Skilled nursing facility · CMS certification number 365991
ADDISON HEALTHCARE CENTER
MASURY, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 55
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on May 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,433,357 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,271,565 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,161,792 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,668,376 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $493,416 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $493,436 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $493,436 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,574 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,281 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,052 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 14,230 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,563 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 39 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 89 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 309.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1422453, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,599,266 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,319,745 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,279,521 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,037,555 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $241,966 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $241,973 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $241,973 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,709 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 176 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 146.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390098, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,973,104 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,527,928 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,445,176 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,030,069 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $415,107 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $757,500 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,172,607 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,172,607 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,142 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 101.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358870, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,649,686 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,620,209 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,029,477 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,764,318 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $265,159 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $212,336 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $477,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $477,495 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,638 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 195.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366320, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,932,990 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,395,632 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,537,358 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,240,896 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$703,538 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $445,572 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$257,966 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$257,966 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,903 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 83.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336286, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,822,872 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,859,768 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,963,104 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,211,830 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$248,726 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $594 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$248,132 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$248,132 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,008 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 292.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1289471, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for March 1, 2018 to December 31, 2018 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on March 12, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,757,624 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,798,987 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,958,637 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,148,886 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$190,249 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,364 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$186,885 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$186,928 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,232 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 760.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 291.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252350, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 17, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,125,406 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,335,176 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,790,230 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,353,253 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $436,977 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$661 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $436,316 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $436,316 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,128 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 822 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 301.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211846, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,153,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,396,747 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,756,912 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,410,747 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $346,165 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,047 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $363,212 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $363,212 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,608 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,128.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 416 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1184449, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,885,530 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,514,846 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,370,684 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,356,392 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $14,292 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,689 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $34,981 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $34,981 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,344 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 472.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151256, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,484,867 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,172,798 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,312,069 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,351,557 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$39,488 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,347 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$16,141 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$16,141 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,669 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 545.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1135152, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 17, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,550,858 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,141,167 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,409,691 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,311,121 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $98,570 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,273 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $117,843 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $117,843 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,669 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 639.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1115346, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,344,755 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,107,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,236,996 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,144,420 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $92,576 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,919 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $113,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $113,495 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,685 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 423.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1059973, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 9, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,226,856 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,703,315 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,523,541 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,232,731 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $290,810 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,888 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $311,698 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $311,698 (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 204,151 of the 204,151 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,633 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 454.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1028848, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,458,925 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,155,729 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $303,196 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,504 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $327,700 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,129 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,192.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 605.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431283, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 20, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,934,452 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,743,616 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $190,836 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $32,240 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $223,076 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,760 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.78 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 859.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 205.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 388755, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 22, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,687,626 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,312,760 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $374,866 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,610 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $377,476 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,342 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 155.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364336, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 20, 2009.
None of these figures is carried on this report.
CMS report record 333919, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 14, 2008.
None of these figures is carried on this report.
CMS report record 308921, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 12, 2007.
None of these figures is carried on this report.
CMS report record 274508, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 22, 2005.
None of these figures is carried on this report.
CMS report record 237350, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,140,581 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,737,703 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $402,878 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,920 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $158 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $411,640 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,026 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 111.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 920.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 565.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205195, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 28, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,855,493 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,561,277 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $294,216 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $679 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $294,895 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,385 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 81.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 815.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 455.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178757, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
None of these figures is carried on this report.
CMS report record 139008, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,229,784 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,211,155 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $18,629 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,038 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $89,667 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,261 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 740.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 332.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 49180, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 23, 2001.
Net income: $476,487 (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.
CMS report record 49178, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 2, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,092,548 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,966,497 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,051 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $56,696 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $182,747 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,597 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 128.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,845.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,135.21 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 49176, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended October 31, 1997
Cost report for January 1, 1997 to October 31, 1997 — a reporting period of 303 days, on form CMS-2540-96, settled, processed by CMS on February 23, 1999.
Net income: $45,032 (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.
CMS report record 49173, read from the public cost report file SNFFY1997.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.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated October 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| SXCY MSTR LSCO, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 03/01/2018 |
| HEALTH CARE LEASE FACILITIES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 03/01/2018 |
| SXCY HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 03/01/2018 |
| ADDISON MGT CO., LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/22/2025 |
| C.R. STOLTZ FAMILY INVESTMENT COMPANY INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| C.R. STOLTZ IRREVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| HEALTH CARE LEASE FACILITIES, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| I. ROSEDALE IRREVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| LASLO, MEGAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/07/2023 |
| R.S. WILHEIM IRREVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| RONALD S WILHEIM 2012 SPOUSAL TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| ROSEDALE FAMILY INVESTMENT COMPANY, INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| RRW, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| S.L. ROSEDALE IRREVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| SKILLED HC HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| STARR, VIVIAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2023 |
| SXCY HOLDINGS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| WILHEIM FAMILY INVESTMENT COMPANY, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2018 |
| GROVES, DONNA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/14/2023 |
| ROMEO, DOMINIC | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2018 |
| STOLTZ, CHARLES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2018 |
| WILHEIM, RONALD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2018 |
| ADDISON MGT CO., LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/01/2018 |
| GROVES, DONNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/14/2023 |
| LASLO, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/07/2023 |
| ROMEO, DOMINIC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2018 |
| STARR, VIVIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ADDISON LEASING CO LLC (enrollment ID O20180501000786).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SXCY MSTR LSCO, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| C.R. STOLTZ FAMILY INVESTMENT COMPANY INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.52 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| C.R. STOLTZ IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.52 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTH CARE LEASE FACILITIES, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100.00 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| I. ROSEDALE IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| R.S. WILHEIM IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15.89 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD S WILHEIM 2012 SPOUSAL TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15.27 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROSEDALE FAMILY INVESTMENT COMPANY, INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| RRW, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 93.48 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| S.L. ROSEDALE IRREVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SKILLED HC HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 93.48 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SXCY HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100.00 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILHEIM FAMILY INVESTMENT COMPANY, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31.16 | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| ADDISON MGT CO., LLC | Organization | ADP OF THE SNF | Not stated in the filing | 04/22/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| C.R. STOLTZ FAMILY INVESTMENT COMPANY INC | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| C.R. STOLTZ IRREVOCABLE TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEALTH CARE LEASE FACILITIES, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| I. ROSEDALE IRREVOCABLE TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| MEGAN LASLO | Individual | ADP OF THE SNF | Not stated in the filing | 03/07/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| R.S. WILHEIM IRREVOCABLE TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| RONALD S WILHEIM 2012 SPOUSAL TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROSEDALE FAMILY INVESTMENT COMPANY, INC | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| RRW, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| S.L. ROSEDALE IRREVOCABLE TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SKILLED HC HOLDINGS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| SXCY HOLDINGS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| VIVIAN IADEROSA STARR | Individual | ADP OF THE SNF | Not stated in the filing | 09/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WILHEIM FAMILY INVESTMENT COMPANY, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 06/23/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHARLES STOLTZ | Individual | CORPORATE OFFICER | Not stated in the filing | 03/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOMINIC A ROMEO | Individual | CORPORATE OFFICER | Not stated in the filing | 03/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONNA GROVES | Individual | CORPORATE OFFICER | Not stated in the filing | 04/14/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RONALD WILHEIM | Individual | CORPORATE OFFICER | Not stated in the filing | 03/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADDISON MGT CO., LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 03/01/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| DOMINIC A ROMEO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 03/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONNA GROVES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/14/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MEGAN LASLO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 03/07/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIVIAN IADEROSA STARR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 09/01/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 03/01/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: DONNA GROVES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DONNA GROVES (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- October 1, 2025: HEALTH CARE FACILITY MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RICHARD ODENTHAL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: C R STOLTZ II LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HEALTH CARE HOLDINGS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TIFFANY LOTT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: R.S. WILHEIM IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HEALTH CARE LEASE FACILITIES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HEALTH CARE LEASE FACILITIES, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: S.L. ROSEDALE IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ROSEDALE FAMILY INVESTMENT COMPANY, INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ADDISON MGT CO., LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ADDISON MGT CO., LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SKILLED HC HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SKILLED HC HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RRW, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WILHEIM FAMILY INVESTMENT COMPANY, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: C.R. STOLTZ IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DOMINIC A ROMEO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DOMINIC A ROMEO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: C.R. STOLTZ FAMILY INVESTMENT COMPANY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: C.R. STOLTZ FAMILY INVESTMENT COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MEGAN LASLO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 7, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MEGAN LASLO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 7, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RONALD WILHEIM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: VIVIAN IADEROSA STARR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: VIVIAN IADEROSA STARR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: I. ROSEDALE IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SXCY HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SXCY HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: A listing under TRUSTEE OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RONALD S WILHEIM 2012 SPOUSAL TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- January 1, 2023: TONI FUZO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: TIFFANY LOTT (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since December 17, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- July 1, 2026: DONNA GROVES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DONNA GROVES (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 14, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- October 1, 2025: HEALTH CARE FACILITY MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RICHARD ODENTHAL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: C R STOLTZ II LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HEALTH CARE HOLDINGS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TIFFANY LOTT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: R.S. WILHEIM IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HEALTH CARE LEASE FACILITIES, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: HEALTH CARE LEASE FACILITIES, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: S.L. ROSEDALE IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ROSEDALE FAMILY INVESTMENT COMPANY, INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ADDISON MGT CO., LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since April 22, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ADDISON MGT CO., LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SKILLED HC HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SKILLED HC HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RRW, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: WILHEIM FAMILY INVESTMENT COMPANY, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: C.R. STOLTZ IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DOMINIC A ROMEO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DOMINIC A ROMEO (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: C.R. STOLTZ FAMILY INVESTMENT COMPANY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: C.R. STOLTZ FAMILY INVESTMENT COMPANY INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MEGAN LASLO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 7, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: MEGAN LASLO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 7, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RONALD WILHEIM (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: VIVIAN IADEROSA STARR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: VIVIAN IADEROSA STARR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: I. ROSEDALE IRREVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SXCY HOLDINGS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SXCY HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: A listing under TRUSTEE OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: RONALD S WILHEIM 2012 SPOUSAL TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since March 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- May 16, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- October 11, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- January 1, 2023: TONI FUZO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: TIFFANY LOTT (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since December 17, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 19, 2026 | March 19, 2026 | 6 | 1 |
| 2 | February 25, 2025 | February 25, 2025 | 2 | 4 |
| 3 | November 15, 2022 | November 15, 2022 | 5 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
13 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 19, 2026 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | April 6, 2026 |
| March 19, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 6, 2026 |
| March 19, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | April 6, 2026 |
| March 19, 2026 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | April 6, 2026 |
| March 19, 2026 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | April 6, 2026 |
| March 19, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 6, 2026 |
| February 25, 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | E | No | Past Non-Compliance | January 24, 2025 |
| February 25, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 10, 2025 |
| January 4, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | January 11, 2024 |
| January 4, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | January 11, 2024 |
| November 15, 2022 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | December 2, 2022 |
| November 15, 2022 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | December 2, 2022 |
| November 15, 2022 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | No | Deficient, Provider has date of correction | December 2, 2022 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | ADDISON LEASING CO LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1995-05-03 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Trumbull |
| Telephone Number | 3304482547 |
| Chain Name | COMMUNICARE HEALTH |
| Chain ID | 153 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 55 |
| Average Number of Residents per Day | 50.8 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on ADDISON HEALTHCARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On May 16, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for ADDISON HEALTHCARE CENTER
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.
Other public records in Ohio
- VILLAGE OF LOWELL WWTP, LOWELL Water discharge permit
- BETHESDA WASTEWATER TREATMENT PLANT, BETHESDA Water discharge permit
- ODOT BARLETT OUTPOST, BARLETT Water discharge permit
- VILLAGE OF SHAWNEE WWTP, SHAWNEE Water discharge permit
- WRIGHT-PATTERSON AFB, WRIGHT-PATTERSON AFB Water discharge permit
- FLAT ROCK HOMES, FLAT ROCK Water discharge permit
- BUCKEYE TERMINALS CINCINNATI TERMINAL, CINCINNATI Water discharge permit
- TRANSMONTAIGNE OPERATING CO LP, EAST LIVERPOOL Water discharge permit
- LAKEWOOD PALLETS, GRAND RAPIDS Air emission source
- DISPATCH CONSUMER SERVICES, INC., LEWIS CENTER Air emission source
- BP AMERICA LENNINGTON 1H WELL, CORTLAND Air emission source
- PATRIOT WATER TREATMENT, WARREN Air emission source
- NORTH PRESTON FARMS, LOUISVILLE Air emission source
- SEMTORQ INC, AURORA Air emission source
- CRISPIN AUTO WRECKING, NEWARK Air emission source
- SUPERIOR MARINE WAYS, PROCTORVILLE Air emission source
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 365991.