Facility record report · CMS certification number 165455

Accura Healthcare of Carroll

Carroll, 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 31 October 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$7,674,861	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,218,172	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,456,689	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,683,561	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$226,872	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$29,693	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$197,179	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$197,179 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	30,012	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,090	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	11,939	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	10,893	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	23,922	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	30	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	5	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	18	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	53	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,387.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	451.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441805, 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 19 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,639,720	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$579,153	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,060,567	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,550,314	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$489,747	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$44,218	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$445,529	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$445,529 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,492	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	104	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	331.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	197.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395161, 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 21 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,278,589	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,038,454	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,240,135	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,005,188	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$765,053	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$66,993	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$698,060	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$698,060 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,806	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	59	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,521.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	318.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362669, 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 26 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,456,744	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$798,676	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,658,068	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,630,607	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$972,539	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$994,352	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$21,813	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $21,813 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,709	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	455.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	288.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334016, 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 6 December 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,568,294	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,344,041	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,224,253	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,004,536	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$219,717	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$146,967	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$366,684	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $366,684 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,184	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	79	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	602.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	318.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1306364, read from the public cost report file SNF10FY2020.zip.

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

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$7,314,195	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,055,774	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,258,421	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,394,729	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$136,308	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$58,585	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$77,723	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$77,723 (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	96	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,805	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	127	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	869.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	171.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275618, 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 30 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,650,576	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,652,725	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,997,851	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,312,899	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$315,048	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$79,165	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$235,883	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$235,883 (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	37,820	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	99	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	81.95	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	571.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	382.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242937, 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 23 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$1,186,801	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$229,736	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$957,065	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,010,258	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$53,193	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,121	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$42,072	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$42,072 (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	4,478	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	54	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	67.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	83.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	82.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210223, 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 20 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,610,809	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$949,981	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,660,828	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,459,368	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$201,460	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$42,152	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$243,612	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $243,612 (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	27,176	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	85	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,223	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	319.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170128, 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 5 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,727,189	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$914,628	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,812,561	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,792,068	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$20,493	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$22,348	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$42,841	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $42,841 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 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	28,519	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	45.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	716.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	276.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139942, 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 6 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$6,800,966	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$951,249	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,849,717	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,597,459	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$252,258	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,422	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$278,680	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $278,680 (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	29,107	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	126	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	711.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	231.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1107074, 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 30 June 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$6,559,960	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$892,900	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,667,060	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,642,973	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$24,087	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$39,023	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$14,936	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$14,936 (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	30,557	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	41.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,367.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	254.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1069845, 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 24 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$6,483,796	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$979,074	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,504,722	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,566,660	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$61,938	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$147,748	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$85,810	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $85,810 (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	30,027	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	197	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	427.97	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	152.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043691, 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	$6,394,610	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$924,250	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,470,360	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,271,951	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$198,409	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$57,028	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$255,437	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $255,437 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 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	30,308	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	192	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	328.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	157.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1012710, 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 19 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$874,535	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$896,603	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$22,068	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,867	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$16,201 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	5,197	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	26	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.43	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	2,717	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	199.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 411508, 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 26 May 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,579,216	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,440,001	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$139,215	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$55,771	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $194,986 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,476	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	27.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	582.6	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	197.09	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 370647, 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 21 May 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$5,373,627	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,455,307	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$81,680	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$69,183	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$36	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$12,533 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,730	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	252	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	21.97	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	401.89	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	137.82	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 339712, 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 29 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$5,223,713	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,163,715	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$59,998	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$75,335	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $135,333 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,884	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	228	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	457.22	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	157.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 321899, 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 15 February 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,928,346	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,806,303	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$122,043	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$52,162	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $174,205 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,108	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	184	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	20.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	361.43	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	196.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 302301, 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	$4,656,277	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,424,574	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$231,703	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$41,615	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $273,318 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,671	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	157	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	75.15	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	523.96	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	227.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 283505, 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 January 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$4,515,796	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,381,934	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$133,862	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$91,001	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $224,863 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,495	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	182	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	57.87	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	597.41	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	195.03	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 240967, 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 17 February 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,766,426	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,808,798	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$42,372	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,453	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$87,560	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$117,479 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,128	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	153	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.87	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	546.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	216.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 208036, read from the public cost report file SNFFY2003.zip.

Cost report for 15 April 2002 to 31 December 2002 — a reporting period of 260 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 May 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,666,765	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,902,635	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$235,870	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,234	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$55,885	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$288,521 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,337	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	94	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.6	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	681.21	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	248.27	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 177204, 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 CARROLL	82	23,922	$6,456,689	$6,683,561	−$226,872	31 December 2024
CLEARVIEW HOME	82	25,556	$7,597,903	$6,993,528	$604,375	31 December 2024
MISSISSIPPI VALLEY HEALTHCARE & REHA	83	22,124	$13,536,755	$11,248,931	$2,287,824	31 December 2024
OSKLAOOSA CARE CENTER	83	29,515	$9,195,949	$7,923,905	$1,272,044	31 December 2024
PREMIER ESTATES 511 LLC	82	13,028	$3,984,716	$4,619,925	−$635,209	31 December 2024
SOUTHRIDGE SPECIALTY CARE	82	26,614	$8,128,100	$7,409,183	$718,917	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 INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 11/01/2017
LENEAVE, THOMAS	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	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
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 CARROLL (enrollment ID O20180418000238).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
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
ACCURA MIDWEST HEALTHCARE LLC	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	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.	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	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.	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
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.

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 INDIRECT 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 INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
5 January 2024: LINDA PROUTY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: LISA TOTI appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: LISA TOTI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	2 April 2026	2 April 2026	19	1
2	13 March 2025	13 March 2025	21	1
3	9 May 2024	9 May 2024	15	7

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

Deficiencies cited

55 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
8 June 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	Yes	Deficient, Provider has date of correction	17 June 2026
8 June 2026	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	Yes	Deficient, Provider has date of correction	17 June 2026
2 April 2026	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	No	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	No	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E	No	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	24 April 2026
2 April 2026	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	No	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0851	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	F	No	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0865	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	F	No	Deficient, Provider has date of correction	24 April 2026
2 April 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	24 April 2026
23 December 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.	D	Yes	Deficient, Provider has date of correction	31 January 2026
15 October 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	16 October 2025
15 October 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	16 October 2025
24 June 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	25 June 2025
24 June 2025	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	Yes	Deficient, Provider has date of correction	25 June 2025
24 June 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	Yes	Deficient, Provider has date of correction	25 June 2025
24 June 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	25 June 2025
24 June 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	25 June 2025
24 June 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	25 June 2025
13 March 2025	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	D	Yes	Deficient, Provider has date of correction	14 March 2025
13 March 2025	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	No	Deficient, Provider has date of correction	25 March 2025
13 March 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.	D	Yes	Deficient, Provider has date of correction	18 March 2025
13 March 2025	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	14 March 2025
13 March 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	25 March 2025
13 March 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	26 March 2025
13 March 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	No	Deficient, Provider has date of correction	11 April 2025
13 March 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	No	Deficient, Provider has date of correction	25 March 2025
13 March 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	G	No	Deficient, Provider has date of correction	11 April 2025
13 March 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	24 March 2025
13 March 2025	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	24 March 2025
13 March 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	17 March 2025
13 March 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	24 March 2025
13 March 2025	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	E	No	Deficient, Provider has date of correction	18 March 2025
24 December 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	Yes	Deficient, Provider has date of correction	13 January 2025
9 May 2024	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	C	No	Deficient, Provider has date of correction	23 May 2024
9 May 2024	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	23 May 2024
9 May 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	23 May 2024
9 May 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	23 May 2024
14 March 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	15 March 2024
14 March 2024	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	15 March 2024
14 March 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	D	Yes	Deficient, Provider has date of correction	15 March 2024
14 March 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Deficient, Provider has date of correction	15 March 2024
14 March 2024	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.	E	Yes	Deficient, Provider has date of correction	15 March 2024
16 August 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	5 September 2023
16 August 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.	E	Yes	Deficient, Provider has date of correction	5 September 2023
16 August 2023	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	5 September 2023
16 August 2023	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	5 September 2023
16 August 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	5 September 2023
16 August 2023	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	Yes	Deficient, Provider has date of correction	5 September 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
13 March 2025	Payment Denial		8 April 2025	3

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 CARROLL
Date First Approved to Provide Medicare and Medicaid Services	2002-04-15
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Carroll
Telephone Number	7127929284
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	65
Average Number of Residents per Day	49.1
Overall Rating	1
Health Inspection Rating	1
QM Rating	3
Long-Stay QM Rating	1
Short-Stay QM Rating	4
Processing Date	2026-08-01

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

Every change on this record

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 INDIRECT 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 INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
31 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
19 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
5 January 2024: LINDA PROUTY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: LISA TOTI appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: LISA TOTI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
21 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
26 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
6 December 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
10 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
30 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
23 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2018.zip
22 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
20 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
5 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
6 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
30 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
24 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
19 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2011.zip
9 May 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
26 May 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
21 May 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
29 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
15 February 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 January 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
17 February 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
21 May 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 at a stated confidence, saying what is left unaccounted for, where it does not. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

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

How to cite this report

Velarion Records, Accura Healthcare of Carroll — facility record report, CMS certification number 165455. https://velarionrecords.com/facility/165455/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 165455. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	6,650	2,672.27	3,543.4	14,442.25	20,657.92
2017Q2	30 June 2017	91	6,811	2,206.26	3,448.46	15,369.83	21,024.55
2017Q3	30 September 2017	92	6,883	2,334.06	3,711.11	15,490.86	21,536.03
2017Q4	31 December 2017	92	6,711	2,525.33	3,169.24	14,644.74	20,339.31
2018Q1	31 March 2018	90	5,820	2,669.24	2,734.47	11,041.2	16,444.91
2018Q2	30 June 2018	91	5,355	4,052.85	3,714.1	15,029.21	22,796.16
2018Q3	30 September 2018	92	5,168	3,070.74	2,732.12	12,227.07	18,029.93
2018Q4	31 December 2018	92	5,664	2,891.48	2,567.39	12,019.36	17,478.23
2019Q1	31 March 2019	90	5,570	3,652.78	2,328.87	12,829.09	18,810.74
2019Q2	30 June 2019	91	5,375	2,733.21	2,880.29	12,335.21	17,948.71
2019Q3	30 September 2019	92	5,131	2,870.05	2,754.07	9,967.75	15,591.87
2019Q4	31 December 2019	92	5,551	2,813.59	3,084.41	11,971.6	17,869.6
2020Q2	30 June 2020	91	5,183	2,758	2,552.17	11,118.78	16,428.95
2020Q3	30 September 2020	92	5,356	1,976.71	2,973.89	11,065.23	16,015.83
2020Q4	31 December 2020	92	4,704	1,925.52	2,930.83	10,034.24	14,890.59
2021Q1	31 March 2021	90	3,354	1,617.8	2,305.08	7,915.54	11,838.42
2021Q2	30 June 2021	91	3,538	1,815.43	2,309.69	6,708.49	10,833.61
2021Q3	30 September 2021	92	3,436	1,722.68	2,757.27	7,048.62	11,528.57
2022Q1	31 March 2022	90	3,786	1,439.88	3,718.52	8,766.08	13,924.48
2022Q2	30 June 2022	91	3,641	2,945.72	2,753.28	9,691.51	15,390.51
2022Q3	30 September 2022	92	3,878	1,679.03	3,744.61	7,478.52	12,902.16
2022Q4	31 December 2022	92	3,880	2,008.35	2,596.49	7,544.16	12,149
2023Q1	31 March 2023	90	3,792	2,388.18	2,931.6	7,275.36	12,595.14
2023Q2	30 June 2023	91	3,910	1,850.9	3,256.5	7,627.8	12,735.2
2023Q3	30 September 2023	92	3,926	2,039.9	3,374.7	8,845.7	14,260.3
2023Q4	31 December 2023	92	4,737	2,068.3	4,252.6	10,458.6	16,779.5
2024Q1	31 March 2024	91	4,903	2,414.9	4,285.2	9,962.6	16,662.7
2024Q2	30 June 2024	91	4,875	2,261	4,171.1	10,608.8	17,040.9
2024Q3	30 September 2024	92	5,003	2,245.92	4,130.23	11,247.2	17,623.35
2024Q4	31 December 2024	92	4,994	3,996.72	5,197.85	18,390.65	27,585.22
2025Q1	31 March 2025	90	4,524	2,321.2	4,101.5	10,292.8	16,715.5
2025Q2	30 June 2025	91	4,323	2,838.6	2,901.6	9,238.5	14,978.7
2025Q3	30 September 2025	92	4,358	2,494.5	3,525.2	8,740.05	14,759.75
2025Q4	31 December 2025	92	4,490	1,777.15	3,591	9,475.8	14,843.95
2026Q1	31 March 2026	90	4,416	2,189.12	3,200.44	7,535.37	12,924.93

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	0.401845	0.532842	2.171767	3.106454
2017Q2	0.323926	0.506307	2.256619	3.086852
2017Q3	0.339105	0.53917	2.250597	3.128873
2017Q4	0.376297	0.472246	2.182199	3.030742
2018Q1	0.458632	0.46984	1.897113	2.825586
2018Q2	0.756835	0.693576	2.806575	4.256986
2018Q3	0.594183	0.528661	2.365919	3.488764
2018Q4	0.510501	0.453282	2.122062	3.085846
2019Q1	0.655795	0.41811	2.303248	3.377153
2019Q2	0.508504	0.535868	2.294923	3.339295
2019Q3	0.559355	0.536751	1.942653	3.038759
2019Q4	0.506862	0.555649	2.156656	3.219168
2020Q2	0.532124	0.492412	2.14524	3.169776
2020Q3	0.369065	0.555245	2.06595	2.99026
2020Q4	0.409337	0.623051	2.133129	3.165517
2021Q1	0.482349	0.687263	2.36003	3.529642
2021Q2	0.513123	0.652824	1.896125	3.062072
2021Q3	0.501362	0.802465	2.051403	3.35523
2022Q1	0.380317	0.982176	2.315394	3.677887
2022Q2	0.809041	0.756188	2.661771	4.227001
2022Q3	0.432963	0.965603	1.928448	3.327014
2022Q4	0.517616	0.669198	1.944371	3.131186
2023Q1	0.629794	0.773101	1.918608	3.321503
2023Q2	0.473376	0.832864	1.950844	3.257084
2023Q3	0.519587	0.859577	2.253107	3.632272
2023Q4	0.436627	0.897741	2.207853	3.542221
2024Q1	0.492535	0.873996	2.03194	3.39847
2024Q2	0.463795	0.85561	2.176164	3.495569
2024Q3	0.448915	0.825551	2.248091	3.522556
2024Q4	0.800304	1.040819	3.682549	5.523672
2025Q1	0.513086	0.906609	2.275155	3.69485
2025Q2	0.656627	0.671201	2.137058	3.464885
2025Q3	0.572396	0.808903	2.005519	3.386817
2025Q4	0.395802	0.799777	2.110423	3.306002
2026Q1	0.495725	0.724737	1.706379	2.926841

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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