Facility record report · CMS certification number 165224

Mount Ayr Health Care Center

Mount Ayr, Iowa · 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 9 May 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$2,828,351	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$44,220	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,784,131	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,674,506	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$109,625	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,018	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$116,643	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $38,182 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	16,836	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	22	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	7,472	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,678	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	12,172	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	1	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	5	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	27	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	33	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,494.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	368.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421713, 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 27 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$2,534,293	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$54,062	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,480,231	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,500,579	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$20,348	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,900	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$15,448	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$81,505 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,923	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	18	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	662.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393158, 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 28 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$1,924,501	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$22,547	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,901,954	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,356,335	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$454,381	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,540	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$449,841	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$473,840 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,125	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	22	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days	866.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	460.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360216, 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 19 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$2,243,228	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$50,776	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,192,452	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,445,711	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$253,259	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$704,717	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$451,458	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $428,548 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,279	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	36	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	560.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	285.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332701, 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 4 August 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$2,569,896	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$104,382	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,465,514	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,555,768	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$90,254	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,109	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$74,145	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$103,660 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,989	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	19	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	90	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,351.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	683.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1291709, 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 October 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$2,907,425	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$308,675	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,598,750	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,579,453	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$19,297	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,666	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$24,963	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $383 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,200	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	31	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,136	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	458.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1271536, 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 23 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$2,948,109	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$309,734	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,638,375	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,640,705	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,330	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$463	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,867	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$23,643 (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
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,888	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	31	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	92.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,084.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	448	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237927, 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
Figure	As filed	Where it comes from
Total patient revenue	$2,756,593	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$131,701	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,624,892	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,410,732	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$214,160	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$189	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$214,349	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $196,329 (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
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,163	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	41	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	471.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	345.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200202, 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 17 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$2,767,480	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$126,800	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,640,680	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,591,445	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$49,235	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,845	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$55,080	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $35,906 (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
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,312	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	41	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	705.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	349.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169293, 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
Figure	As filed	Where it comes from
Total patient revenue	$3,233,718	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$356,053	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,877,665	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,542,462	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$335,203	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,103	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$349,306	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $339,018 (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
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,225	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	26	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,429.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	585.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1134649, 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 23 June 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$2,972,175	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$228,841	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,743,334	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,541,317	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$202,017	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$54,404	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$256,421	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $241,571 (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
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,565	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	32	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,140.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	486.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1099508, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 June 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$2,735,171	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$154,730	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,580,441	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,277,643	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$302,798	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,010	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$320,808	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $305,373 (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
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,559	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	18	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,606.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	864.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1066223, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$2,826,782	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$201,052	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,625,730	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,435,071	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$190,659	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,320	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$198,979	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $198,979 (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
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,020	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	17	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	3,145	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	942.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043147, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 September 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$2,389,337	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$53,408	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,335,929	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,051,158	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$284,771	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,782	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$296,553	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $296,553 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,567	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	39	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	855.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	373.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1011779, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,440,354	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,299,062	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$141,292	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$21,087	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $162,379 (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
Figure	As filed	Where it comes from
Total facility beds, all components	47	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,019	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	24	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	20	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,067.38	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	667.46	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 411619, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 August 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,164,876	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,931,736	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$233,140	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$35,828	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $268,968 (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
Figure	As filed	Where it comes from
Total facility beds, all components	47	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,593	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	34	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	605.6	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	458.62	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 384876, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$1,957,458	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,990,101	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$32,643	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$21,166	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$11,477 (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 2008
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,930	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	50	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	11.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,167.5	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	378.6	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 351330, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$1,650,302	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,595,494	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$54,808	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,423	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $66,231 (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 2007
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,581	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	37	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	12.14	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,595.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	475.16	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322625, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 July 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$1,770,102	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,791,634	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$21,532	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,597	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$12,935 (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 2006
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,449	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	38	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	692.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	380.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 289784, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 August 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$1,791,914	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,616,438	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$175,476	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,707	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $183,183 (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 2005
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,347	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	45	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	8.11	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	950.73	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	452.16	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260410, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 July 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$1,766,827	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,633,677	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$133,150	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,447	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $141,597 (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 2004
Figure	As filed	Where it comes from
Total facility beds, all components	65	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,821	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	42	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	11.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,851.2	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	471.93	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 228160, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 30 June 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$1,861,694	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,647,885	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$213,809	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,320	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $225,129 (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
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,343	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	48	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	722.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	361.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 186188, read from the public cost report file SNFFY2003.zip.

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 19 June 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$1,553,860	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,469,146	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$84,714	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,273	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $90,987 (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 2002
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,279	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	36	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,015	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	452.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 150430, read from the public cost report file SNFFY2002.zip.

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 September 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$1,327,015	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,227,155	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$99,860	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,988	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $116,848 (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
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,268	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	34	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	645.63	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	478.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 160468, 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 7 April 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$1,428,488	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,221,571	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$206,917	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,569	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $216,486 (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
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,158	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	33	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	885.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	550.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 138815, read from the public cost report file SNFFY2000.zip.

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 April 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$1,551,463	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,197,101	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$354,362	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,702	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $363,064 (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 1999
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,215	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	26	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	12.44	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	792.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	739.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 86860, read from the public cost report file SNFFY1999.zip.

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$1,396,008	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,069,328	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$326,680	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,813	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $334,493 (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
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,102	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	47	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	7.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,230.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	385.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 86858, 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, settled, processed by CMS on 24 March 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$1,103,599	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,009,979	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$93,620	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,721	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $105,341 (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
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,667	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	54	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	15.79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	845.86	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	327.17	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 86856, read from the public cost report file SNFFY1997.zip.

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 12 August 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$1,221,136	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,022,197	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$198,939	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,975	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $208,914 (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
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,589	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	35	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.3	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,086.7	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	531.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 86855, read from the public cost report file SNFFY1996.zip.

Five facilities of a similar size in Iowa, 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.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
ACCURA HEALTHCARE OF LAKE CITY LLC	46	14,483	$4,502,734	$4,152,316	$350,418	31 December 2024
BLOOMFIELD CARE CENTER	48	5,044	$1,571,129	$1,811,229	−$240,100	31 December 2024
FELLOWSHIP VILLAGE	48	14,995	$4,249,880	$4,431,335	−$181,455	31 December 2024
GOOD SAMARITAN SOCIETY-VILLISCA	46	14,248	$4,621,031	$4,008,253	$612,778	31 December 2024
MOUNT AYR HEALTH CARE CENTER	46	12,172	$2,784,131	$2,674,506	$109,625	31 December 2024
PREMIER ESTATES 508 LLC	46	10,765	$3,196,565	$3,817,448	−$620,883	31 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 manager	Role	Type	Ownership percentage	Association
HINZ, MARLENE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	15%	since 01/01/1994
HINZ, ROBERT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	15%	since 11/03/2011
HINZ, TRAVIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2014
BROOKS, KILEY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/22/2022
BROOKS, KILEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/22/2022
WALNUT CREEK MANAGEMENT COMPANY LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/22/2022
HINZ, MARLENE	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 01/01/1994
HINZ, ROBERT	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 11/03/2011
HINZ, TRAVIS	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 01/01/2014

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of R.M.H. INCORPORATED (enrollment ID O20111205000866).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
MARLENE Z HINZ	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	15	1/1/1994	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.
ROBERT J HINZ	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	15	11/3/2011	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.
TRAVIS B HINZ	Individual	CORPORATE DIRECTOR	12.5	1/1/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KILEY A BROOKS	Individual	CORPORATE OFFICER	5	3/22/2022	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.
KILEY A BROOKS	Individual	OPERATIONAL/MANAGERIAL CONTROL	5	3/22/2022	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.
WALNUT CREEK MANAGEMENT COMPANY LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	10	3/22/2022	Private equity company: No Real estate investment trust: No Holding company: No
MARLENE Z HINZ	Individual	W-2 MANAGING EMPLOYEE	12.5	1/1/1994	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.
ROBERT J HINZ	Individual	W-2 MANAGING EMPLOYEE	12.5	11/3/2011	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.
TRAVIS B HINZ	Individual	W-2 MANAGING EMPLOYEE	12.5	1/1/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

No change in ownership appears in the CMS files on record since 20 September 2022.

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	14 April 2026	14 April 2026	5	1
2	9 April 2025	9 April 2025	4	2
3	27 June 2024	27 June 2024	2	4

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

Deficiencies cited

11 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
14 April 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	24 April 2026
14 April 2026	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	24 April 2026
14 April 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	24 April 2026
14 April 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	24 April 2026
14 April 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	24 April 2026
9 April 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	18 April 2025
9 April 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	18 April 2025
9 April 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	18 April 2025
9 April 2025	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	18 April 2025
27 June 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	12 July 2024
27 June 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	12 July 2024

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	R.M.H. INCORPORATED
Date First Approved to Provide Medicare and Medicaid Services	1994-07-15
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Ringgold
Telephone Number	6414643204
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	46
Average Number of Residents per Day	24.1
Overall Rating	4
Health Inspection Rating	3
QM Rating	3
Long-Stay QM Rating	3
Processing Date	2026-08-01

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

Every change on this record

9 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
27 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
28 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
19 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
4 August 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
15 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
23 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
17 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
23 June 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
19 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
23 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
25 September 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
19 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
6 August 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
17 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
4 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
26 July 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
3 August 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
19 July 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
30 June 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
23 September 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
19 June 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
7 April 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
3 April 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
21 April 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
24 March 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
12 August 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip

How to read this report

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

A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and at a stated confidence, saying what is left unaccounted for, where it does not. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.

How to cite this report

Velarion Records, Mount Ayr Health Care Center — facility record report, CMS certification number 165224. https://velarionrecords.com/facility/165224/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.zip.
Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
Care Compare ownership: CMS file dated 1 August 2026.
Medicare enrollment ownership: CMS file dated 1 August 2026.
Nurse staffing: CMS Payroll-Based Journal, quarters 2017Q1 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 165224. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	3,569	2,021.67	2,167.81	7,148.47	11,337.95
2017Q2	30 June 2017	91	3,510	1,814.73	2,266.95	7,029.58	11,111.26
2017Q3	30 September 2017	92	3,675	1,909.63	1,940.81	6,944.01	10,794.45
2017Q4	31 December 2017	92	3,510	1,727.12	1,977.11	6,965.12	10,669.35
2018Q1	31 March 2018	90	3,259	1,724.11	2,213.97	6,842.34	10,780.42
2018Q2	30 June 2018	91	3,382	1,434.5	2,319.25	6,801.25	10,555
2018Q3	30 September 2018	92	3,531	1,401.25	2,254.75	6,745.25	10,401.25
2018Q4	31 December 2018	92	3,533	1,051.25	2,356.5	6,462.5	9,870.25
2019Q1	31 March 2019	90	3,470	1,457.25	2,257.75	5,833.5	9,548.5
2019Q2	30 June 2019	91	3,363	1,546	1,933.75	5,623.5	9,103.25
2019Q3	30 September 2019	92	3,742	1,546.75	2,070.5	6,879.5	10,496.75
2019Q4	31 December 2019	92	3,470	2,065.25	1,959.25	6,853.25	10,877.75
2020Q1	31 March 2020	91	3,359	2,069.25	1,745.75	6,529.25	10,344.25
2020Q2	30 June 2020	91	3,114	1,766.25	1,971.5	6,940	10,677.75
2020Q3	30 September 2020	92	3,311	1,749.5	2,416	6,191.5	10,357
2020Q4	31 December 2020	92	3,126	1,757.25	1,917	5,945.25	9,619.5
2021Q1	31 March 2021	90	2,374	1,838.25	2,236	5,233.5	9,307.75
2021Q2	30 June 2021	91	2,565	1,710	1,802.75	5,171.25	8,684
2021Q3	30 September 2021	92	2,731	1,292	1,930.25	5,627.25	8,849.5
2022Q1	31 March 2022	90	2,316	1,172	1,239.75	3,690.25	6,102
2022Q2	30 June 2022	91	2,754	1,777.5	963.75	4,850.5	7,591.75
2022Q3	30 September 2022	92	2,620	1,984.5	856.5	4,931.08	7,772.08
2022Q4	31 December 2022	92	2,420	2,042.25	790.25	4,749.1	7,581.6
2023Q1	31 March 2023	90	2,584	1,973.25	897.25	4,715.75	7,586.25
2023Q2	30 June 2023	91	2,949	2,054.25	875.5	4,787.75	7,717.5
2023Q3	30 September 2023	92	3,166	1,967	1,249.3	4,758.57	7,974.87
2023Q4	31 December 2023	92	3,194	1,843.82	1,451.75	5,084.5	8,380.07
2024Q1	31 March 2024	91	3,023	1,953.25	965.25	4,943	7,861.5
2024Q2	30 June 2024	91	3,071	2,068.75	829	5,451	8,348.75
2024Q3	30 September 2024	92	2,984	2,194.5	604.25	5,156	7,954.75
2024Q4	31 December 2024	92	3,093	2,331.75	527	5,430.75	8,289.5
2025Q1	31 March 2025	90	3,003	2,387	506.25	5,371.5	8,264.75
2025Q2	30 June 2025	91	2,834	2,637	442.75	5,447.51	8,527.26
2025Q3	30 September 2025	92	2,583	2,623.75	445.75	5,265.25	8,334.75
2025Q4	31 December 2025	92	2,206	2,398.25	614.5	5,196.75	8,209.5
2026Q1	31 March 2026	90	2,173	2,130.5	704	5,164	7,998.5

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.566453	0.6074	2.002934	3.176786
2017Q2	0.517017	0.645855	2.002729	3.165601
2017Q3	0.519627	0.528112	1.889527	2.937265
2017Q4	0.492057	0.563279	1.984365	3.039701
2018Q1	0.52903	0.67934	2.099521	3.307892
2018Q2	0.424157	0.685763	2.011014	3.120934
2018Q3	0.396842	0.638558	1.910295	2.945695
2018Q4	0.297552	0.666997	1.829182	2.793731
2019Q1	0.419957	0.650648	1.681124	2.751729
2019Q2	0.459709	0.575007	1.672168	2.706884
2019Q3	0.413348	0.553314	1.838455	2.805118
2019Q4	0.595173	0.564625	1.975	3.134798
2020Q1	0.616032	0.519723	1.943808	3.079562
2020Q2	0.567197	0.633109	2.228645	3.42895
2020Q3	0.52839	0.729689	1.869979	3.128058
2020Q4	0.56214	0.613244	1.901871	3.077255
2021Q1	0.774326	0.94187	2.204507	3.920703
2021Q2	0.666667	0.702827	2.016082	3.385575
2021Q3	0.473087	0.706792	2.060509	3.240388
2022Q1	0.506045	0.535298	1.593372	2.634715
2022Q2	0.645425	0.349946	1.761256	2.756627
2022Q3	0.757443	0.326908	1.882092	2.966443
2022Q4	0.843905	0.32655	1.962438	3.132893
2023Q1	0.763642	0.347233	1.824981	2.935855
2023Q2	0.696592	0.29688	1.623516	2.616989
2023Q3	0.621289	0.394599	1.503023	2.51891
2023Q4	0.577276	0.454524	1.591891	2.623691
2024Q1	0.64613	0.319302	1.635131	2.600562
2024Q2	0.673641	0.269945	1.774992	2.718577
2024Q3	0.735422	0.202497	1.727882	2.665801
2024Q4	0.75388	0.170385	1.75582	2.680084
2025Q1	0.794872	0.168581	1.788711	2.752165
2025Q2	0.930487	0.156228	1.922198	3.008913
2025Q3	1.015776	0.172571	2.038424	3.226771
2025Q4	1.087149	0.278558	2.355734	3.721442
2026Q1	0.980442	0.323976	2.376438	3.680856

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
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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