Velarion Records

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Facility record report · CMS certification number 015468

ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER

VESTAVIA, Alabama · 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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 January 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$17,842,895CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$714,864CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$17,128,031CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,787,480CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,659,449CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$19,641CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,679,090CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,679,090 (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 2025
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,800CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days7,437CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,240CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days25,314CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components40,991CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges152CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges15CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges578CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components745CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days549.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days55.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446267, read from the public cost report file SNF10FY2024.zip.

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 12 December 2024.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$16,980,606CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,475,420CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,505,186CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,223,306CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,718,120CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,128,961CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,589,159CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,589,159 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,353CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components981CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days344.39CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days40.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1400787, read from the public cost report file SNF10FY2023.zip.

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 6 December 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$15,439,476CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$973,066CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,466,410CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,282,808CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,816,398CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$286,455CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,529,943CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,529,943 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,722CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components902CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days231.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days41.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1369682, read from the public cost report file SNF10FY2022.zip.

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 5 December 2022.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$13,019,725CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,073,453CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,946,272CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,384,348CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,438,076CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$958,737CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,479,339CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,479,339 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,436CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components717CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days279.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days45.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1337271, read from the public cost report file SNF10FY2021.zip.

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 14 December 2021.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$12,613,089CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,198,719CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,414,370CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,097,668CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,683,298CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$943,738CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,739,560CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,739,560 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,162CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components722CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days185.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days43.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1307053, read from the public cost report file SNF10FY2020.zip.

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 19 January 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$15,065,107CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,060,541CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,004,566CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,845,305CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,840,739CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$740,205CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,100,534CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,100,534 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,272CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components882CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days268.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days41.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278565, read from the public cost report file SNF10FY2019.zip.

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 14 February 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$15,528,586CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,793,648CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,734,938CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,078,670CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,343,732CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$57,975CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,285,757CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,285,757 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,807CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components894CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days363.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days41.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1251027, read from the public cost report file SNF10FY2018.zip.

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 24 January 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$13,010,531CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,162,378CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,848,153CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,003,291CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,155,138CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$94,021CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,061,117CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,061,117 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,913CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components895CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days348.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days32.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249821, read from the public cost report file SNF10FY2017.zip.

Cost report for 29 September 2016 to 30 June 2017 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$5,775,905CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$922,211CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,853,694CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,012,828CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,159,134CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$113,371CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$4,045,763CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,045,763 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,122CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components445CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days24.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1182213, read from the public cost report file SNF10FY2016.zip.

Five facilities of a similar size in Alabama, fiscal year 2025

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.

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
ASPIRE PHYSICAL RECOVERY CTR CAHABA12040,991$17,128,031$19,787,480−$2,659,44930 June 2025
DIVERSICARE OF ONEONTA12039,942$10,087,141$9,898,584$188,55730 June 2025
KENSINGTON HEALTH & REHAB12041,977$13,385,597$13,843,187−$457,59030 June 2025
NOLAND MANAGEMENT SERVICES11929,677$8,902,548$8,283,633$618,91530 June 2025
TRAYLOR RETIREMENT COMMUNITY12327,035$8,702,271$9,163,401−$461,13030 June 2025
WETUMPKA HEALTH & REHAB LLC12141,599$12,081,771$11,822,404$259,36730 June 2025

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 managerRoleTypeOwnership percentageAssociation
NORTHPORT HOLDING OPERATIONS, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 09/15/2011
ESTES, JAMES5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual51%since 09/15/2011
JAMES N ESTES JR FAMILY DYNASTY TR NO 25% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization18%since 12/27/2012
JAMES NORMAN ESTES JR TR5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization6%since 06/30/2013
JENNIFER E AGEE FAMILY DYNASTY TR NO 25% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization18%since 12/27/2012
JENNIFER LEE ESTES TR 0310935% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization6%since 06/30/2013
REGIONS BANK5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 09/11/2015
CAHABA RIVER HEALTH REALTY, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 08/01/2016
REGIONS BANK5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 09/11/2015
HOLMES, LETCHERNIQUECORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/03/2022
PATTERSON, DEREKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/03/2022
RASCO, LYNNCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2022
ESTES, JAMESCORPORATE OFFICERIndividualNOT APPLICABLEsince 09/15/2011
LONG, PHILLIPCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/01/2019
HOLMES, LETCHERNIQUEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/03/2022
PATTERSON, DEREKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/03/2022
RASCO, LYNNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/01/2022
WHEELER, JOHNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/14/2022
WHEELER, JOHNW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 10/14/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER, LLC (enrollment ID O20160922000827).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
NORTHPORT HOLDING OPERATIONS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1009/15/2011
Private equity company: No
Real estate investment trust: No
Holding company: Yes
JAMES N ESTES JR FAMILY DYNASTY TR NO 2Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST18.2512/27/2012
Private equity company: No
Real estate investment trust: No
Holding company: No
JAMES NORMAN ESTESIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST519/15/2011
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES NORMAN ESTES JR TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6.256/30/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
JENNIFER E AGEE FAMILY DYNASTY TR NO 2Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST18.2512/27/2012
Private equity company: No
Real estate investment trust: No
Holding company: No
JENNIFER LEE ESTES TR 031093Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST6.256/30/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
REGIONS BANKOrganization5% OR GREATER MORTGAGE INTEREST1009/11/2015
Private equity company: No
Real estate investment trust: No
Holding company: No
CAHABA RIVER HEALTH REALTY, LLCOrganization5% OR GREATER SECURITY INTEREST08/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
REGIONS BANKOrganization5% OR GREATER SECURITY INTEREST1009/11/2015
Private equity company: No
Real estate investment trust: No
Holding company: No
DEREK PATTERSONIndividualCORPORATE DIRECTOR331/3/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LETCHERNIQUE HOLMESIndividualCORPORATE DIRECTOR331/3/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LYNN S RASCOIndividualCORPORATE DIRECTOR337/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES NORMAN ESTESIndividualCORPORATE OFFICER1009/15/2011
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.
PHILLIP CODY LONGIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEREK PATTERSONIndividualOPERATIONAL/MANAGERIAL CONTROL331/3/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN N. WHEELERIndividualOPERATIONAL/MANAGERIAL CONTROL10010/14/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LETCHERNIQUE HOLMESIndividualOPERATIONAL/MANAGERIAL CONTROL331/3/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LYNN S RASCOIndividualOPERATIONAL/MANAGERIAL CONTROL337/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRANDON S. AGEEIndividualOTHER491/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NHS MANAGEMENT LLCOrganizationOTHER08/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
PHILLIP CODY LONGIndividualOTHER491/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN N. WHEELERIndividualW-2 MANAGING EMPLOYEE10010/14/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
112 January 202412 January 202483
219 September 201919 September 201965
316 August 201816 August 201836

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

Deficiencies cited

17 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
12 January 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction19 February 2024
12 January 2024HealthF 0553Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.DYesDeficient, Provider has date of correction19 February 2024
12 January 2024HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DYesDeficient, Provider has date of correction19 February 2024
12 January 2024HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.JYesPast Non-Compliance10 February 2023
12 January 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction19 February 2024
12 January 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correction19 February 2024
12 January 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction19 February 2024
12 January 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FYesDeficient, Provider has date of correction19 February 2024
19 September 2019HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction24 October 2019
19 September 2019HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.ENoDeficient, Provider has date of correction24 October 2019
19 September 2019HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correction24 October 2019
19 September 2019HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction24 October 2019
19 September 2019HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.FNoDeficient, Provider has date of correction24 October 2019
19 September 2019HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction24 October 2019
16 August 2018HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction20 September 2018
16 August 2018HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction20 September 2018
16 August 2018HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction20 September 2018

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
12 January 2024Fine$16,80138010

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER, LLC
Date First Approved to Provide Medicare and Medicaid Services2016-09-29
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishJefferson
Telephone Number2059777216
Chain NameNHS MANAGEMENT
Chain ID372
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day113.9
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating4
Short-Stay QM Rating3
Processing Date2026-08-01

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

Every change on this record

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 at a stated confidence, saying what is left unaccounted for, where it does not. 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, ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER — facility record report, CMS certification number 015468. https://velarionrecords.com/facility/015468/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 015468. 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
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 2017904,55410,926.655,122.9815,764.7831,814.41
2017Q230 June 2017914,3979,577.85,606.2219,690.9634,874.98
2017Q330 September 2017925,9319,740.727,723.3716,657.9334,122.02
2017Q431 December 2017928,5489,211.1114,120.8427,199.1450,531.09
2018Q131 March 2018908,16511,766.4513,375.9724,466.8649,609.28
2018Q230 June 2018918,32210,764.6713,080.628,894.8352,740.1
2018Q330 September 2018928,89211,300.9211,986.8323,622.6846,910.43
2018Q431 December 20189210,17412,456.1612,560.625,804.850,821.56
2019Q131 March 2019909,60211,527.9512,002.6823,977.6147,508.24
2019Q230 June 2019919,50811,115.6711,691.9821,393.4144,201.06
2019Q330 September 2019929,53510,389.5312,783.2125,188.4248,361.16
2019Q431 December 2019929,26410,711.3611,882.627,183.5449,777.5
2020Q131 March 2020919,76611,413.8311,824.5524,551.0847,789.46
2020Q230 June 2020918,31210,236.4811,117.3321,034.3242,388.13
2020Q330 September 2020928,31011,655.279,811.0820,699.2842,165.63
2020Q431 December 2020928,27210,487.879,308.920,006.5739,803.34
2021Q131 March 2021907,1398,994.428,275.0617,289.7134,559.19
2021Q230 June 2021918,2868,602.679,183.8516,876.5134,663.03
2021Q330 September 2021927,5885,655.169,107.0116,457.6231,219.79
2021Q431 December 2021927,8374,665.428,485.2126,473.8739,624.5
2022Q230 June 2022919,0955,850.6312,169.8729,201.8347,222.33
2022Q330 September 2022929,4827,079.310,827.7635,428.3853,335.44
2022Q431 December 20229210,6337,675.818,773.5837,421.253,870.59
2023Q131 March 20239010,2506,867.698,219.2233,052.1248,139.03
2023Q230 June 2023919,4277,271.438,741.3528,365.844,378.58
2023Q330 September 20239210,0817,195.98,464.1830,358.7646,018.84
2023Q431 December 20239210,3407,868.358,517.3930,231.0146,616.75
2024Q131 March 20249110,3137,745.359,923.7629,272.1746,941.28
2024Q230 June 2024919,8897,641.249,975.6529,602.947,219.79
2024Q330 September 20249211,7058,043.739,664.7730,800.2248,508.72
2024Q431 December 20249217,1308,500.2410,413.0330,750.3649,663.63
2025Q131 March 20259010,2729,360.7910,192.1531,350.6950,903.63
2025Q230 June 20259110,2739,866.669,759.5130,058.2549,684.42
2025Q330 September 2025929,8487,818.659,530.3131,754.1949,103.15
2025Q431 December 20259210,3188,885.169,304.3131,953.0650,142.53
2026Q131 March 20269010,2499,518.938,886.9731,413.9849,819.88
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q12.3993521.1249413.4617446.986036
2017Q22.1782581.275014.4782727.93154
2017Q31.642341.3022042.8086215.753165
2017Q41.0775751.6519473.181935.911452
2018Q11.4410841.6382082.9965546.075846
2018Q21.293521.571813.4721026.337431
2018Q31.2709091.3480472.6566225.275577
2018Q41.2243131.2345782.5363484.995239
2019Q11.2005781.2500192.4971474.947744
2019Q21.1690861.2296992.2500434.648828
2019Q31.089621.3406622.641685.071962
2019Q41.1562351.2826642.934325.373219
2020Q11.1687311.2107872.5139344.893453
2020Q21.231531.3375042.5305975.099631
2020Q31.402561.1806352.4908885.074083
2020Q41.2678761.1253512.4185894.811816
2021Q11.2598991.1591342.4218674.840901
2021Q21.0382171.1083572.036754.183325
2021Q30.7452771.2001862.1689014.114363
2021Q40.5953071.0827113.3780625.05608
2022Q20.643281.3380843.2107565.19212
2022Q30.7466041.1419283.7363835.624915
2022Q40.7218860.8251273.5193455.066359
2023Q10.6700190.8018753.2245974.696491
2023Q20.7713410.9272673.0089954.707604
2023Q30.7138080.8396173.0114834.564908
2023Q40.7609620.8237322.9236954.50839
2024Q10.7510280.9622572.8383764.551661
2024Q20.7727011.0087622.9935184.774981
2024Q30.6872050.8256962.6313734.144273
2024Q40.4962190.6078831.7951172.899219
2025Q10.9112920.9922263.0520534.955571
2025Q20.9604460.9500162.9259474.836408
2025Q30.7939330.9677413.224434.986104
2025Q40.8611320.9017553.0968274.859714
2026Q10.9287670.8671063.0650784.86095

How each quarter is derived, and its file

  • 2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.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. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv
  • 2017Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.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. This file names the totals hrs_lpn_admin; they are read as hrs_lpnadmin. CMS's file labels its last six hours columns hrs_medaide, hrs_medaide_emp, hrs_rn_donadmin, hrs_na_trn, hrs_natrn_emp, hrs_natrn_ctr; they are read by position as Hrs_MedAide_emp, Hrs_MedAide_ctr, Hrs_NAtrn, Hrs_NAtrn_emp, Hrs_NAtrn_ctr, Hrs_MedAide, the order in which each total equals its employee and contract parts on every row. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv
  • 2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.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. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv
  • 2017Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.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. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv
  • 2018Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.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_:_2018-03-31.csv
  • 2018Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.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_:_2018-06-30.csv
  • 2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.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_:_2018-09-30.csv
  • 2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.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_:_2018-12-13.csv
  • 2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.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_:_2019-03-13.csv
  • 2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.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_:_2019-06-30.csv
  • 2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.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_:_2019-09-30.csv
  • 2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.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_:_2019-12-31.csv
  • 2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.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_:_2020-03-31.csv
  • 2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.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_:_2020-06-30.csv
  • 2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.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_:_2020-09-30.csv
  • 2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.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_:_2020-12-31.csv
  • 2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.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_:_2021-03-31.csv
  • 2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.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_:_2021-06-30.csv
  • 2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.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_:_2021-09-30.csv
  • 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
  • 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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