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Facility record report · CMS certification number 135145

Cascadia of Lewiston

Lewiston, Idaho · 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 11 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$9,616,020CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,722,044CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,893,976CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,888,010CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$5,966CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,156CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$7,122CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $7,122 (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 components34CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components12,444CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days8,542CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days2,683CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components11,225CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges224CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges108CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components332CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days33.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1427271, 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 28 June 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$8,494,020CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,260,165CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,233,855CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,149,468CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$915,613CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$292CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$915,321CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$915,321 (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 components34CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,352CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components309CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days30.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1387280, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 March 2022 to 31 December 2022 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 26 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,781,396CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,044,946CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,736,450CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,285,846CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$549,396CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$380,124CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$169,272CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$169,272 (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 components34CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components7,106CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components306CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days23.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359901, 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 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$9,598,138CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,474,126CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,124,012CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,411,809CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$287,797CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$256,261CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$31,536CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$31,536 (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 components34CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,946CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components410CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.28CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days26.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328032, 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 8 August 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,517,189CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,081,391CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,435,798CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,507,538CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,071,740CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$266,030CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$805,710CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$805,710 (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 components34CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,694CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components401CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days24.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329167, 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 16 September 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$9,538,095CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,171,605CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,366,490CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,892,928CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$526,438CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,963CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$507,475CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$507,475 (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 components34CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,377CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components426CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.01CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days24.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1299290, read from the public cost report file SNF10FY2019.zip.

Cost report for 28 June 2018 to 31 December 2018 — a reporting period of 186 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 April 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$3,519,764CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,581,266CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,938,498CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,760,994CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$822,496CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,579CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$818,917CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$818,917 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components34CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components3,628CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components151CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days24.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1223281, read from the public cost report file SNF10FY2018.zip.

Five facilities of a similar size in Idaho, 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
ADVANCED HEALTH CARE OF COEUR D ALEN3411,766$7,622,499$6,961,053$661,44631 December 2024
ASPEN TRANSITIONAL REHAB3010,627$6,569,335$7,049,807−$480,47231 December 2024
CASCADES AT LINCOLN COUNTY3610,152$2,764,074$3,661,864−$897,79031 December 2024
LEWISTON NORTH OF CASCADIA LLC3411,225$6,893,976$6,888,010$5,96631 December 2024
MADISON CARRIAGE COVE SHORT TERM REH3511,153$4,772,930$5,058,083−$285,15331 December 2024
THE COVE OF CASCADIA3211,486$6,080,275$5,085,967$994,30831 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
LEWISTON 2852 REALTY, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 06/05/2025
WHITE OAK HEALTHCARE FINANCE LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 03/01/2022
BURT, JAMESADP OF THE SNFIndividualNOT APPLICABLEsince 07/17/2025
CASCADIA SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/01/2022
LEWISTON 2852 REALTY, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/05/2025
RUDOLPH, JOHNADP OF THE SNFIndividualNOT APPLICABLEsince 07/17/2025
CASCADIA IDAHO OPERATIONS LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 03/01/2022
CASCADIA HC GROUP LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/05/2025
CASCADIA HEALTHCARE LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 03/01/2022
CASCADIA HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/05/2025
HAMMOND, OWENINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 03/01/2022
LAFORTE, STEPHENINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 06/05/2025
NELSON, TIMOTHYINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 06/05/2025
BURT, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/14/2025
CASCADIA HC GROUP LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/05/2025
CASCADIA HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/2022
CASCADIA HOLDCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/05/2025
CASCADIA IDAHO OPERATIONS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/2022
CASCADIA SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/2022
HAMMOND, OWENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2022
LAFORTE, STEPHENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/05/2025
NELSON, TIMOTHYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/05/2025
RUDOLPH, JOHNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/03/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LEWISTON NORTH OF CASCADIA, LLC (enrollment ID O20220429001605).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
LEWISTON 2852 REALTY, LLCOrganization5% OR GREATER SECURITY INTEREST1006/5/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
WHITE OAK HEALTHCARE FINANCE LLCOrganization5% OR GREATER SECURITY INTEREST1003/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
CASCADIA SERVICES 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.3/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
JAMES R BURTIndividualADP 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.7/17/2025
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.
JOHN BRADLEY RUDOLPHIndividualADP 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.7/17/2025
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.
LEWISTON 2852 REALTY, 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.6/5/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CASCADIA IDAHO OPERATIONS LLCOrganizationDIRECT OWNERSHIP INTEREST1003/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
CASCADIA HC GROUP LLCOrganizationINDIRECT OWNERSHIP INTEREST1006/5/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CASCADIA HEALTHCARE LLCOrganizationINDIRECT OWNERSHIP INTEREST1003/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
CASCADIA HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTEREST1006/5/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
OWEN C HAMMONDIndividualINDIRECT OWNERSHIP INTEREST33.343/1/2022
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.
STEPHEN J LAFORTEIndividualINDIRECT OWNERSHIP INTEREST33.336/5/2025
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.
TIMOTHY NELSONIndividualINDIRECT OWNERSHIP INTEREST33.336/5/2025
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.
CASCADIA HC GROUP LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/5/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CASCADIA HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
CASCADIA HOLDCO LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/5/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CASCADIA IDAHO OPERATIONS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
CASCADIA SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
JAMES R BURTIndividualOPERATIONAL/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.6/14/2025
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.
JOHN BRADLEY RUDOLPHIndividualOPERATIONAL/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.7/3/2025
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.
OWEN C HAMMONDIndividualOPERATIONAL/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.3/1/2022
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.
STEPHEN J LAFORTEIndividualOPERATIONAL/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.6/5/2025
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.
TIMOTHY NELSONIndividualOPERATIONAL/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.6/5/2025
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.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
121 May 202621 May 202605
23 April 20253 April 202582
33 May 20243 May 2024131

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

Deficiencies cited

21 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
3 April 2025HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DYesDeficient, Provider has date of correction18 May 2025
3 April 2025HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DYesDeficient, Provider has date of correction18 May 2025
3 April 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction18 May 2025
3 April 2025HealthF 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.DYesDeficient, Provider has date of correction18 May 2025
3 April 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.EYesDeficient, Provider has date of correction18 May 2025
3 April 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.GNoPast Non-Compliance3 December 2024
3 April 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correction18 May 2025
3 April 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correction18 May 2025
3 May 2024HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DYesDeficient, Provider has date of correction11 June 2024
3 May 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction11 June 2024
3 May 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction11 June 2024
3 May 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correction11 June 2024
3 May 2024HealthF 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.DYesDeficient, Provider has date of correction11 June 2024
3 May 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDYesDeficient, Provider has date of correction11 June 2024
3 May 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.DYesDeficient, Provider has date of correction11 June 2024
3 May 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction11 June 2024
3 May 2024HealthF 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.EYesDeficient, Provider has date of correction11 June 2024
3 May 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.EYesDeficient, Provider has date of correction11 June 2024
3 May 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction11 June 2024
3 May 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction11 June 2024
3 May 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.EYesDeficient, Provider has date of correction11 June 2024

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare
Ownership TypeFor profit - Limited Liability company
Legal Business NameLEWISTON NORTH OF CASCADIA, LLC
Date First Approved to Provide Medicare and Medicaid Services2018-06-28
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishNez Perce
Telephone Number2087487700
Chain NameCASCADIA HEALTHCARE
Chain ID118
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds34
Average Number of Residents per Day31.3
Overall Rating4
Health Inspection Rating4
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, Cascadia of Lewiston — facility record report, CMS certification number 135145. https://velarionrecords.com/facility/135145/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 135145. 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
2018Q330 September 2018921,2652,453.081,665.75,123.589,242.36
2018Q431 December 2018922,3593,842.252,622.848,317.114,782.19
2019Q131 March 2019902,5383,395.492,760.29,094.8915,250.58
2019Q230 June 2019912,7142,687.353,040.959,905.6715,633.97
2019Q330 September 2019922,4463,223.892,890.139,160.2715,274.29
2019Q431 December 2019922,7573,158.72,784.329,651.8915,594.91
2020Q230 June 2020911,9883,210.432,821.679,920.6515,952.75
2020Q330 September 2020922,6383,434.372,700.6110,288.1716,423.15
2020Q431 December 2020922,0903,615.452,588.879,549.0615,753.38
2021Q131 March 2021902,5573,237.632,744.729,093.4915,075.84
2021Q230 June 2021912,7693,395.412,669.779,322.2915,387.47
2021Q330 September 2021922,8323,401.682,427.59,461.9315,291.11
2021Q431 December 2021922,7633,104.582,867.089,754.7515,726.41
2022Q131 March 2022902,2562,753.152,730.928,669.214,153.27
2022Q230 June 2022912,4602,579.782,535.245,292.8110,407.83
2022Q330 September 2022922,0601,546.12,5854,622.868,753.96
2022Q431 December 2022921,8672,212.031,911.294,076.838,200.15
2023Q131 March 2023901,9652,619.051,836.34,392.118,847.46
2023Q230 June 2023912,4583,190.631,594.086,652.8511,437.56
2023Q330 September 2023922,5393,475.431,796.365,920.9811,192.77
2023Q431 December 2023922,4523,202.611,826.356,077.4611,106.42
2024Q131 March 2024912,7882,448.371,928.074,965.459,341.89
2024Q230 June 2024912,7943,003.471,982.44,910.019,895.88
2024Q330 September 2024922,7543,684.321,526.214,610.179,820.7
2024Q431 December 2024922,8903,791.111,827.575,879.2111,497.89
2025Q131 March 2025902,8173,368.682,401.386,412.8712,182.93
2025Q230 June 2025912,5742,635.452,969.366,262.4611,867.27
2025Q330 September 2025922,7783,100.92,350.895,432.6910,884.48
2025Q431 December 2025922,8893,182.282,570.66,001.3811,754.26
2026Q131 March 2026902,8152,358.33,205.636,563.6412,127.57
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
2018Q31.9391941.3167594.0502617.306213
2018Q41.6287621.1118443.5256896.266295
2019Q11.3378611.0875493.5834876.008897
2019Q20.9901811.1204683.6498425.76049
2019Q31.3180251.1815743.7456.244599
2019Q41.1457021.0099093.5008675.656478
2020Q21.6149041.4193514.9902678.024522
2020Q31.3018841.0237343.8999896.225607
2020Q41.729881.2386944.5689287.537502
2021Q11.2661831.0734143.5563125.895909
2021Q21.2262220.9641643.3666635.557049
2021Q31.2011580.8571683.3410775.399403
2021Q41.1236261.0376693.5304925.691788
2022Q11.2203681.2105143.842736.273613
2022Q21.0486911.0305852.1515494.230825
2022Q30.7505341.2548542.2441074.249495
2022Q41.1848041.0237232.1836264.392153
2023Q11.332850.9345042.235174.502524
2023Q21.2980590.6485272.7066114.653198
2023Q31.3688180.7075072.3320134.408338
2023Q41.3061220.7448412.4785734.529535
2024Q10.8781810.691561.7810083.35075
2024Q21.0749710.709521.7573413.541832
2024Q31.3378070.5541791.6739913.565977
2024Q41.3118030.6323772.0343293.978509
2025Q11.195840.852462.2764894.324789
2025Q21.0238731.1535982.4329684.610439
2025Q31.1162350.8462531.9556123.918099
2025Q41.1015160.8897892.0773214.068626
2026Q10.8377621.1387672.3316664.308195

How each quarter is derived, and its file

  • 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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