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Facility record report · CMS certification number 165449

Spencer Post Acute Rehabilitation Center

Spencer, 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 May 2024 to 31 December 2024 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,351,337CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$489,285CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,862,052CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,549,171CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$312,881CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,687CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$314,568CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $311,570 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components82CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components20,090CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,186CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,153CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days4,086CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components13,425CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges29CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges1CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges22CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components52CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.9CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days8,153CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days258.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433825, 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 25 July 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$7,050,035CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$764,001CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,286,034CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,773,061CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$512,973CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$67,076CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$580,049CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $109,841 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components82CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,997CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components120CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days332.24CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days166.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390281, 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 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,474,582CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$810,972CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,663,610CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,922,307CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,258,697CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$41,187CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,217,510CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,439,347 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components82CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,526CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components107CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days537.13CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days201.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360389, 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
FigureAs filedWhere it comes from
Total patient revenue$6,352,724CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$645,237CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,707,487CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,459,079CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$751,592CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,290,898CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$539,306CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $297,732 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components82CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,902CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components91CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.02CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days709.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days251.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331652, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 July 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,995,229CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$690,881CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,304,348CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,278,945CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$25,403CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$765,000CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$790,403CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $502,673 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components82CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,913CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components121CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.9CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days608.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days214.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1290399, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 June 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,971,246CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$827,178CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,144,068CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,207,424CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$63,356CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$50,100CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$13,256CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$242,469 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,585CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components217CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days223.42CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1257332, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$7,500,581CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$986,034CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,514,547CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,092,551CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$421,996CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$47,308CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$469,304CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $297,435 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,498CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components207CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days366.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days142.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1236688, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$7,070,521CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$859,536CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,210,985CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,014,653CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$196,332CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$25,665CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$221,997CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $37,694 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,103CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components230CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days232.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1198898, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 June 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$6,699,960CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$671,626CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,028,334CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,888,149CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$140,185CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$22,740CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$162,925CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$64,465 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,249CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components217CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days210.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days148.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1166785, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 May 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$7,218,775CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,017,389CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,201,386CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,962,869CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$238,517CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$50,407CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$288,924CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $139,214 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,295CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components166CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days779.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days194.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1124018, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$8,003,010CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,202,343CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,800,667CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,115,883CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$684,784CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$36,676CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$721,460CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $557,921 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components110CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,016CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components233CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days617.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days150.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106663, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$6,195,120CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$615,352CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,579,768CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,336,052CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$243,716CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$36,722CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$280,438CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $118,698 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,579CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components178CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days610.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days199.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1071640, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 June 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$6,157,041CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$633,606CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,523,435CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,325,354CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$198,081CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,178CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$240,259CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $87,751 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,626CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components190CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days561.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days187.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1032144, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$5,799,172CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$299,680CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,499,492CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,970,330CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$529,162CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$41,105CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$570,267CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $390,696 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,473CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components192CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days15.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days459.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days195.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1012705, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 June 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,343,325CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,678,451CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$664,874CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$34,198CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$133,019CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $566,053 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,409CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components56CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.9CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days3,170.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days685.88CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 408256, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,633,580CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,550,917CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$82,663CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$31,777CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$40CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $114,400 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,163CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components227CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days14.59CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days408.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days163.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 380670, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,419,481CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,351,897CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$67,584CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,662CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$115CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $73,131 (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
FigureAs filedWhere it comes from
Total facility beds, all components125CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,611CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components116CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.83CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days545.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days306.99CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 349503, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 August 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,073,814CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,080,058CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$6,244CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,261CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$147CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $2,870 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,291CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components231CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days9.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days390.04CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days152.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 324009, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 January 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,110,721CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,819,931CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$290,790CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$11,337CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$156CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $301,971 (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
FigureAs filedWhere it comes from
Total facility beds, all components129CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,386CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components194CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days79CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days617.76CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days192.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 301377, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 June 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$3,918,192CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,779,643CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$138,549CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,716CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,839CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $146,426 (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
FigureAs filedWhere it comes from
Total facility beds, all components138CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,139CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components164CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days69.92CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days788.85CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days226.46CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 286375, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 February 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,931,976CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,798,972CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$133,004CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,862CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $139,866 (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
FigureAs filedWhere it comes from
Total facility beds, all components138CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components36,769CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components186CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days64.31CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days273.07CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days197.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 243657, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 June 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,730,282CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,699,880CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$30,402CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,502CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$89CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $36,815 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components138CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,955CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components107CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.96CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days642.19CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days336.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 225996, read from the public cost report file SNFFY2003.zip.

Cost report for 1 July 2002 to 31 December 2002 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 12 May 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$1,951,058CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,935,747CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$15,311CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,796CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $19,107 (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
FigureAs filedWhere it comes from
Total facility beds, all components138CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,861CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components48CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.83CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days432.32CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days413.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 176028, read from the public cost report file SNFFY2002.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.

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
CLEARVIEW HOME8225,556$7,597,903$6,993,528$604,37531 December 2024
MISSISSIPPI VALLEY HEALTHCARE & REHA8322,124$13,536,755$11,248,931$2,287,82431 December 2024
OSKLAOOSA CARE CENTER8329,515$9,195,949$7,923,905$1,272,04431 December 2024
PARKER CREEK HEALTHCARE LLC8213,425$4,862,052$4,549,171$312,88131 December 2024
PREMIER ESTATES 511 LLC8213,028$3,984,716$4,619,925−$635,20931 December 2024
SOUTHRIDGE SPECIALTY CARE8226,614$8,128,100$7,409,183$718,91731 December 2024

Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
DEWEY HEALTH HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2024
ENSIGN SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2024
FELDMANN, BRUCEADP OF THE SNFIndividualNOT APPLICABLEsince 07/05/2025
KOENIG, DEBRAADP OF THE SNFIndividualNOT APPLICABLEsince 04/14/2025
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2024
THE ENSIGN GROUP INCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2024
BURNAM, SOONCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/22/2024
GATEWAY HEALTHCARE LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 02/22/2024
JORGENSEN, DAVIDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 09/08/2025
KEETCH, CHADINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 09/08/2025
PORT, BARRYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 07/05/2025
BURNAM, SOONMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/22/2024
FELDMANN, BRUCEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2024
KOENIG, DEBRAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/22/2024
FELDMANN, BRUCEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2024
KOENIG, DEBRAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/22/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PARKER CREEK HEALTHCARE LLC (enrollment ID O20240430000810).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1002/22/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
BRUCE A FELDMANNIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/5/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEBRA K KOENIGIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/14/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEWEY HEALTH HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
ENSIGN SERVICES INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
STANDARD BEARER HEALTHCARE OP, LPOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
THE ENSIGN GROUP INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
SOON BURNAMIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/22/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GATEWAY HEALTHCARE LLCOrganizationDIRECT OWNERSHIP INTEREST1002/22/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
BRUCE A FELDMANNIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEBRA K KOENIGIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/22/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOON BURNAMIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/22/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRUCE A FELDMANNIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEBRA K KOENIGIndividualOPERATIONAL/MANAGERIAL CONTROL1002/22/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
114 August 202514 August 20251614
222 August 202422 August 20241214
330 October 202330 October 2023178

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

Deficiencies cited

45 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
4 June 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction17 June 2026
30 March 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction1 April 2026
14 August 2025HealthF 0567Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.ENoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction13 September 2025
14 August 2025HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correction13 September 2025
22 August 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.ENoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.ENoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DNoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction12 September 2024
22 August 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction12 September 2024
20 May 2024HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JYesPast Non-Compliance6 May 2024
14 March 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correction12 April 2024
14 March 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction12 April 2024
14 March 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction12 April 2024
30 October 2023HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.ENoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.JNoDeficient, Provider has date of correction9 November 2023
30 October 2023HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction22 November 2023
30 October 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction22 November 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
20 May 2024Fine$14,43379434
30 October 2023Fine$10,27379169
30 October 2023Payment Denial24 November 20237

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NamePARKER CREEK HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services2002-07-18
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishClay
Telephone Number7122622344
Chain NameTHE ENSIGN GROUP
Chain ID507
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds82
Average Number of Residents per Day62.7
Overall Rating1
Health Inspection Rating1
QM Rating2
Long-Stay QM Rating2
Short-Stay QM Rating2
Processing Date2026-08-01

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

Every change on this record

How to read this report

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

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

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

How to cite this report

Velarion Records, Spencer Post Acute Rehabilitation Center — facility record report, CMS certification number 165449. https://velarionrecords.com/facility/165449/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 165449. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 2017907,6817,4252,283.7519,873.0829,581.83
2017Q230 June 2017917,6747,213.752,60421,25431,071.75
2017Q330 September 2017927,6876,911.252,637.7520,360.3429,909.34
2017Q431 December 2017927,5717,082.32,767.7520,522.4930,372.54
2018Q131 March 2018907,2667,008.752,667.7519,653.7729,330.27
2018Q230 June 2018917,3087,176.52,652.519,889.5829,718.58
2018Q330 September 2018927,3476,231.53,664.7519,953.2129,849.46
2018Q431 December 2018927,2316,320.923,465.2518,987.2428,773.41
2019Q131 March 2019907,0775,955.563,318.518,302.9827,577.04
2019Q230 June 2019916,8615,937.43,86418,897.5728,698.97
2019Q330 September 2019926,7095,832.333,970.518,602.328,405.13
2019Q431 December 2019926,5186,4953,527.517,179.4927,201.99
2020Q131 March 2020916,7185,950.093,730.4216,637.3126,317.82
2020Q230 June 2020916,4806,082.753,627.1517,517.8727,227.77
2020Q330 September 2020926,5316,739.52,670.9116,077.4825,487.89
2020Q431 December 2020926,1455,811.52,849.7514,435.2623,096.51
2021Q131 March 2021905,8365,736.092,646.514,863.0123,245.6
2021Q230 June 2021915,6526,0303,070.514,538.7523,639.25
2021Q330 September 2021925,9185,905.253,024.2513,924.0822,853.58
2021Q431 December 2021925,5045,019.453,596.514,266.922,882.85
2022Q131 March 2022905,4195,167.173,29814,585.7223,050.89
2022Q230 June 2022915,4395,044.094,108.7515,564.0424,716.88
2022Q330 September 2022925,5424,821.034,234.3215,389.8624,445.21
2022Q431 December 2022925,1304,104.973,229.7512,778.5920,113.31
2023Q131 March 2023904,9973,851.52,796.512,436.3519,084.35
2023Q230 June 2023914,9873,718.752,50312,280.0118,501.76
2023Q330 September 2023925,0063,546.52,306.511,402.517,255.5
2023Q431 December 2023925,0283,480.742,406.8112,940.3818,827.93
2024Q131 March 2024914,9783,889.782,621.812,111.9418,623.52
2024Q230 June 2024914,8763,942.33,315.0510,071.0217,328.37
2024Q330 September 2024924,9433,717.893,207.5110,248.3817,173.78
2024Q431 December 2024925,1093,626.63,170.6112,445.619,242.81
2025Q131 March 2025905,7294,225.92,823.613,248.920,298.4
2025Q230 June 2025915,7543,017.122,848.3312,315.7718,181.22
2025Q330 September 2025925,5873,382.972,785.5512,572.2618,740.78
2026Q131 March 2026905,6423,106.033,253.9812,737.2219,097.23
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q10.9666710.2973252.5873043.851299
2017Q20.9400250.3393282.7696124.048964
2017Q30.8990830.3431442.6486723.890899
2017Q40.9354510.3655732.7106714.011695
2018Q10.9645950.3671552.7048954.036646
2018Q20.9820060.3629582.7216174.066582
2018Q30.8481690.4988092.7158314.062809
2018Q40.8741420.4792212.6258113.979174
2019Q10.8415370.4689132.5862633.896713
2019Q20.8653840.5631832.7543464.182914
2019Q30.8693290.5918172.7727384.233884
2019Q40.9964710.5411942.63574.173365
2020Q10.8856940.5552872.4765273.917508
2020Q20.9386960.5597452.7033754.201816
2020Q31.0319250.4089592.4617183.902601
2020Q40.9457280.4637512.3491073.758586
2021Q10.982880.4534782.546783.983139
2021Q21.0668790.5432592.572324.182458
2021Q30.9978460.5110262.3528353.861707
2021Q40.9119640.6534342.5920974.157495
2022Q10.9535280.6085992.6915894.253717
2022Q20.9273930.7554242.8615634.544379
2022Q30.8699080.7640422.7769514.4109
2022Q40.8001890.6295812.4909533.920723
2023Q10.7707620.5596362.4887633.819161
2023Q20.7456890.5019052.4624043.709998
2023Q30.708450.4607472.2777673.446964
2023Q40.6922710.4786812.5736633.744616
2024Q10.7813940.5266772.4330943.741165
2024Q20.8085110.6798712.0654273.553808
2024Q30.7521530.6488992.0733123.474364
2024Q40.7098450.6205932.4360153.766453
2025Q10.7376330.4928612.3126033.543097
2025Q20.5243520.4950172.1403843.159753
2025Q30.6055070.4985772.250273.354355
2026Q10.5505190.5767422.2575723.384833

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
  • 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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