Facility record report · CMS certification number 366482

GATEWAY SPRINGS HEALTH CAMPUS

HAMILTON, Ohio · Medicare and Medicaid

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,383,831	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$999,636	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,384,195	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,603,053	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$218,858	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,071	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$207,787	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$207,787 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	94	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	34,404	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,408	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	7,364	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	17,791	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	80	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	22	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	295	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	397	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	334.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437810, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$8,313,889	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$761,224	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,552,665	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,102,500	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,549,835	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$84,220	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,465,615	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,465,615 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,437	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	265	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	198.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	88.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391444, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 January 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,024,955	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$567,927	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,457,028	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,247,581	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,790,553	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$176,177	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,614,376	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,614,376 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,164	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	230	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	155.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	96.37	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1372223, read from the public cost report file SNF10FY2022.zip.

Cost report for 10 February 2021 to 31 December 2021 — a reporting period of 324 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,155,404	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$294,786	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,860,618	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,816,211	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,955,593	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$19,469	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,975,062	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,975,062 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,910	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	134	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	96.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	73.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327305, read from the public cost report file SNF10FY2021.zip.

Five facilities of a similar size in Ohio, fiscal year 2024

Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
ARBORS WEST	94	26,071	$7,377,126	$7,537,314	−$160,188	31 December 2024
GATEWAY SPRINGS HEALTH CAMPUS	94	27,563	$9,384,195	$9,603,053	−$218,858	31 December 2024
SANCTUARY AT WILMINGTON PLACE	94	29,119	$8,090,926	$8,458,732	−$367,806	31 December 2024
SCHOENBRUNN HEALTHCARE	95	26,458	$7,944,122	$7,831,560	$112,562	31 December 2024
THE LAURELS OF WORTHINGTON	95	32,752	$11,102,785	$11,743,879	−$641,094	31 December 2024
TRINITY COMMUNITY AT FAIRBORN	94	31,085	$10,101,411	$9,908,790	$192,621	31 December 2024

Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.

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
GRIFFIN-AMERICAN HEALTHCARE REIT III, INC.	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/01/2015
GRIFFIN-AMERICAN HEALTHCARE REIT IV HOLDINGS, LP	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/01/2015
NORTHSTAR HEALTHCARE INCOME INC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/01/2015
NORTHSTAR HEALTHCARE INCOME OPERATING PARTNERSHIP LP	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/01/2015
TRILOGY HOLDINGS NT-HCI, LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 12/01/2015
BARBER, ROBIN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/03/2018
BARNEY, LEIGH	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2001
BRYANT, WILLIAM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/05/2016
DAVIS, DAVID	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/21/2017
PROSKY, DANNY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/01/2015
STREIFF, MATHIEU	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/01/2015
WILLIAMSON, BRADLEY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/21/2014
OSSOSKI, TOMEK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/28/2020
TRILOGY MANAGEMENT SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2015
CORBIN, KATHY	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 12/08/2020
FIGHTMASTER, LISA	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 12/01/2015

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of TRILOGY HEALTHCARE OF BUTLER, LLC (enrollment ID O20210106001417).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
TRILOGY OPCO LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
AMERICAN HEALTHCARE REIT HOLDINGS LP	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	70	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
AMERICAN HEALTHCARE REIT INC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
GAHC3 TRILOGY JV LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	70	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
GAHC4 TRILOGY JV LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
GRIFFIN-AMERICAN HEALTHCARE REIT III, INC.	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	70	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
GRIFFIN-AMERICAN HEALTHCARE REIT IV HOLDINGS, LP	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
NORTHSTAR HEALTHCARE INCOME INC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	24	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
NORTHSTAR HEALTHCARE INCOME OPERATING PARTNERSHIP LP	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	24	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY HEALTHCARE HOLDINGS INC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY HOLDINGS NT-HCI, LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	24	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY INVESTORS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY REAL ESTATE INVESTMENT TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	96.7	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
TRILOGY REIT HOLDINGS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	96.7	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
BRADLEY WILLIAMSON	Individual	CORPORATE OFFICER	14.29	1/21/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANNY PROSKY	Individual	CORPORATE OFFICER	14.29	12/1/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID W DAVIS	Individual	CORPORATE OFFICER	14.29	8/21/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LEIGH ANN BARNEY	Individual	CORPORATE OFFICER	14.29	1/1/2001	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.
MATHIEU B STREIFF	Individual	CORPORATE OFFICER	14.29	12/1/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBIN L BARBER	Individual	CORPORATE OFFICER	14.29	4/3/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM BRYANT	Individual	CORPORATE OFFICER	14.29	1/5/2016	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TOMEK K OSSOSKI	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	9/28/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRILOGY MANAGEMENT SERVICES LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	0	12/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
KATHY M CORBIN	Individual	W-2 MANAGING EMPLOYEE	0	12/8/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LISA FIGHTMASTER	Individual	W-2 MANAGING EMPLOYEE	0	12/1/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: AMERICAN HEALTHCARE REIT INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMERICAN HEALTHCARE REIT INC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	31 January 2024	31 January 2024	4	1
2	10 February 2021	10 February 2021	1	0

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

Deficiencies cited

5 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
20 November 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	4 December 2024
31 January 2024	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	D	No	Deficient, Provider has date of correction	20 February 2024
31 January 2024	Health	F 0569	Resident Rights Deficiencies	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	D	No	Deficient, Provider has date of correction	20 February 2024
31 January 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	20 February 2024
31 January 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	20 February 2024

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	TRILOGY HEALTHCARE OF BUTLER, LLC
Date First Approved to Provide Medicare and Medicaid Services	2021-02-10
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Butler
Telephone Number	5139126834
Chain Name	TRILOGY HEALTH SERVICES
Chain ID	524
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	None
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	53
Average Number of Residents per Day	50.2
Overall Rating	5
Health Inspection Rating	5
QM Rating	4
Long-Stay QM Rating	5
Short-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.

Every change on this record

1 July 2026: AMERICAN HEALTHCARE REIT INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMERICAN HEALTHCARE REIT INC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
7 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
18 January 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
22 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip

How to read this report

Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.

A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.

How to cite this report

Velarion Records, GATEWAY SPRINGS HEALTH CAMPUS — facility record report, CMS certification number 366482. https://velarionrecords.com/facility/366482/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.zip.
Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
Care Compare ownership: CMS file dated 1 August 2026.
Medicare enrollment ownership: CMS file dated 1 August 2026.
Nurse staffing: CMS Payroll-Based Journal, quarters 2021Q4 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 366482. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2021Q4	31 December 2021	92	3,450	3,542.26	2,726.92	4,686.34	10,955.52
2022Q1	31 March 2022	90	3,746	2,468.81	2,775.62	5,842.6	11,087.03
2022Q2	30 June 2022	91	4,021	1,668.93	4,275.85	7,415.82	13,360.6
2022Q3	30 September 2022	92	3,835	2,622.11	5,378.11	8,446.39	16,446.61
2022Q4	31 December 2022	92	3,847	2,628.98	5,087.35	8,612.22	16,328.55
2023Q1	31 March 2023	90	3,956	3,515.03	4,281.93	7,618.07	15,415.03
2023Q2	30 June 2023	91	3,706	3,660.07	3,816.74	8,315.96	15,792.77
2023Q3	30 September 2023	92	3,638	2,935.84	4,634.64	8,311.7	15,882.18
2023Q4	31 December 2023	92	3,799	3,023.63	4,214.7	8,959.69	16,198.02
2024Q1	31 March 2024	91	4,022	2,382.36	4,628.11	10,994.7	18,005.17
2024Q2	30 June 2024	91	4,278	2,471.76	4,550.8	11,988.88	19,011.44
2024Q3	30 September 2024	92	5,135	1,861.58	4,906.8	11,568.42	18,336.8
2024Q4	31 December 2024	92	4,525	2,600.49	5,657.01	11,100.31	19,357.81
2025Q1	31 March 2025	90	4,284	2,775.22	5,017.19	10,518.19	18,310.6
2025Q2	30 June 2025	91	4,236	3,030.71	4,702.58	10,624.8	18,358.09
2025Q3	30 September 2025	92	4,429	3,700.06	4,358.58	10,435.88	18,494.52
2025Q4	31 December 2025	92	4,714	3,096.46	5,038.64	11,405.12	19,540.22
2026Q1	31 March 2026	90	4,516	2,635.83	5,458.28	10,892	18,986.11

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2021Q4	1.026742	0.790412	1.358359	3.175513
2022Q1	0.659052	0.740956	1.55969	2.959698
2022Q2	0.415053	1.06338	1.844273	3.322706
2022Q3	0.683731	1.402375	2.202449	4.288555
2022Q4	0.683384	1.32242	2.238685	4.244489
2023Q1	0.888531	1.082389	1.9257	3.89662
2023Q2	0.987607	1.029881	2.243918	4.261406
2023Q3	0.806993	1.273953	2.284689	4.365635
2023Q4	0.795902	1.109424	2.358434	4.263759
2024Q1	0.592332	1.150699	2.73364	4.476671
2024Q2	0.577784	1.063768	2.80245	4.444002
2024Q3	0.362528	0.95556	2.252857	3.570944
2024Q4	0.574694	1.250168	2.453107	4.277969
2025Q1	0.64781	1.171146	2.455226	4.274183
2025Q2	0.715465	1.110146	2.508215	4.333827
2025Q3	0.835417	0.9841	2.356261	4.175778
2025Q4	0.656865	1.068867	2.419415	4.145146
2026Q1	0.583665	1.208654	2.411869	4.204187

How each quarter is derived, and its file

2021Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. The file's `incomplete` column flags 0 of this facility's days as 1; those days are included as filed. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv
2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv
2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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