Provider has date of correction20 June 2022
25 April 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction20 June 2022
25 April 2022HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.ENoDeficient, Provider has date of correction20 June 2022
28 February 2019HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DNoDeficient, Provider has date of correction8 April 2019
28 February 2019HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.DNoDeficient, Provider has date of correction8 April 2019
28 February 2019HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DNoDeficient, Provider has date of correction8 April 2019
28 February 2019HealthF 0642Resident Assessment and Care Planning DeficienciesEnsure a qualified health professional conducts resident assessments.DNoDeficient, Provider has date of correction8 April 2019
28 February 2019HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correction8 April 2019
28 February 2019HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction8 April 2019
28 February 2019HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction8 April 2019
28 February 2019HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction8 April 2019
28 February 2019HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction8 April 2019
28 February 2019HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correction8 April 2019
28 February 2019HealthF 0773Administration DeficienciesProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DNoDeficient, Provider has date of correction8 April 2019

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
18 April 2024Fine$9,93278112

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameUNITED CHURCH HOMES, INC.
Date First Approved to Provide Medicare and Medicaid Services1990-01-23
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishGreene
Telephone Number9374268481
Chain NameUNITED CHURCH HOMES
Chain ID533
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds95
Average Number of Residents per Day84.0
Overall Rating3
Health Inspection Rating3
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating4
Processing Date2026-08-01

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

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On 1 July 2026: SUSAN B SHEIDLER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for TRINITY COMMUNITY

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Ohio at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 365777.