Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Facility record report · CMS certification number 155427

HICKORY CREEK AT MADISON

MADISON, Indiana · 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, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$4,083,453CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$273,391CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,356,844CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,891,327CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$465,517CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20,920CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$486,437CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $486,437 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components13,176CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days852CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,623CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days2,880CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components12,355CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges14CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges35CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges27CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components76CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days246.37CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days162.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433580, 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 16 October 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$3,514,926CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$313,172CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,828,098CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,231,226CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$596,872CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,212CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$609,084CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $609,084 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,316CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components68CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days362.68CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days181.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396592, 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 26 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$2,966,279CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$535,464CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,501,743CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,330,773CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$170,970CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$107,613CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$278,583CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $278,583 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,591CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components75CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days274.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days167.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365436, 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 10 November 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,083,842CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$463,054CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,546,896CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,354,532CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$192,364CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$160,489CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$352,853CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $352,853 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,443CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components68CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days83.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days364.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days168.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1336244, 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 20 October 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$3,153,259CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$531,648CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,684,907CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,511,282CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$173,625CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$273,692CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$447,317CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $447,317 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,574CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days299.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1301808, 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 15 December 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$3,131,225CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$380,763CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,511,988CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,184,117CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$327,871CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,019CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$337,890CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $337,890 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,715CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components28CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days454.11CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1276150, 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 10 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$2,884,017CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$333,258CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,217,275CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,927,313CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$289,962CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,793CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$299,755CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $299,755 (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 2018
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,806CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components23CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days556.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1236251, 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 19 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$2,960,399CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$278,521CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,238,920CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,848,053CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$390,867CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,341CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$398,208CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $398,208 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,038CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components7CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days122.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days1,862.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200398, 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 20 June 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$3,006,149CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$64,525CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,070,674CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,775,944CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$294,730CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,957CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$303,687CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $303,687 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,960CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components17CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days65.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days762.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1163778, 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 25 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$2,924,646CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$39,072CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,963,718CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,720,685CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$243,033CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,265CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$252,298CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $252,298 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,991CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components18CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days139.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days721.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1134590, 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 25 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$2,763,258CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,302CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,756,956CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,594,810CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$162,146CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,377CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$171,523CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $171,523 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,008CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components23CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days117.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days565.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105226, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 August 2013 to 31 December 2013 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 June 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$1,169,134CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$17,631CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,151,503CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,126,713CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$24,790CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,589CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$28,379CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $28,379 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,460CMS-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 days405CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days1,092CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1062229, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 May 2012 to 31 December 2012 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$1,588,695CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$20,977CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,567,718CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,427,276CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$140,442CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,915CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$146,357CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $146,357 (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 components36CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components8,661CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components8CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days217CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days1,082.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1042943, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 May 2010 to 30 April 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$2,149,287CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,002,344CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$146,943CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,910CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $153,853 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,475CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components15CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days330CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days831.67CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 432775, read from the public cost report file SNFFY2010.zip.

Cost report for 1 May 2009 to 30 April 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 September 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$2,110,782CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,928,513CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$182,269CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$1,771CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $180,498 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,694CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components25CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days90.75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days507.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 418416, read from the public cost report file SNFFY2009.zip.

Cost report for 1 May 2008 to 30 April 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$2,057,209CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,843,658CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$213,551CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,633CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $219,184 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,795CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components22CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days105CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days581.59CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 379798, read from the public cost report file SNFFY2008.zip.

Cost report for 1 May 2007 to 30 April 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 July 2009.

None of these figures is carried on this report.

CMS report record 351918, read from the public cost report file SNFFY2007.zip.

Cost report for 1 May 2006 to 30 April 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2008.

None of these figures is carried on this report.

CMS report record 326078, read from the public cost report file SNFFY2006.zip.

Cost report for 1 May 2005 to 30 April 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 May 2007.

None of these figures is carried on this report.

CMS report record 279317, read from the public cost report file SNFFY2005.zip.

Cost report for 1 May 2004 to 30 April 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 February 2006.

None of these figures is carried on this report.

CMS report record 243091, read from the public cost report file SNFFY2004.zip.

Cost report for 1 May 2003 to 30 April 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 September 2005.

None of these figures is carried on this report.

CMS report record 233190, read from the public cost report file SNFFY2003.zip.

Cost report for 1 May 2002 to 30 April 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$1,327,545CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,316,171CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$11,374CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$633CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $12,007 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,032CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components26CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days116CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days424.31CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173730, read from the public cost report file SNFFY2002.zip.

Cost report for 1 November 2001 to 30 April 2002 — a reporting period of 180 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.

None of these figures is carried on this report.

CMS report record 143644, read from the public cost report file SNFFY2002.zip.

Cost report for 1 January 2001 to 31 October 2001 — a reporting period of 303 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$1,035,085CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$954,725CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$80,360CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $80,363 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components8,255CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components18CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days396.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days458.61CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 142949, read from the public cost report file SNFFY2001.zip.

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 January 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$1,152,274CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,183,611CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$31,337CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$159CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$31,178 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,094CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components27CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days68.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days373.85CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 13662, read from the public cost report file SNFFY2000.zip.

Cost report for 4 October 1999 to 31 December 1999 — a reporting period of 88 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on 15 March 2001.

Net income, stated at moderate confidence: $12,165 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 13661, read from the public cost report file SNFFY2000.zip.

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 22 September 2001.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$1,893,056CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,603,702CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$289,354CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$273CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $289,627 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,735CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components18CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days104.62CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days651.94CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 13657, read from the public cost report file SNFFY1998.zip.

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 19 September 2001.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$1,714,221CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,769,497CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$55,276CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,188CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$54,088 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,506CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components25CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days105.92CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days460.24CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 13654, read from the public cost report file SNFFY1997.zip.

Cost report for 1 February 1996 to 31 December 1996 — a reporting period of 334 days, on form CMS-2540-96, reopened, processed by CMS on 18 January 2012.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$1,269,481CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,173,381CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$96,100CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$24,856CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $120,956 (CMS-2540-96 worksheet G300000 line 3200 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 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,800CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components25CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days92CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days432CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 423486, read from the public cost report file SNFFY1996.zip.

Five facilities of a similar size in Indiana, 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
CORE OF BEDFORD3711,572$3,281,989$3,375,907−$93,91831 December 2024
HICKORY CREEK AT GREENSBURG3610,335$3,354,922$3,541,308−$186,38631 December 2024
HICKORY CREEK AT MADISON3612,355$4,356,844$3,891,327$465,51731 December 2024
HICKORY CREEK AT PERU3610,875$3,779,408$3,626,016$153,39231 December 2024
HICKORY CREEK AT SCOTTSBURG3611,631$4,413,679$4,103,667$310,01231 December 2024
WMH DBA MCGIVNEY HEALTH CARE CENTER3712,094$4,140,428$4,140,667−$23931 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
HENRY COUNTY MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 08/01/2013
AMERICAN SENIOR COMMUNITIES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/24/2025
COX, KATELANADP OF THE SNFIndividualNOT APPLICABLEsince 05/28/2026
DICE, MARKADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2023
HENRY COUNTY MEMORIAL HOSPITALADP OF THE SNFOrganizationNOT APPLICABLEsince 04/27/2025
MEACHAM, DAWNADP OF THE SNFIndividualNOT APPLICABLEsince 03/24/2025
SHANE, ANDREWADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2023
VAN CAMP, STEVENADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2023
RING, BRIANCORPORATE OFFICERIndividualNOT APPLICABLEsince 08/01/2022
CHIES, STEVENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/01/2021
DYNES, SHELDONMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2013
JACKSON, BLAKEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/01/2021
JACKSON, ETHANMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/01/2021
JACKSON, MARKMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/01/2021
JACKSON, MICHAELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/14/2024
JACKSON, WESSLEYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/01/2021
JUSTICE, DAVIDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/01/2021
KELSEY, DONNAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 07/18/2024
PIDGEON, JOHNMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2013
SHORE, MARIONMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2013
STITLE, STEPHENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 03/01/2021
WARE, DEBORAHMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/27/2021
WRIGHT, THERESSAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/21/2021
AMERICAN SENIOR COMMUNITIES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/2021
COX, KATELANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/18/2026
DICE, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2023
MEACHAM, DAWNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2021
RING, BRIANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2022
SCHMIDLAPP, ANGELAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/07/2022
SHANE, ANDREWOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2023
VAN CAMP, STEVENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2023
DYNES, SHELDONTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/01/2013
PIDGEON, JOHNTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/01/2013
SHORE, MARIONTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/01/2013
WARE, DEBORAHTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 08/27/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HENRY COUNTY MEMORIAL HOSPITAL (enrollment ID O20131009000658).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
HENRY COUNTY MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1008/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
AMERICAN SENIOR COMMUNITIES 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.3/24/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
ANDREW SHANEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
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.
DAWN M MEACHAMIndividualADP 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.3/24/2025
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.
HENRY COUNTY MEMORIAL HOSPITALOrganizationADP 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.4/27/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
KATELAN COXIndividualADP 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.5/28/2026
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK DICEIndividualADP 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.6/1/2023
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.
STEVEN VAN CAMPIndividualADP 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.6/1/2023
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.
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.3/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
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.3/1/2021
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.3/1/2021
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.3/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
BRIAN RINGIndividualCORPORATE OFFICER08/1/2022
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.
BLAKE JACKSONIndividualMANAGING 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.3/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID JUSTICEIndividualMANAGING 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.3/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEBORAH WAREIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/27/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DONNA KELSEYIndividualMANAGING 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.7/18/2024
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.
ETHAN I JACKSONIndividualMANAGING 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.3/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN D PIDGEONIndividualMANAGING 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.1/1/2013
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.
MARION E SHOREIndividualMANAGING 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.1/1/2013
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK JACKSONIndividualMANAGING 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.3/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL L JACKSONIndividualMANAGING 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.5/14/2024
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.
SHELDON L DYNESIndividualMANAGING 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.1/1/2013
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 STITLEIndividualMANAGING 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.3/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEVEN CHIESIndividualMANAGING 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.3/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THERESSA WRIGHTIndividualMANAGING 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.5/21/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WESSLEY JACKSONIndividualMANAGING 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.3/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AMERICAN SENIOR COMMUNITIES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1003/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ANDREW SHANEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2023
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.
ANGELA SCHMIDLAPPIndividualOPERATIONAL/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.3/7/2022
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.
BRIAN RINGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2022
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.
DAWN M MEACHAMIndividualOPERATIONAL/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.10/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KATELAN COXIndividualOPERATIONAL/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.5/18/2026
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK DICEIndividualOPERATIONAL/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.6/1/2023
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.
STEVEN VAN CAMPIndividualOPERATIONAL/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.6/1/2023
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.
DEBORAH WAREIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/27/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN D PIDGEONIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2013
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.
MARION E SHOREIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2013
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.
SHELDON L DYNESIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2013
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
118 September 202518 September 202530
225 October 202425 October 202411
315 September 202315 September 202332

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

Deficiencies cited

7 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
18 September 2025HealthF 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 correction10 October 2025
18 September 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction10 October 2025
18 September 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction10 October 2025
25 October 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction10 November 2024
15 March 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction4 April 2024
15 September 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.ENoDeficient, Provider has date of correction6 October 2023
15 September 2023HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DNoDeficient, Provider has date of correction6 October 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameHENRY COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services1992-02-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishJefferson
Telephone Number8122734696
Chain NameAMERICAN SENIOR COMMUNITIES
Chain ID33
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds36
Average Number of Residents per Day34.5
Overall Rating4
Health Inspection Rating4
QM Rating5
Long-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, HICKORY CREEK AT MADISON — facility record report, CMS certification number 155427. https://velarionrecords.com/facility/155427/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 155427. 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 2017903,2271,699.861,685.375,624.469,009.69
2017Q230 June 2017913,2551,887.021,612.635,689.219,188.86
2017Q330 September 2017923,2871,984.311,491.845,778.979,255.12
2017Q431 December 2017923,2701,839.141,614.295,828.949,282.37
2018Q131 March 2018903,0932,335.61,040.665,228.028,604.28
2018Q230 June 2018913,2142,253.66998.225,772.679,024.55
2018Q330 September 2018923,2902,239.39987.755,893.249,120.38
2018Q431 December 2018923,2102,322.581,050.115,996.699,369.38
2019Q131 March 2019903,1332,287.551,064.966,022.839,375.34
2019Q230 June 2019913,2102,320.251,023.125,844.039,187.4
2019Q330 September 2019923,1902,222.461,095.045,746.429,063.92
2019Q431 December 2019923,1871,776.41,446.015,479.088,701.49
2020Q131 March 2020913,1862,186.451,199.155,974.819,360.41
2020Q230 June 2020913,2012,325.12972.475,823.529,121.11
2020Q330 September 2020923,2201,725.221,582.385,803.879,111.47
2020Q431 December 2020922,9972,626.461,477.917,401.3911,505.76
2021Q131 March 2021902,4232,048.171,520.465,688.899,257.52
2021Q230 June 2021912,8141,9981,7584,6768,432
2021Q330 September 2021923,1152,311.751,953.754,627.258,892.75
2021Q431 December 2021923,1801,502.041,641.375,041.468,184.87
2022Q131 March 2022903,0672,131.11,610.585,758.659,500.33
2022Q230 June 2022913,1961,996.881,791.276,256.5210,044.67
2022Q330 September 2022923,1701,852.271,667.167,053.2810,572.71
2022Q431 December 2022923,1421,755.361,616.496,655.2210,027.07
2023Q131 March 2023903,1191,432.681,596.565,975.049,004.28
2023Q230 June 2023913,0921,962.661,519.75,796.299,278.65
2023Q330 September 2023923,0992,274.651,077.545,913.989,266.17
2023Q431 December 2023923,0102,259.711,048.235,767.779,075.71
2024Q131 March 2024912,9891,977.511,357.616,371.149,706.26
2024Q230 June 2024913,1342,099.161,193.485,942.219,234.85
2024Q330 September 2024923,1182,153.341,022.215,925.479,101.02
2024Q431 December 2024923,1201,413.951,536.166,266.29,216.31
2025Q131 March 2025903,0872,077.021,217.225,341.618,635.85
2025Q230 June 2025913,1271,802.861,704.356,248.739,755.94
2025Q330 September 2025923,0861,792.331,876.196,559.3610,227.88
2025Q431 December 2025923,0712,101.261,863.555,807.969,772.77
2026Q131 March 2026903,1051,880.411,980.775,339.519,200.69
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
2017Q10.5267620.5222711.7429382.791971
2017Q20.579730.4954321.7478372.822998
2017Q30.6036840.4538611.7581292.815674
2017Q40.5624280.4936671.782552.838645
2018Q10.7551240.3364571.6902752.781856
2018Q20.7012010.3105851.7961012.807887
2018Q30.6806660.3002281.7912582.772152
2018Q40.7235450.3271371.8681282.91881
2019Q10.7301470.3399171.9223842.992448
2019Q20.7228190.3187291.820572.862118
2019Q30.6966960.3432731.8013862.841354
2019Q40.5573890.4537211.7191972.730307
2020Q10.6862680.3763811.8753332.937982
2020Q20.7263730.3038021.8192812.849456
2020Q30.5357830.4914221.8024442.829649
2020Q40.8763630.493132.46963.839092
2021Q10.8453030.6275112.347873.820685
2021Q20.7100210.6247331.6616922.996446
2021Q30.7421350.6272071.4854742.854815
2021Q40.472340.5161541.5853652.573858
2022Q10.6948480.5251321.8776173.097597
2022Q20.6248060.5604721.957613.142888
2022Q30.5843120.5259182.2250093.33524
2022Q40.5586760.5144782.1181483.191302
2023Q10.459340.5118821.9156912.886912
2023Q20.6347540.4914941.8746093.000857
2023Q30.7339950.3477061.9083512.990052
2023Q40.7507340.3482491.9162033.015186
2024Q10.6615960.4542022.1315293.247327
2024Q20.6698020.3808171.8960472.946666
2024Q30.6906160.3278421.9004072.918865
2024Q40.4531890.4923592.0083972.953946
2025Q10.6728280.3943051.7303562.797489
2025Q20.5765460.5450431.9983153.119904
2025Q30.5807940.6079682.1255223.314284
2025Q40.6842270.6068221.8912283.182276
2026Q10.6056070.6379291.7196492.963185

How each quarter is derived, and its file

  • 2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv
  • 2017Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin; they are read as hrs_lpnadmin. CMS's file labels its last six hours columns hrs_medaide, hrs_medaide_emp, hrs_rn_donadmin, hrs_na_trn, hrs_natrn_emp, hrs_natrn_ctr; they are read by position as Hrs_MedAide_emp, Hrs_MedAide_ctr, Hrs_NAtrn, Hrs_NAtrn_emp, Hrs_NAtrn_ctr, Hrs_MedAide, the order in which each total equals its employee and contract parts on every row. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv
  • 2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv
  • 2017Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv
  • 2018Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv
  • 2018Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv
  • 2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv
  • 2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv
  • 2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv
  • 2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv
  • 2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv
  • 2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv
  • 2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv
  • 2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv
  • 2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv
  • 2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv
  • 2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv
  • 2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv
  • 2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv
  • 2021Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. The file's `incomplete` column flags 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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