Skilled nursing facility · CMS certification number 366351
OHIO VETERANS HOME - GEORGETOWN
GEORGETOWN, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 168
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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $24,105,518 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$24,105,518 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,168,771 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $63,253 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $63,253 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 61,320 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 237 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 37,091 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 37,328 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 26 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 1,435.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446216, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended 30 June 2024
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 January 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $20,252,910 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$20,252,910 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,294,998 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $42,088 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $42,088 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,213 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 918.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402605, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended 30 June 2023
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $17,387,799 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$17,387,799 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,422,631 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $34,832 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $34,832 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,218 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 1,134.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371967, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended 30 June 2022
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $18,784,556 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$18,784,556 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,828,468 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $43,912 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $43,912 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,176 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, all patients, in days | 914.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1341096, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended 30 June 2021
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 February 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $20,239,574 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$20,239,574 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,283,693 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $44,119 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $44,119 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,885 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 768.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310561, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 30 June 2020
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 February 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $21,137,195 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$21,137,195 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,626,786 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $489,591 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $489,591 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 56,041 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 352.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279387, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 30 June 2019
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $20,563,028 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$20,563,028 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,637,378 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $74,350 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $74,350 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,867 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 109.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 298.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249504, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 December 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $19,362,084 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$19,362,084 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,437,960 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $75,876 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $75,876 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,263 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 130.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 359.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217114, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 December 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $18,812,441 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$18,812,441 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,894,120 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $81,679 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $81,679 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,756 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 177 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 147.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 331.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181585, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $17,273,628 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$17,273,628 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,338,784 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $65,156 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $65,156 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,426 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 170 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 343.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148955, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $15,007,495 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,007,495 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,063,823 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $56,328 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $56,328 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,277 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 147.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 399.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116820, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 December 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $14,520,534 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,520,534 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,629,683 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $109,149 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $109,149 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,951 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 90.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 604.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1083647, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 December 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $14,174,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,174,120 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,233,085 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $58,965 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $58,965 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,156 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 496.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1052198, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $13,346,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,346,275 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,409,238 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $62,963 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $62,963 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,008 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 118 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 666.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1022394, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $13,312,678 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$13,312,678 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,367,074 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $54,396 (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 | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,881 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 603.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423111, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 February 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $11,605,807 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$11,605,807 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,667,491 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $61,684 (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 | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,117 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 103.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 798.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393766, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 January 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $12,084,245 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$12,084,245 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,148,450 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $64,205 (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 | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,443 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 459 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 868.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 362712, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 January 2008 to 30 June 2008 — a reporting period of 181 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 15 December 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $5,339,024 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,339,024 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,339,560 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $536 (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 | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,969 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 22 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, all patients, in days | 998.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 330211, read from the public cost report file SNFFY2008.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 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| AUGUSTIN, NERLEEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/21/2023 |
| REBER, KAITLIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/23/2026 |
| STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/15/2003 |
| WORKMAN, ANNETTE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/15/2003 |
| STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/15/2003 |
| AUGUSTIN, NERLEEN | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 02/21/2023 |
| WORKMAN, ANNETTE | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/17/2013 |
| AUGUSTIN, NERLEEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/21/2023 |
| REBER, KAITLIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/23/2026 |
| WORKMAN, ANNETTE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/17/2013 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING (enrollment ID O20070328000236).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/15/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANNETTE WORKMAN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/15/2003 | 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. |
| KAITLIN REBER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/23/2026 | 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. |
| NERLEEN LAURENCE AUGUSTIN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/21/2023 | 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. |
| STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/15/2003 | 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. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/26/2025 | 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. |
| STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING | Organization | DIRECT OWNERSHIP INTEREST | 100 | 11/15/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANNETTE WORKMAN | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 5/17/2013 | 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. |
| NERLEEN LAURENCE AUGUSTIN | Individual | INDIRECT OWNERSHIP INTEREST | 0 | 2/21/2023 | 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. |
| ANNETTE WORKMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/17/2013 | 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. |
| KAITLIN REBER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/23/2026 | 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. |
| NERLEEN LAURENCE AUGUSTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/21/2023 | 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. |
Changes in ownership
- 1 July 2026: TERRY HOLECEK no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TERRY HOLECEK no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TERRY HOLECEK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAITLIN REBER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAITLIN REBER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2025: TERRY HOLECEK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: ANNETTE WORKMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: NERLEEN LAURENCE AUGUSTIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: TERRY HOLECEK appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: TERRY HOLECEK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: TERRY HOLECEK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: ANNETTE WORKMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: ANNETTE WORKMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: ANNETTE WORKMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: NERLEEN LAURENCE AUGUSTIN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: NERLEEN LAURENCE AUGUSTIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: NERLEEN LAURENCE AUGUSTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 July 2024: TERRY HOLECEK appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 March 2024: ROSS MATLACK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 15 June 2023: NERLEEN LAURENCE AUGUSTIN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 30 November 2022: LINDA SLONE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Recent changes on this record
- 1 July 2026: TERRY HOLECEK no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TERRY HOLECEK no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: TERRY HOLECEK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAITLIN REBER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAITLIN REBER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 8 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 1 March 2025: TERRY HOLECEK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: ANNETTE WORKMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: NERLEEN LAURENCE AUGUSTIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: TERRY HOLECEK appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: TERRY HOLECEK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: TERRY HOLECEK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: ANNETTE WORKMAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: ANNETTE WORKMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: ANNETTE WORKMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: NERLEEN LAURENCE AUGUSTIN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: NERLEEN LAURENCE AUGUSTIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: NERLEEN LAURENCE AUGUSTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 1 March 2025: STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- 23 January 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 1 July 2024: TERRY HOLECEK appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
- 1 March 2024: ROSS MATLACK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- 16 January 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 15 June 2023: NERLEEN LAURENCE AUGUSTIN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 26 January 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 30 November 2022: LINDA SLONE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
- 17 February 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 1 February 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 2 April 2026 | 2 April 2026 | 0 | 4 |
| 2 | 4 May 2023 | 4 May 2023 | 4 | 3 |
| 3 | 5 March 2020 | 5 March 2020 | 14 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 13 June 2025 | Health | F 0712 | Nursing and Physician Services Deficiencies | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Yes | Deficient, Provider has date of correction | 25 July 2025 |
| 4 May 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor 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. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 4 May 2023 | Health | F 0622 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 4 May 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 30 June 2023 |
| 5 March 2020 | Health | F 0578 | Resident Rights Deficiencies | Honor 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. | D | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0685 | Quality of Life and Care Deficiencies | Assist a resident in gaining access to vision and hearing services. | D | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | 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 | 25 July 2020 |
| 5 March 2020 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 25 July 2020 |
| 5 March 2020 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 25 July 2020 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
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Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - State |
| Legal Business Name | STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING |
| Date First Approved to Provide Medicare and Medicaid Services | 2008-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Brown |
| Telephone Number | 9373782900 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 168 |
| Average Number of Residents per Day | 97.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 1 July 2026: TERRY HOLECEK no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
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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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