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Facility record report · CMS certification number 106086

ASTORIA HEALTH AND REHABILITATION CENTER

WINTER HAVEN, Florida · 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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 10 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$21,613,697CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,055,003CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$17,558,694CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,540,193CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$981,499CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,837,326CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$855,827CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $855,825 (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 components132CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components48,312CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days9,581CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days36,014CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components45,595CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges39CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges764CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components803CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days245.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days56.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1427229, 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 18 June 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$19,185,829CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,743,371CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,442,458CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,272,267CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,829,809CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,515,051CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$314,758CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$314,755 (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 components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,761CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components334CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days125.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1429737, 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$17,677,667CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,732,793CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,944,874CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,898,444CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$953,570CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,418,513CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$464,943CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $464,943 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,361CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components816CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days49.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396834, 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 27 July 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$16,815,758CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,411,985CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,403,773CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,631,105CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,227,332CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,351,174CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$876,158CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$876,160 (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 components132CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,284CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components822CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days47.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360015, 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 January 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$17,246,150CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,818,108CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,428,042CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,062,991CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,634,949CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,195,088CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$560,139CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $560,139 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,521CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components710CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days55.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339462, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2022.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$17,795,567CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,162,509CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,633,058CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,022,495CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,389,437CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,566,282CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$176,845CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $176,845 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,861CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components798CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days49.95CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1308935, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$17,907,865CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,248,332CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,659,533CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,793,289CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,133,756CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,624,992CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$491,236CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $491,236 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,449CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components717CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days56.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253633, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 May 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$18,021,112CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,110,026CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,911,086CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,951,560CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,040,474CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,634,046CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$593,572CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $593,572 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,339CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components695CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days59.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1226067, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 July 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$17,261,489CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,068,841CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,192,648CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,793,532CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,600,884CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,407,860CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$193,024CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$193,024 (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 2016
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,544CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components722CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days56.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1197819, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$18,895,222CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,165,992CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,729,230CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,340,526CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,611,296CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,278,445CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$332,851CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$332,851 (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 2015
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,050CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components658CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days62.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171406, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 March 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$20,232,271CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,834,741CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,397,530CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,370,078CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$972,548CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,405,911CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$433,363CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $433,363 (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 2014
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,586CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components633CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days65.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1120680, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 May 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$19,887,644CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,601,475CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,286,169CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,563,140CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,276,971CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,456,233CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$179,262CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $179,262 (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 2013
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,498CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components653CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days62.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090599, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 May 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$18,833,233CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,219,210CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,614,023CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,982,495CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,368,472CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,427,699CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$59,227CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $59,227 (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 2012
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,813CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components672CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days57.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1060158, read from the public cost report file SNF10FY2012.zip.

Cost report for 13 December 2010 to 31 December 2011 — a reporting period of 383 days, on form CMS-2540-10, settled, processed by CMS on 19 June 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$12,129,136CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,759,628CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,369,508CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,158,158CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,788,650CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,301,766CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,486,884CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,486,884 (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 2011
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,088CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components423CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days54.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1036482, read from the public cost report file SNF10FY2011.zip.

Five facilities of a similar size in Florida, 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
ASTORIA HEALTH AND REHAB CENTER13245,595$17,558,694$18,540,193−$981,49931 December 2024
AVANTE AT OCALA13345,440$13,532,065$13,019,351$512,71431 December 2024
AVANTE AT ORMOND BEACH13337,192$12,399,058$11,952,449$446,60931 December 2024
LOURDES NOREEN MCKEEN RESIDENCE13241,926$16,263,768$19,467,942−$3,204,17431 December 2024
PALM GARDEN OF ORLANDO13244,868$15,031,376$16,149,480−$1,118,10431 October 2024
SPRING LAKE REHABILITATION CENTER13244,616$19,949,831$19,175,149$774,68231 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
LANHAM, STEVEN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual10%since 09/08/2005
BLACKWELL, CORYADP OF THE SNFIndividualNOT APPLICABLEsince 02/15/2022
GIBSON, CULLENADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2012
LANHAM, STEVENADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2012
OTT, DWIGHTADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2012
OTT, GARYADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2012
TENDER LOVING CARE MANAGEMENT INCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/10/2025
VIEGAS, ALEIXOADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2014
GIBSON, CULLENCORPORATE OFFICERIndividualNOT APPLICABLEsince 12/01/2012
OTT, DWIGHTCORPORATE OFFICERIndividualNOT APPLICABLEsince 09/08/2005
OTT, GARYCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/30/2008
BLACKWELL, CORYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/15/2022
TENDER LOVING CARE MANAGEMENT INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/05/2005
VIEGAS, ALEIXOOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2014

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LAKE WALES HEALTH CARE OPERATIONS COMPANY LLC (enrollment ID O20101012001399).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CULLEN S GIBSONIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST812/1/2012
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.
DWIGHT A OTTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST239/8/2005
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.
GARY L OTTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST5012/1/2012
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.
STEVEN LANHAMIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST109/8/2005
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.
ALEIXO M VIEGASIndividualADP 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.4/1/2014
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.
CORY BLACKWELLIndividualADP 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.2/15/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CULLEN S GIBSONIndividualADP 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.12/1/2012
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.
DWIGHT A OTTIndividualADP 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.12/1/2012
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.
GARY L OTTIndividualADP 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.12/1/2012
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.
STEVEN LANHAMIndividualADP 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.12/1/2012
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.
TENDER LOVING CARE MANAGEMENT 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.3/10/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CULLEN S GIBSONIndividualCORPORATE OFFICER812/1/2012
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.
DWIGHT A OTTIndividualCORPORATE OFFICER239/8/2005
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.
GARY L OTTIndividualCORPORATE OFFICER506/30/2008
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.
ALEIXO M VIEGASIndividualOPERATIONAL/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.4/1/2014
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.
CORY BLACKWELLIndividualOPERATIONAL/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.2/15/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TENDER LOVING CARE MANAGEMENT INCOrganizationOPERATIONAL/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.9/5/2005
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
126 March 202426 March 2024103
24 February 20224 February 202273
330 October 202030 October 202095

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

Deficiencies cited

26 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
26 March 2024HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.ENoDeficient, Provider has date of correction28 April 2024
26 March 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction28 April 2024
26 March 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction28 April 2024
26 March 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction28 April 2024
26 March 2024HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction28 April 2024
26 March 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correction28 April 2024
26 March 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction28 April 2024
26 March 2024HealthF 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.ENoDeficient, Provider has date of correction28 April 2024
26 March 2024HealthF 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 correction28 April 2024
26 March 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction28 April 2024
4 February 2022HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DNoDeficient, Provider has date of correction4 March 2022
4 February 2022HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.FNoDeficient, Provider has date of correction4 March 2022
4 February 2022HealthF 0625Resident Rights DeficienciesNotify 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.FNoDeficient, Provider has date of correction4 March 2022
4 February 2022HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correction4 March 2022
4 February 2022HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction4 March 2022
4 February 2022HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correction4 March 2022
4 February 2022HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction4 March 2022
30 October 2020HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction3 December 2020
30 October 2020HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DNoDeficient, Provider has date of correction3 December 2020
30 October 2020HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction3 December 2020
30 October 2020HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction3 December 2020
30 October 2020HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction3 December 2020
30 October 2020HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction3 December 2020
30 October 2020HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction3 December 2020
30 October 2020HealthF 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 correction3 December 2020
30 October 2020HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correction3 December 2020

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 and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameLAKE WALES HEALTH CARE OPERATIONS COMPANY LLC
Date First Approved to Provide Medicare and Medicaid Services2010-12-13
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishPolk
Telephone Number8633185000
Chain NameTLC MANAGEMENT
Chain ID520
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds132
Average Number of Residents per Day125.9
Overall Rating3
Health Inspection Rating2
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, ASTORIA HEALTH AND REHABILITATION CENTER — facility record report, CMS certification number 106086. https://velarionrecords.com/facility/106086/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 106086. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 20179010,3913,27412,909.2528,866.7545,050
2017Q230 June 20179110,3833,141.7513,71429,122.7545,978.5
2017Q330 September 20179210,4073,350.513,026.528,771.7545,148.75
2017Q431 December 20179210,6312,800.513,849.528,22944,879
2018Q131 March 20189010,2312,805.2514,018.527,670.2544,494
2018Q230 June 2018919,8774,591.512,451.2528,132.545,175.25
2018Q330 September 20189210,1924,810.7512,724.528,838.2546,373.5
2018Q431 December 20189210,1004,009.7513,39029,224.546,624.25
2019Q131 March 2019909,9083,178.7513,753.528,292.2545,224.5
2019Q230 June 2019919,7953,740.2514,061.527,476.545,278.25
2019Q330 September 20199210,1193,90813,83027,718.2545,456.25
2019Q431 December 20199210,1873,853.7513,957.527,53745,348.25
2020Q230 June 2020919,8285,46611,834.2525,846.543,146.75
2020Q330 September 2020929,7396,653.510,50722,949.7540,110.25
2020Q431 December 2020929,8239,187.759,644.524,549.2543,381.5
2021Q131 March 2021909,5098,13810,024.2521,069.539,231.75
2021Q230 June 2021919,7975,046.39,454.519,466.1533,966.95
2021Q330 September 2021929,7256,195.49,375.2524,096.739,667.35
2021Q431 December 20219210,3356,324.7511,495.521,399.739,219.95
2022Q131 March 20229010,3734,929.7512,787.2524,764.7542,481.75
2022Q230 June 20229110,0994,255.7513,26626,646.2544,168
2022Q330 September 20229210,8384,751.2512,452.7526,404.2543,608.25
2022Q431 December 20229210,8285,212.513,365.325,84544,422.8
2023Q131 March 20239010,6935,95014,766.126,466.2547,182.35
2023Q230 June 20239110,6046,131.2513,792.2525,699.7545,623.25
2023Q330 September 20239210,4116,115.2513,132.524,977.7544,225.5
2023Q431 December 20239210,3025,973.2512,096.525,83243,901.75
2024Q131 March 20249111,2135,664.2514,05027,375.547,089.75
2024Q230 June 20249111,3125,856.7514,256.2528,61548,728
2024Q330 September 20249211,4955,323.2514,368.7527,431.7547,123.75
2024Q431 December 20249211,5255,085.2513,885.528,041.7547,012.5
2025Q131 March 20259011,2045,59913,36827,58046,547
2025Q230 June 20259111,4246,158.2514,659.2527,65948,476.5
2025Q330 September 20259211,3726,588.514,29129,409.7550,289.25
2025Q431 December 20259211,5777,01613,358.2529,737.2950,111.54
2026Q131 March 20269011,3356,511.512,922.2528,21547,648.75
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
2017Q10.315081.2423492.7780534.335483
2017Q20.3025861.3208132.8048494.428248
2017Q30.3219471.2517062.7646544.338306
2017Q40.2634281.3027472.6553484.221522
2018Q10.2741911.3701982.704554.348939
2018Q20.4648681.2606312.8482844.573783
2018Q30.4720121.2484792.8294994.54999
2018Q40.3970051.3257432.8935154.616262
2019Q10.3208271.3881212.8554964.564443
2019Q20.3818531.4355792.8051564.622588
2019Q30.3862041.3667362.7392284.492168
2019Q40.3783011.3701292.7031514.45158
2020Q20.5561661.2041362.6298844.390186
2020Q30.6831811.0788582.3564794.118518
2020Q40.935330.9818282.499164.416319
2021Q10.8558211.0541862.2157434.125749
2021Q20.5150860.965041.986953.467077
2021Q30.6370590.9640362.477814.078905
2021Q40.6119741.1122882.0706053.794867
2022Q10.4752481.2327442.3874244.095416
2022Q20.4214031.3135952.6385044.373502
2022Q30.4383881.148992.4362664.023644
2022Q40.4813911.2343282.3868674.102586
2023Q10.5564391.3809132.4751014.412452
2023Q20.5782021.3006652.423594.302457
2023Q30.5873841.2614062.3991694.247959
2023Q40.5798151.1741892.5074744.261478
2024Q10.505151.253012.4414074.199567
2024Q20.5177471.2602772.5296154.307638
2024Q30.4630931.252.3864074.0995
2024Q40.4412361.2048162.4331244.079176
2025Q10.4997321.1931452.4616214.154498
2025Q20.5390631.2831982.4211314.243391
2025Q30.5793621.2566832.5861554.422199
2025Q40.6060291.1538612.5686534.328543
2026Q10.574461.1400312.4891934.203683

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
  • 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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