Facility record report · CMS certification number 025035
UTUQQANAAT INAAT
KOTZEBUE, Alaska · 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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2025.
None of these figures is carried on this report.
CMS report record 1419739, read from the public cost report file SNF10FY2024.zip.
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,968,800 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,237,413 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,731,387 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,142,756 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,588,631 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $3,588,631 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,588,631 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,351 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 3 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 2,117 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 2,117 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375775, read from the public cost report file SNF10FY2023.zip.
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 March 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,485,800 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,384,332 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,101,468 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,517,959 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $4,583,509 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,931 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,593,440 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,593,440 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,381 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 5 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 1,276.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,276.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344801, read from the public cost report file SNF10FY2022.zip.
Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 May 2022.
None of these figures is carried on this report.
CMS report record 1317417, read from the public cost report file SNF10FY2021.zip.
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,755,928 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,457,775 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,298,153 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,352,840 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$54,687 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $172,325 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $117,638 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $117,638 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 9 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 634 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 642.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283239, read from the public cost report file SNF10FY2020.zip.
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,763,310 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $352,320 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,410,990 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,464,996 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,945,994 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $1,945,994 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,945,994 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,914 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 10 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 576.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 591.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253404, read from the public cost report file SNF10FY2019.zip.
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 May 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,215,285 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $338,551 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,876,734 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,928,437 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $948,297 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $948,297 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,751,491 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,673 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 13 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 436.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 436.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1223943, read from the public cost report file SNF10FY2018.zip.
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,414,241 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$348,568 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,762,809 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,760,996 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,001,813 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $3,001,813 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,001,813 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,910 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 9 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 656.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 656.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1190111, read from the public cost report file SNF10FY2017.zip.
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,617,161 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $379,919 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,237,242 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,329,064 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,908,178 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $2,908,178 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,908,178 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,249 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 6 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 1,041.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,041.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156127, read from the public cost report file SNF10FY2016.zip.
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 May 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,166,956 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,055,670 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,111,286 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,461,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$350,034 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$350,034 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$152,530 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,295 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 5 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 1,259 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,259 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123860, read from the public cost report file SNF10FY2015.zip.
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,883,839 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $118,591 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,765,248 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,070,749 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,305,501 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $584 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,304,917 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,304,917 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,237 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 3 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicaid, in days | 2,064 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 2,079 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103855, read from the public cost report file SNF10FY2014.zip.
Cost report for 15 March 2012 to 30 September 2012 — a reporting period of 199 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.
None of these figures is carried on this report.
CMS report record 1027150, read from the public cost report file SNF10FY2012.zip.
Five facilities of a similar size in Alaska, fiscal year 2024
No other facility in Alaska has a cost report on file for fiscal year 2024 with a bed count to set beside this one.
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 |
|---|---|---|---|---|
| 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. | Ownership Data Not Available | 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. | 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. | 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. |
Medicare enrollment
Not yet extracted for this facility.
Changes in ownership
No change in ownership appears in the CMS files on record since 20 September 2022.
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 13 November 2025 | 13 November 2025 | 2 | 2 |
| 2 | 25 April 2024 | 25 April 2024 | 3 | 3 |
| 3 | 2 February 2023 | 2 February 2023 | 3 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 13 November 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | 28 December 2025 |
| 13 November 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 28 December 2025 |
| 25 April 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | 31 May 2024 |
| 25 April 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 31 May 2024 |
| 25 April 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 31 May 2024 |
| 2 February 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 2 March 2023 |
| 2 February 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 2 March 2023 |
| 2 February 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 2 March 2023 |
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 | Non profit - Corporation |
| Legal Business Name | Legal Business Name Not Available |
| Date First Approved to Provide Medicare and Medicaid Services | 2012-03-15 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Northwest Arctic |
| Telephone Number | 9074423321 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 18 |
| Average Number of Residents per Day | 17.0 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| 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
- 15 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 10 April 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 23 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 30 May 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 4 May 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 31 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 9 May 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 29 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 20 April 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 13 May 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 25 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 19 April 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.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 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, UTUQQANAAT INAAT — facility record report, CMS certification number 025035. https://velarionrecords.com/facility/025035/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 2021Q1 to 2026Q1.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 025035. 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.
| Quarter | Quarter ended | Days reported | Resident days | Registered nurse hours | Licensed practical nurse hours | Nurse aide hours | Total nurse hours |
|---|---|---|---|---|---|---|---|
| 2021Q1 | 31 March 2021 | 90 | 1,563 | 1,544.5 | 2,138 | 8,036.75 | 11,719.25 |
| 2021Q2 | 30 June 2021 | 91 | 1,624 | 1,579 | 2,028.25 | 8,192.75 | 11,800 |
| 2021Q4 | 31 December 2021 | 92 | 1,552 | 1,541.5 | 2,231 | 7,971.75 | 11,744.25 |
| 2022Q2 | 30 June 2022 | 91 | 1,582 | 1,473.75 | 2,319.25 | 7,726.75 | 11,519.75 |
| 2022Q3 | 30 September 2022 | 92 | 1,648 | 1,770.25 | 2,623 | 8,504.5 | 12,897.75 |
| 2023Q3 | 30 September 2023 | 92 | 1,622 | 1,470 | 3,199.75 | 8,477.5 | 13,147.25 |
| 2023Q4 | 31 December 2023 | 92 | 1,569 | 1,231.25 | 3,504.5 | 8,235 | 12,970.75 |
| 2024Q4 | 31 December 2024 | 92 | 1,629 | 1,144.5 | 3,037 | 8,517.75 | 12,699.25 |
| 2025Q1 | 31 March 2025 | 90 | 1,602 | 1,245.75 | 2,657.5 | 8,304 | 12,207.25 |
| 2025Q2 | 30 June 2025 | 91 | 1,621 | 1,172.5 | 2,855 | 8,394.25 | 12,421.75 |
| 2026Q1 | 31 March 2026 | 90 | 1,526 | 1,459.5 | 2,339.5 | 7,814 | 11,613 |
| 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 |
|---|---|---|---|---|
| 2021Q1 | 0.988164 | 1.367882 | 5.141875 | 7.497921 |
| 2021Q2 | 0.972291 | 1.248922 | 5.044797 | 7.26601 |
| 2021Q4 | 0.993235 | 1.4375 | 5.136437 | 7.567171 |
| 2022Q2 | 0.931574 | 1.466024 | 4.884166 | 7.281764 |
| 2022Q3 | 1.074181 | 1.591626 | 5.160498 | 7.826305 |
| 2023Q3 | 0.906289 | 1.972719 | 5.226572 | 8.10558 |
| 2023Q4 | 0.784736 | 2.233588 | 5.248566 | 8.26689 |
| 2024Q4 | 0.702578 | 1.864334 | 5.228821 | 7.795734 |
| 2025Q1 | 0.777622 | 1.658864 | 5.183521 | 7.620006 |
| 2025Q2 | 0.723319 | 1.761258 | 5.178439 | 7.663017 |
| 2026Q1 | 0.956422 | 1.533093 | 5.120577 | 7.610092 |
How each quarter is derived, and its file
- 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 - 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 - 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 - 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 - 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