Locally, HCR ManorCare operates post-acute care nursing and rehabilitation centers under the name Heartland in Beavercreek, Centerville, Kettering, Greenville, Miamisburg, Piqua, Springfield and Fairfield. Heartland Hospice Services, based in Kettering, also serves a 10-county area.
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Reuters reported HCR ManorCare has been struggling with reduced government reimbursements for care, low occupancy and people switching to alternative options like home health care.
Reuters said ManorCare owed $446 million in rent that was accruing at a minimum of $39.5 million every month.