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Facility record report · CMS certification number 035297

SURPRISE HEALTH AND REHABILITATION CENTER

SURPRISE, Arizona · Medicare

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 October 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$27,782,344CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,693,844CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$23,088,500CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,970,762CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$3,117,738CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$288,257CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,405,995CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,405,995 (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 components103CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components37,698CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days6,429CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days10,327CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days18,266CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components35,022CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges280CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges111CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges994CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components1,385CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days93.04CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days25.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441684, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 April 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$27,529,978CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,321,892CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$22,208,086CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,024,566CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$3,183,520CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$37,809CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,221,329CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,221,328 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,535CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,391CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days143CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days24.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1419763, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$40,116,642CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$18,853,523CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,263,119CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,372,815CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,890,304CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,600CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,905,904CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,905,904 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,626CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,549CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days137.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days22.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396756, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 September 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$20,537,642CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,738,490CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$17,799,152CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,660,156CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,138,996CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,610CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,153,606CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,153,606 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,022CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,488CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days75.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days20.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365309, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 August 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$12,529,454CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$840,285CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,689,169CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,054,161CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$635,008CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,397CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$637,405CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $637,405 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,842CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,158CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days41.58CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1294513, read from the public cost report file SNF10FY2020.zip.

Cost report for 4 October 2019 to 31 December 2019 — a reporting period of 88 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 October 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$786,802CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$19,361CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$767,441CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,134,206CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$366,765CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$366,765CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$366,765 (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 components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components1,305CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components62CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days21.05CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1271800, read from the public cost report file SNF10FY2020.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
24TH STREET HEALTHCARE ASSOCIATES10231,724$12,121,582$11,173,380$948,20231 December 2024
HAVEN OF GLOBE10429,075$10,310,077$9,568,516$741,56131 December 2024
HAVEN OF LAKE HAVASU10429,060$10,269,177$11,440,780−$1,171,60331 December 2024
HIGHLAND HEALTHCARE LLC10229,997$14,919,774$12,653,923$2,265,85131 December 2024
LUDDEN HEALTHCARE LLC10335,022$23,088,500$19,970,762$3,117,73831 December 2024
SANDSTONE ESTATES REHAB CENTRE LLC10325,187$10,032,110$11,539,014−$1,506,90431 December 2024

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

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
ENSIGN SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/07/2019
GLAZIER, MARKADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2019
NASSOUR, WILLIAMADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2021
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2022
STATLER HEALTH HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2022
THE ENSIGN GROUP INCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2022
BURNAM, SOONCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/07/2019
KEETCH, CHADCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2011
PETERSON, FORRESTCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/01/2019
BANDERA HEALTHCARE LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/07/2019
PORT, BARRYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 09/12/2025
GLAZIER, MARKMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/01/2019
NASSOUR, WILLIAMMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/01/2021
GLAZIER, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2019
NASSOUR, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2021
VENTURA MEDSTAFF, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/01/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LUDDEN HEALTHCARE LLC (enrollment ID O20190813002318).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1008/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
ENSIGN SERVICES INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/7/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
MARK GLAZIERIndividualADP OF THE SNFCMS 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.8/1/2019
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.
STANDARD BEARER HEALTHCARE OP, LPOrganizationADP OF THE SNFCMS 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.1/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
STATLER HEALTH HOLDINGS LLCOrganizationADP OF THE SNFCMS 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.1/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
THE ENSIGN GROUP INCOrganizationADP OF THE SNFCMS 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.1/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
WILLIAM NASSOURIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2021
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.
CHAD KEETCHIndividualCORPORATE OFFICER03/1/2011
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.
FORREST PETERSONIndividualCORPORATE OFFICER08/1/2019
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.
SOON BURNAMIndividualCORPORATE OFFICER06/7/2019
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.
BANDERA HEALTHCARE LLCOrganizationDIRECT OWNERSHIP INTEREST1006/7/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
MARK GLAZIERIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.8/1/2019
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.
WILLIAM NASSOURIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2021
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.
MARK GLAZIERIndividualOPERATIONAL/MANAGERIAL CONTROL1008/1/2019
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.
VENTURA MEDSTAFF, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS 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.8/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
WILLIAM NASSOURIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2021
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
127 March 202627 March 202631
212 April 202412 April 202420
323 December 202223 December 202230

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 dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
27 March 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction7 May 2026
27 March 2026HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction7 May 2026
27 March 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction7 May 2026
11 March 2025HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DYesDeficient, Provider has date of correction18 April 2025
6 March 2025HealthF 0836Administration DeficienciesEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DYesDeficient, Provider has date of correction19 March 2025
27 June 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction13 August 2024
23 December 2022HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.ENoDeficient, Provider has date of correction23 January 2023
23 December 2022HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction23 January 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

FieldAs filed
Provider TypeMedicare
Ownership TypeFor profit - Corporation
Legal Business NameLUDDEN HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services2019-10-04
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishMaricopa
Telephone Number6235465030
Chain NameTHE ENSIGN GROUP
Chain ID507
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds100
Average Number of Residents per Day100.6
Overall Rating5
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
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, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

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

How to cite this report

Velarion Records, SURPRISE HEALTH AND REHABILITATION CENTER — facility record report, CMS certification number 035297. https://velarionrecords.com/facility/035297/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 035297. 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
2019Q431 December 2019921,2991,257.393,601.84,187.519,046.7
2020Q131 March 2020913,4352,874.096,496.538,480.217,850.82
2020Q230 June 2020915,6674,639.469,989.9211,079.725,709.08
2020Q330 September 2020925,8813,835.2610,58812,026.2926,449.55
2020Q431 December 2020926,0964,556.910,343.214,327.2329,227.33
2021Q131 March 2021906,3355,327.699,321.1814,258.0228,906.89
2021Q230 June 2021917,5486,051.1712,505.1317,257.9935,814.29
2021Q330 September 2021928,4467,349.7213,632.3419,718.0340,700.09
2021Q431 December 2021928,6737,100.3414,860.1121,376.7943,337.24
2022Q131 March 2022908,5946,001.5715,554.4120,760.3942,316.37
2022Q230 June 2022918,4435,461.1616,460.9421,303.3543,225.45
2022Q330 September 2022928,5536,243.3115,860.8419,511.2741,615.42
2022Q431 December 2022928,7556,532.0615,166.9519,738.2141,437.22
2023Q131 March 2023908,8715,955.1915,133.521,963.5243,052.21
2023Q230 June 2023918,5974,997.3914,590.5321,601.7341,189.65
2023Q330 September 2023928,6195,839.9713,725.1721,365.6640,930.8
2023Q431 December 2023928,3635,449.8113,395.6121,372.7740,218.19
2024Q131 March 2024918,6695,520.3414,481.5721,587.9841,589.89
2024Q230 June 2024918,6444,522.0915,747.222,528.8242,798.11
2024Q330 September 2024928,7995,274.4516,848.3825,146.8747,269.7
2024Q431 December 2024928,6836,365.2214,649.2523,841.5944,856.06
2025Q131 March 2025908,9928,023.7313,625.3425,372.7247,021.79
2025Q230 June 2025919,0158,813.3812,858.9923,841.7145,514.08
2025Q330 September 2025929,2278,311.0413,646.9725,044.7147,002.72
2025Q431 December 2025929,1168,141.5613,262.9824,736.4746,141.01
2026Q131 March 2026909,0518,042.2313,182.2124,438.6945,663.13
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
2019Q40.9679682.7727483.2236416.964357
2020Q10.8367071.8912752.4687635.196745
2020Q20.818681.7628231.9551264.53663
2020Q30.6521441.8003742.044944.497458
2020Q40.7475231.6967192.3502674.79451
2021Q10.8409931.4713782.2506744.563045
2021Q20.8016921.6567472.2864324.744871
2021Q30.8702011.6140592.33464.81886
2021Q40.8186721.7133762.4647524.996799
2022Q10.6983441.8099152.4156844.923943
2022Q20.6468271.9496552.5231975.119679
2022Q30.7299561.8544182.2812194.865593
2022Q40.7460951.7323762.2545074.732978
2023Q10.671311.7059522.4758794.853141
2023Q20.5812951.6971652.5127064.791166
2023Q30.6775691.5924322.4789024.748904
2023Q40.6516571.6017712.5556344.809063
2024Q10.6367911.6705012.490254.797542
2024Q20.5231481.8217492.6062964.951193
2024Q30.5994371.9148062.8579245.372167
2024Q40.7330671.6871192.7457785.165963
2025Q10.8923191.5152742.8216995.229292
2025Q20.9776351.4263992.6446715.048705
2025Q30.900731.4790262.7142855.094041
2025Q40.8931071.4549122.7135225.061541
2026Q10.8885461.4564372.7001095.045092

How each quarter is derived, and its file

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

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