Facility record report · CMS certification number 095034

ASCENSION LIVING CARROLL MANOR

WASHINGTON, District of Columbia · 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 14 January 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$41,500,495	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,597,887	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$32,902,608	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$30,289,427	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,613,181	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$98,453	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,711,634	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,711,634 (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
Figure	As filed	Where it comes from
Total facility beds, all components	240	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	87,600	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	5,346	CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days	57,988	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	63,334	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	109	CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges	168	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	277	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	228.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446519, 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 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$37,983,006	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$13,399,481	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$24,583,525	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$26,228,229	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,644,704	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$116,753	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,527,951	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,527,951 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	240	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	64,423	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	348	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	185.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433213, 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 8 April 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$34,322,523	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,718,264	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$29,604,259	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$25,535,821	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$4,068,438	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$84,944	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$4,153,382	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,153,382 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	240	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,507	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	452	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	138.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1419914, 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 17 January 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$34,695,371	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,050,722	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$29,644,649	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$26,080,200	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$3,564,449	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$219,599	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,784,048	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,784,048 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	240	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	64,157	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	474	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	135.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1340310, 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 26 January 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$32,073,595	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,983,224	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$30,090,371	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$26,658,971	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$3,431,400	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$60,667	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$3,492,067	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,492,067 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	240	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	61,677	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	462	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	133.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309387, 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 15 January 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$35,937,859	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,633,494	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$31,304,365	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$29,303,146	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,001,219	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$864,191	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,865,410	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,865,410 (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
Figure	As filed	Where it comes from
Total facility beds, all components	240	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	76,930	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	520	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	147.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278449, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 May 2019 to 30 June 2019 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 December 2019.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$7,582,232	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,508,728	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,073,504	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,081,493	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,007,989	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,391	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$989,598	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$989,598 (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
Figure	As filed	Where it comes from
Total facility beds, all components	236	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,677	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	61	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	618.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	224.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1247860, read from the public cost report file SNF10FY2019.zip.

Five facilities of a similar size in District of Columbia, 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.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
CARROLL MANOR NURSING & REHAB CTR	240	63,334	$32,902,608	$30,289,427	$2,613,181	30 June 2025
LISNER LOUISE DICKSON HURT HOME	116	20,916	$10,220,202	$14,622,246	−$4,402,044	30 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 manager	Role	Type	Ownership percentage	Association
ASCENSION HEALTH SENIOR CARE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 07/01/2014
ASCENSION HEALTH SENIOR CARE	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/01/2015
DALE, KEYSHA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2024
HANNAH GEORGE	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/24/2024
HEALTH DIMENSIONS CONSULTING INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/02/2019
HOUSE HEALTHCARE SOLUTIONS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/10/2025
JOSEPH, BINDU	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/29/2017
MEDICAL SOLUTIONS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/14/2017
MUSGRAVE, LISA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2024
SHADBOLT, ERIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/22/2025
SMOOT, KENNETH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2024
MUSGRAVE, LISA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2024
SMOOT, KENNETH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2024
SHADBOLT, ERIN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/28/2023
DALE, KEYSHA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2024
JOSEPH, BINDU	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/29/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CARROLL MANOR (enrollment ID O20191017001424).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ASCENSION HEALTH SENIOR CARE	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	7/1/2014	Private equity company: No Real estate investment trust: No Holding company: No
ASCENSION HEALTH SENIOR CARE	Organization	ADP OF THE SNF	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.	7/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
BINDU C JOSEPH	Individual	ADP OF THE SNF	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.	11/29/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ERIN SHADBOLT	Individual	ADP OF THE SNF	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.	5/22/2025	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.
HANNAH GEORGE	Organization	ADP OF THE SNF	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.	6/24/2024	Private equity company: No Real estate investment trust: No Holding company: No
HEALTH DIMENSIONS CONSULTING INC	Organization	ADP OF THE SNF	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.	8/2/2019	Private equity company: No Real estate investment trust: No Holding company: No
HOUSE HEALTHCARE SOLUTIONS LLC	Organization	ADP OF THE SNF	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.	6/10/2025	Private equity company: No Real estate investment trust: No Holding company: No
KENNETH SMOOT	Individual	ADP OF THE SNF	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.	1/1/2024	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.
KEYSHA DALE	Individual	ADP OF THE SNF	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.	7/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LISA MUSGRAVE	Individual	ADP OF THE SNF	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.	1/1/2024	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.
MEDICAL SOLUTIONS LLC	Organization	ADP OF THE SNF	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.	6/14/2017	Private equity company: No Real estate investment trust: No Holding company: No
KENNETH SMOOT	Individual	CORPORATE DIRECTOR	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.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LISA MUSGRAVE	Individual	CORPORATE DIRECTOR	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.	1/1/2024	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.
ERIN SHADBOLT	Individual	CORPORATE OFFICER	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.	2/28/2023	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.
BINDU C JOSEPH	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	11/29/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEYSHA DALE	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	7/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 November 2025: RYAN BREEDLOVE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PHYLLIS MILLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ROBIN BINEK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BINDU C JOSEPH no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ASCENSION HEALTH SENIOR CARE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LAKESHA DAVIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KEYSHA DALE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KEYSHA DALE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ERIN SHADBOLT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KENNETH SMOOT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LISA MUSGRAVE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LISA MUSGRAVE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HOUSE HEALTHCARE SOLUTIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HANNAH GEORGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BINDU C JOSEPH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BINDU C JOSEPH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ASCENSION HEALTH SENIOR CARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ASCENSION HEALTH SENIOR CARE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HEALTH DIMENSIONS CONSULTING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: MEDICAL SOLUTIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
3 June 2024: JOSEPH T GORMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: DENNIS MYERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: DANIEL R STRICKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: DANIEL R STRICKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JUDITH A MANESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: LAWRENCE KRUEGER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: MICHAEL R GORDON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: ERIN SHADBOLT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: KENNETH SMOOT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: RYAN BREEDLOVE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: PHYLLIS MILLER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: ROBIN BINEK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: BINDU C JOSEPH appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	25 September 2024	25 September 2024	37	1
2	30 May 2023	30 May 2023	11	2
3	28 July 2021	28 July 2021	19	1

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

Deficiencies cited

67 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
16 June 2026	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	J	Yes	Deficient, Provider has no plan of correction
16 June 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	Yes	Deficient, Provider has no plan of correction
16 June 2026	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	Yes	Deficient, Provider has no plan of correction
16 June 2026	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	Yes	Deficient, Provider has no plan of correction
16 June 2026	Health	F 0685	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D	Yes	Deficient, Provider has no plan of correction
16 June 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	H	Yes	Deficient, Provider has no plan of correction
16 June 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	Yes	Deficient, Provider has no plan of correction
16 June 2026	Health	F 0825	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D	Yes	Deficient, Provider has no plan of correction
16 June 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has no plan of correction
24 March 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	Yes	Deficient, Provider has date of correction	16 May 2026
24 March 2026	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.	J	Yes	Deficient, Provider has date of correction	16 May 2026
5 January 2026	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure 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.	D	Yes	Deficient, Provider has date of correction	28 January 2026
5 January 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	Yes	Deficient, Provider has date of correction	28 January 2026
25 September 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has no plan of correction
25 September 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has no plan of correction
25 September 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	Yes	Deficient, Provider has date of correction	11 January 2025
25 September 2024	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	Yes	Deficient, Provider has date of correction	11 January 2025
25 September 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0685	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	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.	J	Yes	Deficient, Provider has date of correction	11 January 2025
25 September 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	E	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Deficient, Provider has date of correction	11 January 2025
25 September 2024	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0790	Quality of Life and Care Deficiencies	Provide routine and 24-hour emergency dental care for each resident.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0836	Administration Deficiencies	Ensure 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.	D	No	Deficient, Provider has date of correction	11 January 2025
25 September 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	D	Yes	Deficient, Provider has date of correction	15 October 2024
25 September 2024	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	E	Yes	Deficient, Provider has date of correction	15 October 2024
30 May 2023	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	7 August 2023
30 May 2023	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	7 August 2023
30 May 2023	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	7 August 2023
30 May 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	7 August 2023
30 May 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	7 August 2023
30 May 2023	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.	D	No	Deficient, Provider has date of correction	7 August 2023
30 May 2023	Health	F 0711	Nursing and Physician Services Deficiencies	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.	D	No	Deficient, Provider has date of correction	7 August 2023
30 May 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	7 August 2023
30 May 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	7 August 2023
30 May 2023	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	7 August 2023
30 May 2023	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	No	Deficient, Provider has date of correction	7 August 2023
28 July 2021	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0622	Resident Rights Deficiencies	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	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	17 September 2021
28 July 2021	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	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.	G	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	No	Deficient, Provider has date of correction	17 September 2021
28 July 2021	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	No	Deficient, Provider has date of correction	17 September 2021

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
16 June 2026	Fine	$137,333			141698
24 March 2026	Fine	$13,260			138796
25 September 2024	Fine	$16,801			8460
25 September 2024	Payment Denial		27 October 2024	76

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	CARROLL MANOR
Date First Approved to Provide Medicare and Medicaid Services	1996-03-20
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	The District
Telephone Number	2028547100
Chain Name	ASCENSION LIVING
Chain ID	48
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	252
Average Number of Residents per Day	163.5
Overall Rating	2
Health Inspection Rating	1
QM Rating	5
Long-Stay QM Rating	4
Short-Stay QM Rating	5
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

14 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 November 2025: RYAN BREEDLOVE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PHYLLIS MILLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ROBIN BINEK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BINDU C JOSEPH no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ASCENSION HEALTH SENIOR CARE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LAKESHA DAVIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KEYSHA DALE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KEYSHA DALE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ERIN SHADBOLT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KENNETH SMOOT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LISA MUSGRAVE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LISA MUSGRAVE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HOUSE HEALTHCARE SOLUTIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HANNAH GEORGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BINDU C JOSEPH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BINDU C JOSEPH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ASCENSION HEALTH SENIOR CARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ASCENSION HEALTH SENIOR CARE appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HEALTH DIMENSIONS CONSULTING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: MEDICAL SOLUTIONS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
8 April 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
3 June 2024: JOSEPH T GORMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: DENNIS MYERS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: DANIEL R STRICKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: DANIEL R STRICKER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JUDITH A MANESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: LAWRENCE KRUEGER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: MICHAEL R GORDON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: ERIN SHADBOLT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: KENNETH SMOOT appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: RYAN BREEDLOVE appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: PHYLLIS MILLER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: ROBIN BINEK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: BINDU C JOSEPH appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
17 January 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
26 January 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
15 January 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
16 December 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.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, ASCENSION LIVING CARROLL MANOR — facility record report, CMS certification number 095034. https://velarionrecords.com/facility/095034/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 2017Q1 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 095034. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	21,282	17,228.45	25,131.18	50,876.85	93,236.48
2017Q2	30 June 2017	91	21,397	16,890.72	26,765.93	52,281.04	95,937.69
2017Q3	30 September 2017	92	22,015	17,424.25	27,090.99	54,058.23	98,573.47
2017Q4	31 December 2017	92	21,805	18,053.72	27,424.64	54,225.06	99,703.42
2018Q1	31 March 2018	90	21,264	14,231.32	26,115.19	42,654.89	83,001.4
2018Q2	30 June 2018	91	21,686	4,758	26,834.85	14,100.37	45,693.22
2018Q3	30 September 2018	92	21,768	18,065.88	25,923.82	52,871.61	96,861.31
2018Q4	31 December 2018	92	20,814	17,905.39	24,734.35	52,485.68	95,125.42
2019Q1	31 March 2019	90	19,972	15,534.47	24,785.56	49,741.17	90,061.2
2019Q2	30 June 2019	91	20,243	17,056.58	24,180.88	49,351.1	90,588.56
2019Q3	30 September 2019	92	19,784	17,704.24	22,098.37	50,633.17	90,435.78
2019Q4	31 December 2019	92	20,345	18,175.23	21,758.01	51,974.66	91,907.9
2020Q1	31 March 2020	91	19,611	17,084.59	21,066.68	46,803.24	84,954.51
2020Q2	30 June 2020	91	16,528	17,554.38	20,282.09	39,404.04	77,240.51
2020Q3	30 September 2020	92	16,345	17,532.28	19,307.73	39,551.2	76,391.21
2020Q4	31 December 2020	92	16,735	15,653.43	19,426.36	37,444.85	72,524.64
2021Q1	31 March 2021	90	13,536	12,338.1	17,075.24	32,388.48	61,801.82
2021Q2	30 June 2021	91	14,687	10,522.59	19,119.02	32,211.2	61,852.81
2021Q3	30 September 2021	92	15,768	11,128.78	19,261.38	29,292.38	59,682.54
2021Q4	31 December 2021	71	12,148	7,901.51	14,335.46	21,958.72	44,195.69
2022Q1	31 March 2022	90	15,142	10,810.18	17,679.45	24,102.55	52,592.18
2022Q2	30 June 2022	91	16,877	11,327.9	17,633.47	27,138.89	56,100.26
2022Q3	30 September 2022	92	16,874	9,961.68	16,675.82	25,992.63	52,630.13
2022Q4	31 December 2022	92	15,088	8,333.36	15,281.1	26,289.04	49,903.5
2023Q1	31 March 2023	90	14,609	8,423.92	15,840.31	26,535.27	50,799.5
2023Q2	30 June 2023	91	15,518	9,534.27	15,631.3	26,893.72	52,059.29
2023Q3	30 September 2023	92	15,639	10,565.88	14,920.01	28,208.69	53,694.58
2023Q4	31 December 2023	92	15,881	10,137.44	15,391.58	29,225.6	54,754.62
2024Q1	31 March 2024	91	16,122	11,668.08	15,303.84	28,773.5	55,745.42
2024Q2	30 June 2024	91	16,281	11,874.86	15,247.73	32,786.9	59,909.49
2024Q3	30 September 2024	92	16,368	11,802.85	16,134.82	33,591.94	61,529.61
2024Q4	31 December 2024	92	16,527	11,968.92	16,735.91	33,625.88	62,330.71
2025Q1	31 March 2025	90	14,359	14,739.66	16,157.92	39,935.78	70,833.36
2025Q2	30 June 2025	91	15,718	15,074.61	17,002.39	40,138.83	72,215.83
2025Q3	30 September 2025	92	15,666	14,640.89	16,113.18	40,569.39	71,323.46
2025Q4	31 December 2025	92	15,688	15,282.2	15,611.11	42,309.65	73,202.96
2026Q1	31 March 2026	90	14,719	18,214.73	15,189.08	44,133.57	77,537.38

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.809532	1.180866	2.390605	4.381002
2017Q2	0.789397	1.25092	2.443382	4.483698
2017Q3	0.791472	1.23057	2.455518	4.477559
2017Q4	0.827962	1.257723	2.486818	4.572503
2018Q1	0.669268	1.228141	2.005967	3.903377
2018Q2	0.219404	1.237427	0.650206	2.107038
2018Q3	0.829928	1.190914	2.428869	4.449711
2018Q4	0.860257	1.188352	2.521653	4.570261
2019Q1	0.777812	1.241015	2.490545	4.509373
2019Q2	0.842592	1.19453	2.437934	4.475056
2019Q3	0.894877	1.116982	2.559299	4.571158
2019Q4	0.893351	1.069452	2.554665	4.517469
2020Q1	0.871174	1.074228	2.386581	4.331983
2020Q2	1.062099	1.227135	2.384078	4.673313
2020Q3	1.072639	1.181262	2.419774	4.673675
2020Q4	0.935371	1.160822	2.237517	4.33371
2021Q1	0.911503	1.261469	2.392766	4.565737
2021Q2	0.716456	1.301765	2.193178	4.211399
2021Q3	0.705783	1.221549	1.857711	3.785042
2021Q4	0.650437	1.180068	1.8076	3.638104
2022Q1	0.71392	1.167577	1.591768	3.473265
2022Q2	0.671203	1.044823	1.60804	3.324066
2022Q3	0.590357	0.988255	1.540395	3.119007
2022Q4	0.552317	1.012798	1.742381	3.307496
2023Q1	0.576625	1.084284	1.816365	3.477274
2023Q2	0.614401	1.007301	1.733066	3.354768
2023Q3	0.675611	0.954026	1.80374	3.433377
2023Q4	0.638338	0.969182	1.840287	3.447807
2024Q1	0.723737	0.949252	1.784735	3.457724
2024Q2	0.729369	0.936535	2.013814	3.679718
2024Q3	0.721093	0.985754	2.052293	3.75914
2024Q4	0.724204	1.012641	2.034603	3.771447
2025Q1	1.02651	1.125282	2.781237	4.933029
2025Q2	0.959067	1.081715	2.553686	4.594467
2025Q3	0.934565	1.028545	2.589646	4.552755
2025Q4	0.974133	0.995099	2.696944	4.666175
2026Q1	1.237498	1.031937	2.998408	5.267843

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 71 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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