Facility record report · CMS certification number 165451

Accura Healthcare of Marshalltown

Marshalltown, Iowa · Medicare and Medicaid

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$7,468,497	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,669,525	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,798,972	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,925,637	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$126,665	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,013	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$116,652	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$116,652 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	84	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	30,744	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	349	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	13,201	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	6,701	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	20,251	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	9	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	13	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	32	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	54	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,015.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	375.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433827, 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 18 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,308,044	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$904,915	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,403,129	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,609,153	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$206,024	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$40,744	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$165,280	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$165,280 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,045	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	158	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	241.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395065, 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 22 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$6,825,655	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,900,635	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,925,020	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,442,744	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$517,724	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$187,790	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$329,934	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$329,934 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,771	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	103	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	817.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	191.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362772, 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 8 December 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,432,382	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,919,421	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,512,961	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,528,892	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,015,931	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$939,662	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$76,269	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$76,269 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,300	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	73	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	572.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	250.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1337705, 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 22 July 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,859,606	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,341,750	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,517,856	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,946,114	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$428,258	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$159,182	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$269,076	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$269,076 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,201	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	113	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	362.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	205.32	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1326942, 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 3 December 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$8,533,694	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,754,668	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,779,026	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,892,789	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$113,763	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,516	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$92,247	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$92,247 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,177	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	198	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	187.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	132.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274820, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,687,493	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,353,618	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,333,875	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,113,811	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$220,064	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$43,698	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$263,762	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $263,762 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,827	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	177	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	222.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241982, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 November 2017 to 31 December 2017 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 31 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$1,196,472	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$283,186	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$913,286	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$851,752	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$61,534	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,680	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$66,214	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $66,214 (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 2017
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,313	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	61	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	92.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	70.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1203812, read from the public cost report file SNF10FY2018.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 4 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,076,602	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$907,272	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,169,330	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,166,125	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$3,205	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,817	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$10,022	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $10,022 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,387	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	106	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,000.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	248.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172117, 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 8 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,556,523	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$955,800	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,600,723	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,244,618	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$356,105	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,753	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$359,858	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $359,858 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,978	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	165	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	671.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	175.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140082, 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 24 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$5,991,549	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$657,584	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,333,965	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,025,386	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$308,579	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,349	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$315,928	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $315,928 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,061	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	135	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	837.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	207.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1102659, 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
Figure	As filed	Where it comes from
Total patient revenue	$6,456,701	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$691,887	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,764,814	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,852,806	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$87,992	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$7,124	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$95,116	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$95,116 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,135	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	120	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.77	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	729.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	317.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1070226, 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 29 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$6,911,420	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$865,070	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,046,350	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,813,999	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$232,351	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$31,504	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$263,855	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $263,855 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,757	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	157	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	632.97	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	234.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044164, 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
Figure	As filed	Where it comes from
Total patient revenue	$5,626,394	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$553,466	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,072,928	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,042,938	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$29,990	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$23,716	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$53,706	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $53,706 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,235	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	145	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	528.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	215.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1012707, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 November 2010 to 31 December 2010 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 2 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$903,504	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$830,120	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$73,384	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,236	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $77,620 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	5,833	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	23	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	43.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	721.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	253.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414260, read from the public cost report file SNFFY2011.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 28 May 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,528,356	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,511,397	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$16,959	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,563	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $26,522 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,756	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	208	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.74	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	267.86	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	143.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 371152, 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 5 June 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,703,493	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,634,580	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$68,913	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,802	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $85,715 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,726	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	180	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	350.59	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	181.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 342118, 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 23 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,377,347	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,355,324	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$22,023	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,007	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $27,030 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,577	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	133	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	20.49	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	710.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	252.46	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 320367, 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 24 January 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,121,048	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,274,320	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$153,272	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$14,602	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$512	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$139,182 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,923	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	198	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	13.71	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	340.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	166.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 300896, 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 14 June 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$4,018,532	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,048,697	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$30,165	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$21,651	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$8,514 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,301	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	122	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.11	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	614.1	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	281.16	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 283503, 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 20 March 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,973,901	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,925,683	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$48,218	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,354	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $66,572 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,229	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	111	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	548.96	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	317.38	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 245332, 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 28 April 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,500,959	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,483,568	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$17,391	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$15,173	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$679	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $31,885 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,223	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	113	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.56	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	515.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	294.01	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 215365, read from the public cost report file SNFFY2003.zip.

Cost report for 1 April 2002 to 31 December 2002 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,577,367	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,566,696	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$10,671	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$241	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,842	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $7,070 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	110	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,995	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	55	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	77.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,024	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	454.45	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 174351, 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.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
ACCURA HEALTHCARE OF SPIRIT LAKE	85	24,018	$7,827,317	$7,424,318	$402,999	31 December 2024
ACCURA HELATHCARE OF MARSHALLTOWN	84	20,251	$5,798,972	$5,925,637	−$126,665	31 December 2024
DUBUQUE SPECIALTY CARE	84	21,428	$6,234,551	$5,786,380	$448,171	31 December 2024
GOOD SAMARITAN SOCIETY-WAUKON	84	18,841	$6,150,263	$6,898,036	−$747,773	31 December 2024
RIVER HILLS VILLAGE	84	23,811	$8,716,746	$7,610,271	$1,106,475	30 September 2024
WESTWOOD SPECIALTY CARE	85	28,346	$9,878,566	$8,611,079	$1,267,487	31 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
ACCURA MIDWEST HEALTHCARE LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 11/01/2017
LENEAVE, THOMAS	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	30%	since 11/01/2017
LENEAVE, TED	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2017
LENEAVE, THOMAS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2017
TOTI, LISA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2020
LENEAVE, TED	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 11/01/2017
LENEAVE, THOMAS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 11/01/2017
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/01/2017
CONNER, ROBERT	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 01/01/2024
ELLIOTT, COREY	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 01/01/2023
TOTI, LISA	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 01/01/2020

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ACCURA HEALTHCARE OF MARSHALLTOWN LLC (enrollment ID O20180605000371).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ACCURA MIDWEST HEALTHCARE LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	11/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
ACCURA HEALTHCARE	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	11/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
TED A LENEAVE	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	70	11/1/2017	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.
THOMAS R LENEAVE	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	30	11/1/2017	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.
LISA TOTI	Individual	CORPORATE DIRECTOR	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.	1/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TED A LENEAVE	Individual	CORPORATE DIRECTOR	70	11/1/2017	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.
THOMAS R LENEAVE	Individual	CORPORATE DIRECTOR	30	11/1/2017	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.
TED A LENEAVE	Individual	CORPORATE OFFICER	70	11/1/2017	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.
THOMAS R LENEAVE	Individual	CORPORATE OFFICER	30	11/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	11/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
COREY ELLIOTT	Individual	W-2 MANAGING EMPLOYEE	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.	1/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LISA TOTI	Individual	W-2 MANAGING EMPLOYEE	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.	1/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT D CONNER	Individual	W-2 MANAGING EMPLOYEE	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.	1/1/2024	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.

Changes in ownership

1 July 2026: AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ACCURA MIDWEST HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ACCURA MIDWEST HEALTHCARE LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2024: ROBERT D CONNER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: COREY ELLIOTT appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
2 October 2023: LAURA COCO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LISA TOTI appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LISA TOTI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	12 March 2026	12 March 2026	11	3
2	24 April 2025	24 April 2025	17	5
3	25 July 2024	25 July 2024	12	0

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

Deficiencies cited

40 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
12 March 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	18 March 2026
12 March 2026	Health	F 0627	Resident Rights Deficiencies	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.	D	No	Deficient, Provider has date of correction	18 March 2026
12 March 2026	Health	F 0688	Quality of Life and Care Deficiencies	Provide 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.	D	No	Deficient, Provider has date of correction	18 March 2026
12 March 2026	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	No	Deficient, Provider has date of correction	18 March 2026
24 November 2025	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	Yes	Deficient, Provider has date of correction	9 December 2025
24 November 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	9 December 2025
24 November 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	Yes	Deficient, Provider has date of correction	9 December 2025
9 October 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Deficient, Provider has date of correction	10 October 2025
9 October 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	10 October 2025
9 October 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	10 October 2025
9 October 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	D	Yes	Deficient, Provider has date of correction	10 October 2025
24 April 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	Yes	Deficient, Provider has date of correction	7 May 2025
24 April 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Past Non-Compliance	26 March 2025
24 April 2025	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	7 May 2025
24 April 2025	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	E	Yes	Deficient, Provider has date of correction	7 May 2025
24 April 2025	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	7 May 2025
24 April 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	7 May 2025
24 April 2025	Health	F 0825	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D	Yes	Deficient, Provider has date of correction	7 May 2025
24 April 2025	Health	F 0865	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	F	Yes	Deficient, Provider has date of correction	7 May 2025
24 April 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	7 May 2025
24 April 2025	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	7 May 2025
15 January 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	21 January 2025
15 January 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	Yes	Deficient, Provider has date of correction	21 January 2025
15 January 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	21 January 2025
15 January 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	Yes	Deficient, Provider has date of correction	21 January 2025
15 January 2025	Health	F 0688	Quality of Life and Care Deficiencies	Provide 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.	E	Yes	Deficient, Provider has date of correction	21 January 2025
15 January 2025	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	Yes	Deficient, Provider has date of correction	21 January 2025
5 November 2024	Health	F 0839	Administration Deficiencies	Employ staff that are licensed, certified, or registered in accordance with state laws.	D	Yes	Deficient, Provider has date of correction	25 November 2024
25 July 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	16 August 2024
25 July 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	16 August 2024
25 July 2024	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	16 August 2024
25 July 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	16 August 2024
25 July 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	16 August 2024
25 July 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	16 August 2024
25 July 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	16 August 2024
25 July 2024	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	E	No	Deficient, Provider has date of correction	16 August 2024
2 November 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	21 November 2023
2 November 2023	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	Yes	Deficient, Provider has date of correction	21 November 2023
2 November 2023	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	Yes	Deficient, Provider has date of correction	21 November 2023
2 November 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	G	Yes	Deficient, Provider has date of correction	21 November 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
2 November 2023	Fine	$9,350			79209
2 November 2023	Payment Denial		28 November 2023	7

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	ACCURA HEALTHCARE OF MARSHALLTOWN LLC
Date First Approved to Provide Medicare and Medicaid Services	2002-04-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Marshall
Telephone Number	6417521553
Chain Name	ACCURA HEALTHCARE
Chain ID	8
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	84
Average Number of Residents per Day	58.4
Overall Rating	1
Health Inspection Rating	1
QM Rating	1
Long-Stay QM Rating	1
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ACCURA MIDWEST HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ACCURA MIDWEST HEALTHCARE LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
18 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 July 2024: ROBERT D CONNER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: COREY ELLIOTT appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
2 October 2023: LAURA COCO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LISA TOTI appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
2 October 2023: LISA TOTI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
22 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
8 December 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
22 July 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
3 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
23 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
31 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2018.zip
24 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
4 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
8 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
24 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
23 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
29 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
27 September 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
2 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2011.zip
2 May 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
28 May 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
5 June 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
23 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
24 January 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
14 June 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
20 March 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
28 April 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
27 April 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, Accura Healthcare of Marshalltown — facility record report, CMS certification number 165451. https://velarionrecords.com/facility/165451/report.

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

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 165451. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	7,000	2,701.12	5,881.52	15,097.49	23,680.13
2017Q2	30 June 2017	91	6,759	1,975.38	5,867.98	15,630.7	23,474.06
2017Q3	30 September 2017	92	6,880	1,806.76	5,266.07	14,965	22,037.83
2017Q4	31 December 2017	92	6,420	1,725.52	4,690.08	14,271.5	20,687.1
2018Q1	31 March 2018	90	6,219	1,624.27	4,293.28	12,994.18	18,911.73
2018Q2	30 June 2018	91	6,306	2,262.71	4,621.6	12,869.23	19,753.54
2018Q3	30 September 2018	92	5,925	2,710.64	4,320.16	11,866.21	18,897.01
2018Q4	31 December 2018	92	6,318	3,225.87	4,656.27	11,906.83	19,788.97
2019Q1	31 March 2019	90	5,908	3,490.85	3,679.86	12,611.08	19,781.79
2019Q2	30 June 2019	91	6,477	2,944.22	2,883.7	13,124.38	18,952.3
2019Q3	30 September 2019	92	6,570	3,892.82	2,774.01	15,719.5	22,386.33
2019Q4	31 December 2019	92	6,897	3,709.09	3,903.5	16,034.65	23,647.24
2020Q2	30 June 2020	91	5,920	3,272.94	3,899.62	13,771.08	20,943.64
2020Q3	30 September 2020	92	5,419	3,406.58	3,647.24	11,840.87	18,894.69
2020Q4	31 December 2020	92	5,234	3,888.81	3,367.15	10,668.38	17,924.34
2021Q1	31 March 2021	90	4,686	3,555.35	3,235.55	9,810.41	16,601.31
2021Q2	30 June 2021	91	4,555	3,320.78	3,117.88	9,940.96	16,379.62
2021Q3	30 September 2021	92	4,531	3,145.79	3,310.2	9,465.14	15,921.13
2022Q1	31 March 2022	90	4,746	3,187.74	2,393.38	9,786.29	15,367.41
2022Q2	30 June 2022	91	4,862	3,146.12	1,888.77	9,538.23	14,573.12
2022Q3	30 September 2022	92	5,001	3,431.29	2,027.4	9,015.72	14,474.41
2022Q4	31 December 2022	92	5,133	3,160.6	1,911.24	9,188.96	14,260.8
2023Q1	31 March 2023	90	4,858	2,971.46	1,862.92	9,409.51	14,243.89
2023Q2	30 June 2023	91	4,678	3,408.7	1,842.9	8,118	13,369.6
2023Q3	30 September 2023	92	4,819	3,830.2	1,982	7,456.4	13,268.6
2023Q4	31 December 2023	92	4,768	2,064.6	3,480.3	8,934	14,478.9
2024Q1	31 March 2024	91	4,685	1,960	3,562.9	8,714.2	14,237.1
2024Q2	30 June 2024	91	4,651	1,553.9	3,391.5	9,644.3	14,589.7
2024Q3	30 September 2024	92	5,353	1,184.2	3,837.17	10,122.36	15,143.73
2024Q4	31 December 2024	92	5,622	1,444.07	3,405.11	9,487.62	14,336.8
2025Q1	31 March 2025	90	5,311	1,693.9	3,096.7	9,744.4	14,535
2025Q2	30 June 2025	91	4,992	1,094.4	3,648.2	10,572.9	15,315.5
2025Q3	30 September 2025	92	4,462	855.1	3,667.4	10,794.3	15,316.8
2025Q4	31 December 2025	92	5,043	702.5	4,829.1	12,475.6	18,007.2
2026Q1	31 March 2026	90	5,259	769.67	4,572.07	13,601.46	18,943.2

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.385874	0.840217	2.156784	3.382876
2017Q2	0.292259	0.868173	2.312576	3.473008
2017Q3	0.26261	0.765417	2.175145	3.203173
2017Q4	0.268773	0.730542	2.222975	3.22229
2018Q1	0.261179	0.690349	2.089432	3.04096
2018Q2	0.358819	0.732889	2.040791	3.132499
2018Q3	0.457492	0.729141	2.002736	3.189369
2018Q4	0.510584	0.736985	1.884588	3.132157
2019Q1	0.590868	0.622861	2.134577	3.348306
2019Q2	0.454565	0.445222	2.026305	2.926092
2019Q3	0.592514	0.422224	2.392618	3.407356
2019Q4	0.537783	0.565971	2.324873	3.428627
2020Q2	0.552861	0.65872	2.326196	3.537777
2020Q3	0.628636	0.673047	2.185066	3.486748
2020Q4	0.74299	0.643323	2.038284	3.424597
2021Q1	0.758717	0.690472	2.093557	3.542746
2021Q2	0.729041	0.684496	2.182428	3.595965
2021Q3	0.694282	0.730567	2.088974	3.513823
2022Q1	0.671669	0.504294	2.062008	3.237971
2022Q2	0.647084	0.388476	1.961791	2.997351
2022Q3	0.686121	0.405399	1.802783	2.894303
2022Q4	0.615741	0.372344	1.790173	2.778258
2023Q1	0.611663	0.383475	1.93691	2.932048
2023Q2	0.728666	0.39395	1.735357	2.857973
2023Q3	0.794812	0.411289	1.547292	2.753393
2023Q4	0.433012	0.729929	1.873742	3.036682
2024Q1	0.418356	0.760491	1.860021	3.038869
2024Q2	0.3341	0.729198	2.073597	3.136895
2024Q3	0.221222	0.716826	1.89097	2.829017
2024Q4	0.256861	0.605676	1.687588	2.550125
2025Q1	0.318942	0.583073	1.834758	2.736773
2025Q2	0.219231	0.730809	2.117969	3.068009
2025Q3	0.191641	0.821918	2.419162	3.432721
2025Q4	0.139302	0.957585	2.473845	3.570732
2026Q1	0.146353	0.86938	2.586321	3.602054

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
2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv
2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv
2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv
2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv
2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv
2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv
2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv
2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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