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Facility record report · CMS certification number 106152

DESTINATION HEALTH AND REHABILITATION CENTER

DESTIN, Florida · Medicare

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 20 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$4,148,028CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$582,786CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,730,814CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,801,340CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$70,526CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$490,521CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$419,995CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $419,995 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,554CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days4,025CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days3,855CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days2,620CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components10,500CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges142CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges20CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges35CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components197CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days192.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days53.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1429748, read from the public cost report file SNF10FY2024.zip.

Cost report for 30 November 2023 to 31 December 2023 — a reporting period of 31 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$57,517CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$14,421CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$43,096CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$207,053CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$163,957CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$163,957CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$163,957 (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 components119CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components151CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components5CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days46.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days30.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389775, read from the public cost report file SNF10FY2024.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
COMMUNITY CONVALESCENT CENTER12040,974$14,312,011$15,100,175−$788,16430 September 2024
DESTINATION HEALTH AND REHABILITATIO11910,500$4,730,814$4,801,340−$70,52631 December 2024
HEALTH CENTRAL PARK11840,671$12,172,731$23,025,178−$10,852,44730 September 2024
MADISON POINTE CARE CENTER AND REHAB11941,557$16,088,124$14,542,878$1,545,24631 December 2024
THE PALMS OF SEBRING12034,674$13,355,001$17,831,574−$4,476,57317 June 2024
THE SPRINGS AT LAKE POINTE WOODS11937,036$16,055,778$13,772,051$2,283,72731 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
COASTAL CARE PROPERTIES LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization10%since 12/20/2022
DESTIN SENIOR INVESTMENTS I LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization30%since 12/20/2022
DESTIN SENIOR INVESTMENTS II LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization30%since 12/20/2022
OKALOOSA SENIOR INVESTMENTS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization30%since 12/20/2022
COASTAL CARE PROPERTIES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/17/2023
DESTIN SENIOR INVESTMENTS I LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/17/2023
DESTIN SENIOR INVESTMENTS II LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/17/2023
HAZEN, BRENTADP OF THE SNFIndividualNOT APPLICABLEsince 07/11/2025
HITTINGER, EMILYADP OF THE SNFIndividualNOT APPLICABLEsince 07/11/2025
OKALOOSA SENIOR INVESTMENTS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/17/2023
FRASER, GEOFFREYCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/17/2023
CLEVELAND, JEFFREYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/17/2023
FRASER, GEOFFREYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/17/2023
GALLAGHER, DUANEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/17/2023
HAZEN, BRENTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2024
HITTINGER, EMILYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/09/2024
HUSTON, TAYLOROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/17/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of DESTIN SENIOR CARE, LLC (enrollment ID O20230705001479).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
COASTAL CARE PROPERTIES LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1012/20/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
DESTIN SENIOR INVESTMENTS I LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST3012/20/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
DESTIN SENIOR INVESTMENTS II LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST3012/20/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
OKALOOSA SENIOR INVESTMENTS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST3012/20/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
BRENT HAZENIndividualADP 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.7/11/2025
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.
COASTAL CARE PROPERTIES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/17/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
DESTIN SENIOR INVESTMENTS I LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/17/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
DESTIN SENIOR INVESTMENTS II LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/17/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
EMILY HITTINGERIndividualADP 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.7/11/2025
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.
OKALOOSA SENIOR INVESTMENTS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/17/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
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.OrganizationADP 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.4/17/2023
Private equity company: No
Real estate investment trust: Yes
Holding company: No
GEOFFREY FRASERIndividualCORPORATE OFFICER304/17/2023
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.
DUANE GALLAGHERIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/17/2023
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.
GEOFFREY FRASERIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/17/2023
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.
JEFFREY CLEVELANDIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/17/2023
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.
BRENT HAZENIndividualOPERATIONAL/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.6/1/2024
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.
EMILY HITTINGERIndividualOPERATIONAL/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.12/9/2024
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.
TAYLOR HUSTONIndividualOPERATIONAL/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.4/17/2023
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.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
121 May 202621 May 202601
227 February 202527 February 202500
330 November 202330 November 202300

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

Deficiencies cited

Not yet extracted for this facility.

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare
Ownership TypeFor profit - Limited Liability company
Legal Business NameDESTIN SENIOR CARE, LLC
Date First Approved to Provide Medicare and Medicaid Services2023-11-30
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishOkaloosa
Telephone Number8506544588
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds119
Average Number of Residents per Day82.7
Overall Rating5
Health Inspection Rating5
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-08-01

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

Every change on this record

How to read this report

Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.

A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, 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, DESTINATION HEALTH AND REHABILITATION CENTER — facility record report, CMS certification number 106152. https://velarionrecords.com/facility/106152/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 106152. 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
2024Q131 March 2024911,4691,819.252,1413,7487,708.25
2024Q230 June 2024912,2742,5332,683.256,322.2511,538.5
2024Q330 September 2024923,1473,534.52,529.57,56113,625
2024Q431 December 2024923,5753,606.53,200.258,128.2514,935
2025Q131 March 2025904,5354,310.252,77510,537.2517,622.5
2025Q230 June 2025915,3074,495.53,872.2511,636.2520,004
2025Q330 September 2025926,7134,267.57,135.7514,46025,863.25
2025Q431 December 2025927,4034,468.257,784.515,771.2528,024
2026Q131 March 2026907,4423,914.258,372.7516,679.2528,966.25
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
2024Q11.2384281.4574542.5513965.247277
2024Q21.1138961.1799692.7802335.074099
2024Q31.1231330.8037812.4026064.32952
2024Q41.0088110.8951752.2736364.177622
2025Q10.9504410.6119072.3235393.885888
2025Q20.8470890.729652.1926233.769361
2025Q30.6357071.0629752.1540293.852711
2025Q40.6035731.0515332.1303863.785492
2026Q10.5259671.1250672.2412323.892267

How each quarter is derived, and its file

  • 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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