Facility record report · CMS certification number 165227

Birkwood Village of Fort Madison

Fort Madison, 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 22 October 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,356,314	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$525,521	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,830,793	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,786,477	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$44,316	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,673	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$50,989	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $50,989 (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	108	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	39,528	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,257	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	12,316	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	13,720	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	29,293	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	101	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	16	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	42	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	159	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	769.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	184.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441228, 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 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$9,136,961	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$817,962	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,318,999	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,406,181	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$87,182	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,498	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$85,684	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$85,684 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,369	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	118	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	605.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	181.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396111, 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 31 May 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$9,107,609	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,094,736	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,012,873	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,561,985	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$450,888	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$68,107	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$518,995	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $518,995 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,785	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	111	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,261.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	205.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1380028, 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 16 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$8,746,430	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$870,098	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,876,332	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,863,440	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,012,892	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,380,352	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,393,244	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,393,244 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,785	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	90	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,490.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	253.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332432, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 March 2020 to 31 December 2020 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 24 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,178,992	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$286,187	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,892,805	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,084,007	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$808,798	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$393,854	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,202,652	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,202,652 (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	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,928	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	113	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,005.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	167.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305340, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$6,812,498	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$739,705	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,072,793	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,084,653	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$11,860	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,141	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$9,281	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$161,439 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,066	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	138	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	595.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	167.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254467, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$8,201,489	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,156,242	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,045,247	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,955,545	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$89,702	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$53,220	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$142,922	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$16,894 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,168	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	129	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	578.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	187.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1222704, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$7,292,648	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$994,261	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,298,387	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,110,805	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$187,582	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$45,407	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$232,989	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$128,903 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,002	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	131	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	412.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	190.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1189349, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 May 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,685,625	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$917,224	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,768,401	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,547,834	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$220,567	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,496	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$236,063	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $102,332 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,210	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	194	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	370.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	124.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1157093, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 May 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,369,179	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,231,382	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,137,797	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,090,360	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$47,437	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$58,173	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$105,610	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,052 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,844	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	175	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	529.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	136.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1123167, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$6,510,500	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,088,126	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,422,374	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,882,454	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$539,920	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$25,576	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$565,496	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $449,539 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,367	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	153	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	429.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	165.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1088535, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 March 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$5,100,947	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,095,230	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,005,717	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,184,777	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$179,060	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$22,375	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$156,685	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$263,247 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,328	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	103	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	597.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	226.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1057330, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,828,455	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$622,295	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,206,160	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,927,032	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$279,128	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$87,465	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$366,593	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $240,385 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,235	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	101	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.32	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	517.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	259.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027103, read from the public cost report file SNF10FY2012.zip.

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

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$4,531,510	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,107,711	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$423,799	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$89,425	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$135,845	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $377,379 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,218	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	129	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.35	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	388.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	226.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 428301, read from the public cost report file SNFFY2011.zip.

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 April 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,248,317	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,025,384	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$222,933	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$132,084	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$68,917	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $286,100 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,847	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	113	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	39.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	558.41	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	255.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 397058, read from the public cost report file SNFFY2010.zip.

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 March 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,648,271	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,020,409	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$627,862	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$25,031	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$911	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $651,982 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,051	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	114	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	545.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	281.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 365204, read from the public cost report file SNFFY2009.zip.

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

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,893,476	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,140,583	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$752,893	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$127,196	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$480	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $879,609 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,230	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	110	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.4	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	699.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	311.18	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 338263, read from the public cost report file SNFFY2008.zip.

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 March 2009.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,329,113	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,836,978	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$492,135	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$20,486	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $512,621 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,962	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	122	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	414.68	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	261.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 335343, read from the public cost report file SNFFY2007.zip.

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,748,162	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,643,946	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$104,216	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$62,705	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $166,921 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,485	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	134	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.65	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	372.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	212.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 302177, read from the public cost report file SNFFY2006.zip.

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 January 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,698,360	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,592,605	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$105,755	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$95,357	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $201,112 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,206	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	137	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.36	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	397.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	220.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 271016, read from the public cost report file SNFFY2005.zip.

Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,757,921	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,503,750	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$254,171	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$149,063	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $403,234 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,520	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	152	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.59	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	458.19	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	207.37	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 240272, read from the public cost report file SNFFY2004.zip.

Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 November 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,252,848	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,282,650	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$29,802	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,916	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$19,886 (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	108	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,844	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	170	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	20.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	527.42	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	175.55	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 200163, read from the public cost report file SNFFY2003.zip.

Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 December 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$3,322,188	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,346,899	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$24,711	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,528	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$14,183 (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 2002
Figure	As filed	Where it comes from
Total facility beds, all components	108	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,745	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	159	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	461.73	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	199.65	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 165837, read from the public cost report file SNFFY2002.zip.

Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 March 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$3,457,415	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,386,136	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$71,279	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$22,634	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $93,913 (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	108	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,584	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	137	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	569.3	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	245.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 132682, read from the public cost report file SNFFY2001.zip.

Cost report for 1 October 1999 to 30 September 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2003.

Net income, stated at moderate confidence: $203,044 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 113483, read from the public cost report file SNFFY2000.zip.

Cost report for 1 October 1998 to 30 September 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 12 April 2000.

Net income, stated at moderate confidence: $146,587 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 17903, read from the public cost report file SNFFY1999.zip.

Cost report for 1 October 1997 to 30 September 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 November 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$3,061,401	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,056,318	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$5,083	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$123,089	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $128,172 (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	108	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,754	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	159	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	561.91	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	224.87	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 716, read from the public cost report file SNFFY1998.zip.

Cost report for 1 October 1995 to 30 September 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 October 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$2,501,781	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,523,673	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$21,892	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$125,647	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $103,755 (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	108	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,483	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	150	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	504	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	243.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 17900, 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
ALTOONA NURSING & REHAB CENTER	106	33,805	$10,110,430	$9,907,790	$202,640	31 December 2024
BIRKWOOD VILLAGE OF FORT MADISON	108	29,293	$9,830,793	$9,786,477	$44,316	31 December 2024
GOOD SAMARITAN SOCIETY-ALGONA	106	24,136	$7,130,843	$8,082,227	−$951,384	31 December 2024
HIAWATHA CARE CENTER	109	37,624	$13,326,545	$12,119,405	$1,207,140	31 December 2024
MARSHALLTOWN	109	7,985	$2,587,264	$2,767,981	−$180,717	31 December 2024
SUNNYCREST MANOR	105	31,705	$11,457,875	$14,894,256	−$3,436,381	30 June 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
HOLTKAMP, MARK	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	50%	since 03/01/2020
KIDWELL, KEVIN	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	50%	since 03/01/2020
LEE COUNTY BANK	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 03/01/2020
HOLTKAMP, MARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/01/2020
KIDWELL, KEVIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/01/2020
HOLTKAMP, MARK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/01/2020
FULLHART, DAWN	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 10/14/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FORT MADISON HEALTH CENTER OPERATIONS LLC (enrollment ID O20200324001339).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
KEVIN KIDWELL	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	3/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK HOLTKAMP	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	3/1/2020	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.
LEE COUNTY BANK	Organization	5% OR GREATER SECURITY INTEREST	100	3/1/2020	Private equity company: No Real estate investment trust: No Holding company: No
KEVIN KIDWELL	Individual	CORPORATE DIRECTOR	50	3/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK HOLTKAMP	Individual	CORPORATE DIRECTOR	50	3/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK HOLTKAMP	Individual	CORPORATE OFFICER	100	3/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAWN FULLHART	Individual	W-2 MANAGING EMPLOYEE	100	10/14/2022	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.

Changes in ownership

15 March 2023: CHRIS L MCKAY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: HEALTHCARE OF IOWA INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: DAWN FULLHART appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	16 April 2026	16 April 2026	3	3
2	24 April 2025	24 April 2025	9	9
3	20 June 2024	20 June 2024	13	12

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

Deficiencies cited

25 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
16 April 2026	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	17 April 2026
16 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	17 April 2026
18 February 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	13 March 2026
24 April 2025	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	16 May 2025
24 April 2025	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	16 May 2025
24 April 2025	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	16 May 2025
24 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	16 May 2025
24 April 2025	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	No	Deficient, Provider has date of correction	16 May 2025
24 April 2025	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	16 May 2025
24 April 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	16 May 2025
24 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	16 May 2025
30 October 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	G	Yes	Deficient, Provider has date of correction	12 November 2024
20 June 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	20 July 2024
20 June 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	20 July 2024
20 June 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	20 July 2024
20 June 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	20 July 2024
20 June 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	D	No	Deficient, Provider has date of correction	20 July 2024
20 June 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	20 July 2024
20 June 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	20 July 2024
20 June 2024	Health	F 0791	Quality of Life and Care Deficiencies	Provide or obtain dental services for each resident.	D	No	Deficient, Provider has date of correction	20 July 2024
20 June 2024	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	20 July 2024
20 June 2024	Health	F 0810	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D	No	Deficient, Provider has date of correction	20 July 2024
20 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	20 July 2024
20 June 2024	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	20 July 2024
22 January 2024	Health	F 0660	Resident Assessment and Care Planning Deficiencies	Plan the resident's discharge to meet the resident's goals and needs.	D	Yes	Deficient, Provider has date of correction	23 January 2024

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
5 September 2023	Fine	$3,145			78870

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	FORT MADISON HEALTH CENTER OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid Services	1993-08-20
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	N
County/Parish	Lee
Telephone Number	3193728021
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	80
Average Number of Residents per Day	61.4
Overall Rating	3
Health Inspection Rating	3
QM Rating	4
Long-Stay QM Rating	4
Short-Stay QM Rating	4
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

22 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
27 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
31 May 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
15 March 2023: CHRIS L MCKAY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: HEALTHCARE OF IOWA INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: DAWN FULLHART appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
24 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
16 December 2020: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
23 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
17 April 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
4 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
11 May 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
4 May 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
16 April 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
24 March 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
19 April 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
30 April 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
20 April 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
10 March 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
1 May 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
16 March 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
13 February 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
25 January 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
20 January 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
22 November 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
23 December 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
18 March 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
11 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
8 November 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
12 April 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
27 October 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, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

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

How to cite this report

Velarion Records, Birkwood Village of Fort Madison — facility record report, CMS certification number 165227. https://velarionrecords.com/facility/165227/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 165227. 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	6,244	3,930.5	4,889.25	17,634.25	26,454
2017Q2	30 June 2017	91	6,528	3,617.25	4,591.25	16,427.75	24,636.25
2017Q3	30 September 2017	92	6,252	4,320	4,888	16,971	26,179
2017Q4	31 December 2017	92	5,913	4,268.25	4,953.75	16,674.95	25,896.95
2018Q1	31 March 2018	90	5,892	3,967.75	4,833	16,318.75	25,119.5
2018Q2	30 June 2018	91	6,061	3,901.75	5,004.75	16,351.25	25,257.75
2018Q3	30 September 2018	92	6,331	4,396.5	4,771	15,938.75	25,106.25
2018Q4	31 December 2018	92	5,926	4,030.5	4,516.25	15,266.5	23,813.25
2019Q1	31 March 2019	90	5,690	4,126.75	4,015.25	14,948.25	23,090.25
2019Q2	30 June 2019	91	5,637	4,628.5	4,119.25	15,077.25	23,825
2019Q3	30 September 2019	92	5,819	4,230.75	4,383.25	14,815.5	23,429.5
2019Q4	31 December 2019	92	6,008	3,753.25	4,993.75	15,938.25	24,685.25
2020Q1	31 March 2020	91	5,966	3,803.25	4,955.5	17,177.5	25,936.25
2020Q2	30 June 2020	91	5,699	3,963.75	4,733.5	17,453	26,150.25
2020Q3	30 September 2020	92	5,613	3,768.5	5,022	16,779.75	25,570.25
2020Q4	31 December 2020	92	5,505	3,296.5	4,863.25	17,876	26,035.75
2021Q1	31 March 2021	90	5,106	3,362.75	4,449	16,518.75	24,330.5
2021Q2	30 June 2021	91	5,791	3,765.95	4,342.28	15,331	23,439.23
2021Q3	30 September 2021	92	5,967	2,978.75	5,765.25	14,090.5	22,834.5
2021Q4	31 December 2021	92	5,836	2,600.75	6,443	14,232.5	23,276.25
2022Q1	31 March 2022	90	5,782	3,069.08	5,780	13,083.75	21,932.83
2022Q2	30 June 2022	91	5,705	3,063.25	6,299	13,549.5	22,911.75
2022Q3	30 September 2022	92	5,756	4,238	5,755.5	13,563.25	23,556.75
2022Q4	31 December 2022	92	5,954	4,183.5	5,676.31	13,205.5	23,065.31
2023Q1	31 March 2023	90	5,704	4,621.58	5,587.25	13,561	23,769.83
2023Q2	30 June 2023	91	5,123	4,221.5	4,312.75	12,695	21,229.25
2023Q3	30 September 2023	92	5,148	4,115.52	5,159.37	13,171.79	22,446.68
2023Q4	31 December 2023	92	5,100	3,393.28	6,364.89	12,613.72	22,371.89
2024Q1	31 March 2024	91	5,145	2,975.44	6,526.74	13,330.77	22,832.95
2024Q2	30 June 2024	91	5,307	3,565.89	6,357.68	13,583.01	23,506.58
2024Q3	30 September 2024	92	5,595	2,871.81	6,805.61	15,201.59	24,879.01
2024Q4	31 December 2024	92	5,293	3,452.59	5,715.3	14,979.03	24,146.92
2025Q1	31 March 2025	90	5,477	3,808.15	5,420.49	14,327.95	23,556.59
2025Q2	30 June 2025	91	5,388	3,201.18	6,515.24	15,442.7	25,159.12
2025Q3	30 September 2025	92	5,578	3,360.22	6,098.57	15,549.62	25,008.41
2025Q4	31 December 2025	92	5,879	3,268.07	5,669.86	15,165.13	24,103.06
2026Q1	31 March 2026	90	5,524	4,350.71	5,078	15,539.66	24,968.37

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	0.629484	0.783032	2.824191	4.236707
2017Q2	0.554113	0.703316	2.516506	3.773935
2017Q3	0.690979	0.78183	2.714491	4.1873
2017Q4	0.721842	0.837773	2.820049	4.379663
2018Q1	0.673413	0.820265	2.769645	4.263323
2018Q2	0.643747	0.82573	2.697781	4.167258
2018Q3	0.69444	0.753593	2.517572	3.965606
2018Q4	0.680138	0.762108	2.57619	4.018436
2019Q1	0.725264	0.705668	2.627109	4.05804
2019Q2	0.821093	0.730752	2.674694	4.226539
2019Q3	0.727058	0.753265	2.546056	4.026379
2019Q4	0.624709	0.831183	2.652838	4.10873
2020Q1	0.637487	0.830624	2.879232	4.347343
2020Q2	0.695517	0.830584	3.062467	4.588568
2020Q3	0.671388	0.894709	2.989444	4.555541
2020Q4	0.598819	0.883424	3.24723	4.729473
2021Q1	0.658588	0.871328	3.235165	4.76508
2021Q2	0.650311	0.749832	2.647384	4.047527
2021Q3	0.499204	0.966189	2.361404	3.826797
2021Q4	0.445639	1.10401	2.438742	3.988391
2022Q1	0.530799	0.999654	2.262842	3.793295
2022Q2	0.536941	1.104119	2.375022	4.016082
2022Q3	0.736275	0.999913	2.356367	4.092556
2022Q4	0.702637	0.953361	2.217921	3.873918
2023Q1	0.810235	0.979532	2.377454	4.167221
2023Q2	0.824029	0.841841	2.47804	4.14391
2023Q3	0.799441	1.002209	2.558623	4.360272
2023Q4	0.665349	1.248018	2.473278	4.386645
2024Q1	0.578317	1.26856	2.591015	4.437891
2024Q2	0.671922	1.19798	2.559452	4.429354
2024Q3	0.513282	1.216374	2.716996	4.446651
2024Q4	0.652294	1.079785	2.82997	4.562048
2025Q1	0.695299	0.989682	2.616022	4.301002
2025Q2	0.594131	1.209213	2.866128	4.669473
2025Q3	0.602406	1.093326	2.787669	4.483401
2025Q4	0.555889	0.964426	2.579542	4.099857
2026Q1	0.787601	0.919261	2.813117	4.51998

How each quarter is derived, and its file

2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv
2017Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin; they are read as hrs_lpnadmin. CMS's file labels its last six hours columns hrs_medaide, hrs_medaide_emp, hrs_rn_donadmin, hrs_na_trn, hrs_natrn_emp, hrs_natrn_ctr; they are read by position as Hrs_MedAide_emp, Hrs_MedAide_ctr, Hrs_NAtrn, Hrs_NAtrn_emp, Hrs_NAtrn_ctr, Hrs_MedAide, the order in which each total equals its employee and contract parts on every row. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv
2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv
2017Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv
2018Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv
2018Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv
2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv
2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv
2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv
2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv
2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv
2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv
2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv
2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv
2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv
2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv
2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv
2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv
2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv
2021Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. The file's `incomplete` column flags 0 of this facility's days as 1; those days are included as filed. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv
2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv
2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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