Facility record report · CMS certification number 165568
Accura Healthcare of Cascade LLC
Cascade, 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 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,591,777 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $682,363 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,909,414 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,809,065 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $100,349 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,089 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $105,438 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $105,438 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,836 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,577 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,810 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,520 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 14,907 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 6,810 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 363.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436815, read from the public cost report file SNF10FY2024.zip.
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,467,649 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $294,348 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,173,301 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,416,907 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$243,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,849 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$208,757 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$208,757 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,638 | 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 | 41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 261.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395069, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,210,724 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $731,310 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,479,414 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,005,506 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$526,092 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,997 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$504,095 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$504,095 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,769 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,352.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 472.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362671, read from the public cost report file SNF10FY2022.zip.
Cost report for 1 July 2021 to 31 December 2021 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,964,898 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $356,297 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,608,601 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,779,643 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$171,042 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,713 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$167,329 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$167,329 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,855 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 17 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,129.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 344.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334403, read from the public cost report file SNF10FY2021.zip.
Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,454,472 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $342,558 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,111,914 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,389,156 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$277,242 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,847 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$260,395 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$370,651 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,495 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 324.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 192.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281802, read from the public cost report file SNF10FY2020.zip.
Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,211,243 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $487,966 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,723,277 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,523,857 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $199,420 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,333 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $223,753 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $109,080 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,878 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 231.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251778, read from the public cost report file SNF10FY2019.zip.
Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,663,460 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $574,715 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,088,745 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,623,273 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $465,472 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,064 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $487,536 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $384,080 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,070 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 143 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 201.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222573, read from the public cost report file SNF10FY2018.zip.
Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,369,736 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $574,933 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,794,803 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,875,429 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$80,626 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,252 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$61,374 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$164,053 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,254 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 234.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189034, read from the public cost report file SNF10FY2017.zip.
Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,056,566 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $197,706 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,858,860 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,128,417 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$269,557 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,793 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$249,764 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$375,844 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,940 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 185.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 187.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1154415, read from the public cost report file SNF10FY2016.zip.
Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 May 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,476,104 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $177,041 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,299,063 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,296,629 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,434 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $28,836 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $31,270 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$68,965 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,581 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 420.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 239.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1123100, read from the public cost report file SNF10FY2015.zip.
Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 March 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,187,757 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $164,461 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,023,296 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,796,120 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $227,176 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,996 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $251,172 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $153,368 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,587 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 388.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1086994, read from the public cost report file SNF10FY2014.zip.
Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,691,215 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $129,227 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,561,988 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,370,615 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $191,373 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,455 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $210,828 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $117,831 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,079 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 503.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 207 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1057938, read from the public cost report file SNF10FY2013.zip.
Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 April 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,680,527 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $137,696 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,542,831 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,428,185 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $114,646 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,340 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $152,986 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $60,021 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,455 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 434.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1028061, read from the public cost report file SNF10FY2012.zip.
Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $3,567,988 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,096 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 141 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 245.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 156.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428755, read from the public cost report file SNFFY2011.zip.
Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 April 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,866,367 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,680,962 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $185,405 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,236 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $55,745 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $193,896 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,074 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 345.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 218.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 396953, read from the public cost report file SNFFY2010.zip.
Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,683,102 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,635,637 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $47,465 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $68,847 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $116,312 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,404 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 109 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 16.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 426.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 223.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367898, read from the public cost report file SNFFY2009.zip.
Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 March 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,631,594 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,505,125 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $126,469 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $65,975 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $192,444 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,834 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 630.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 551.87 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335351, read from the public cost report file SNFFY2008.zip.
Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 February 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,326,596 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,396,311 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$69,715 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $209,675 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $139,960 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,109 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 571.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 253.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333703, read from the public cost report file SNFFY2007.zip.
Cost report for 1 January 2006 to 30 September 2006 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 15 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,260,995 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,271,410 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$10,415 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,032 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $46,617 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,157 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 523.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 255.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302311, read from the public cost report file SNFFY2006.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 CASCADE | 46 | 14,907 | $4,909,414 | $4,809,065 | $100,349 | 31 December 2024 |
| ACCURA HEALTHCARE OF LAKE CITY LLC | 46 | 14,483 | $4,502,734 | $4,152,316 | $350,418 | 31 December 2024 |
| BLOOMFIELD CARE CENTER | 48 | 5,044 | $1,571,129 | $1,811,229 | −$240,100 | 31 December 2024 |
| FELLOWSHIP VILLAGE | 48 | 14,995 | $4,249,880 | $4,431,335 | −$181,455 | 31 December 2024 |
| GOOD SAMARITAN SOCIETY-VILLISCA | 46 | 14,248 | $4,621,031 | $4,008,253 | $612,778 | 31 December 2024 |
| PREMIER ESTATES 508 LLC | 46 | 10,765 | $3,196,565 | $3,817,448 | −$620,883 | 31 December 2024 |
Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| ACCURA HEALTHCARE OF THE HEARTLAND LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/01/2021 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | NO PERCENTAGE PROVIDED | since 07/01/2021 |
| DIXON, KEVIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2021 |
| LENEAVE, TED | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2021 |
| TOTI, LISA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2021 |
| BLACK, TAYLOR | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/01/2021 |
| TOTI, LISA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/01/2021 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ACCURA HEALTHCARE OF CASCADE LLC (enrollment ID O20210707001523).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ACCURA HEALTHCARE OF THE HEARTLAND LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMERICAN HEALTHCARE ASSOCIATES INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 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. | 7/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| LISA TOTI | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/1/2021 | 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 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 7/1/2021 | 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. |
| KEVIN DIXON | Individual | CORPORATE DIRECTOR | 100 | 7/1/2021 | 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 OFFICER | 100 | 7/1/2021 | 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 | 100 | 7/1/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LISA TOTI | Individual | W-2 MANAGING EMPLOYEE | 100 | 7/1/2021 | 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. |
| TAYLOR BLACK | Individual | W-2 MANAGING EMPLOYEE | 100 | 7/1/2021 | 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 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 November 2023: ACCURA HEALTHCARE OF CASCADE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 28 May 2026 | 28 May 2026 | 3 | 3 |
| 2 | 15 May 2025 | 15 May 2025 | 2 | 3 |
| 3 | 3 July 2024 | 3 July 2024 | 0 | 8 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
5 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 28 May 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | 15 June 2026 |
| 28 May 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 15 June 2026 |
| 4 March 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 23 March 2026 |
| 3 July 2025 | Health | F 0940 | Administration Deficiencies | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Yes | Deficient, Provider has date of correction | 11 July 2025 |
| 15 May 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 | 31 May 2025 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | ACCURA HEALTHCARE OF CASCADE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2006-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Dubuque |
| Telephone Number | 5638523277 |
| 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 | 46 |
| Average Number of Residents per Day | 41.7 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 5 |
| 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 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 18 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 November 2023: ACCURA HEALTHCARE OF CASCADE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- 21 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 28 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 29 March 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 3 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 17 April 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 14 March 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 3 May 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 12 March 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 18 April 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 26 April 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 8 May 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- 20 April 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 23 April 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 16 March 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 18 February 2009: 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
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 Cascade LLC — facility record report, CMS certification number 165568. https://velarionrecords.com/facility/165568/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 165568. 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.
| 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 | 4,009 | 3,826 | 2,775 | 15,037.5 | 21,638.5 |
| 2017Q2 | 30 June 2017 | 91 | 3,828 | 3,341.75 | 2,261.25 | 12,888.75 | 18,491.75 |
| 2017Q3 | 30 September 2017 | 92 | 3,839 | 3,114.5 | 1,883.25 | 10,651.84 | 15,649.59 |
| 2017Q4 | 31 December 2017 | 92 | 3,810 | 2,946 | 2,009 | 10,324.25 | 15,279.25 |
| 2018Q1 | 31 March 2018 | 90 | 4,315 | 3,224.5 | 1,640.25 | 11,075.12 | 15,939.87 |
| 2018Q2 | 30 June 2018 | 91 | 4,519 | 2,855.5 | 2,273.25 | 11,289.66 | 16,418.41 |
| 2018Q3 | 30 September 2018 | 92 | 4,395 | 2,823.25 | 2,065.25 | 11,087.75 | 15,976.25 |
| 2018Q4 | 31 December 2018 | 92 | 4,286 | 2,826.75 | 1,977.25 | 11,189.41 | 15,993.41 |
| 2019Q1 | 31 March 2019 | 90 | 3,940 | 2,440.5 | 1,980.75 | 10,785.08 | 15,206.33 |
| 2019Q2 | 30 June 2019 | 91 | 3,979 | 2,248.68 | 2,315.51 | 10,241.59 | 14,805.78 |
| 2019Q3 | 30 September 2019 | 92 | 3,617 | 1,969.91 | 2,452.59 | 10,585.9 | 15,008.4 |
| 2019Q4 | 31 December 2019 | 92 | 3,555 | 2,465.54 | 1,840.18 | 10,128.63 | 14,434.35 |
| 2020Q1 | 31 March 2020 | 91 | 3,752 | 2,774 | 1,507.46 | 10,280.73 | 14,562.19 |
| 2020Q2 | 30 June 2020 | 91 | 3,359 | 2,663.32 | 1,909.33 | 9,841.11 | 14,413.76 |
| 2020Q3 | 30 September 2020 | 92 | 2,855 | 2,501.35 | 1,724.17 | 9,168.08 | 13,393.6 |
| 2020Q4 | 31 December 2020 | 92 | 2,620 | 2,697.3 | 1,999.79 | 9,056.15 | 13,753.24 |
| 2021Q1 | 31 March 2021 | 90 | 2,216 | 2,351.2 | 1,638.7 | 7,273.65 | 11,263.55 |
| 2021Q2 | 30 June 2021 | 91 | 2,755 | 2,893.92 | 1,222.9 | 7,597.91 | 11,714.73 |
| 2021Q3 | 30 September 2021 | 92 | 2,847 | 2,777.77 | 1,377.2 | 6,536.32 | 10,691.29 |
| 2022Q1 | 31 March 2022 | 90 | 3,166 | 3,322.81 | 1,432.07 | 10,207.84 | 14,962.72 |
| 2022Q3 | 30 September 2022 | 92 | 3,086 | 2,667.26 | 1,379.09 | 9,075.26 | 13,121.61 |
| 2022Q4 | 31 December 2022 | 92 | 3,314 | 3,167.84 | 1,464.38 | 8,533.35 | 13,165.57 |
| 2023Q1 | 31 March 2023 | 90 | 3,306 | 2,417.74 | 1,798.17 | 10,365.48 | 14,581.39 |
| 2023Q2 | 30 June 2023 | 91 | 3,488 | 2,635.4 | 1,627 | 10,621.8 | 14,884.2 |
| 2023Q3 | 30 September 2023 | 92 | 3,561 | 2,968.4 | 1,752.1 | 10,544.1 | 15,264.6 |
| 2023Q4 | 31 December 2023 | 92 | 3,281 | 2,885.9 | 2,092.2 | 10,559.1 | 15,537.2 |
| 2024Q1 | 31 March 2024 | 91 | 3,604 | 2,344.1 | 2,133.8 | 10,462 | 14,939.9 |
| 2024Q2 | 30 June 2024 | 91 | 3,726 | 2,593.4 | 1,748.9 | 11,682.5 | 16,024.8 |
| 2024Q3 | 30 September 2024 | 92 | 3,740 | 1,971.1 | 2,036.85 | 11,178.4 | 15,186.35 |
| 2024Q4 | 31 December 2024 | 92 | 3,717 | 1,772.75 | 2,527.85 | 10,795.93 | 15,096.53 |
| 2025Q1 | 31 March 2025 | 90 | 3,533 | 3,143.2 | 2,491.7 | 9,664.1 | 15,299 |
| 2025Q2 | 30 June 2025 | 91 | 3,945 | 3,563.6 | 2,330.2 | 10,216.4 | 16,110.2 |
| 2025Q3 | 30 September 2025 | 92 | 3,921 | 3,431.5 | 2,480.9 | 11,681.9 | 17,594.3 |
| 2025Q4 | 31 December 2025 | 92 | 3,860 | 3,085.2 | 2,772.8 | 12,013 | 17,871 |
| 2026Q1 | 31 March 2026 | 90 | 3,756 | 2,112.55 | 3,037.62 | 10,852.5 | 16,002.67 |
| 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 | 0.954353 | 0.692193 | 3.750935 | 5.397481 |
| 2017Q2 | 0.872975 | 0.590713 | 3.366967 | 4.830656 |
| 2017Q3 | 0.811279 | 0.490557 | 2.774639 | 4.076476 |
| 2017Q4 | 0.773228 | 0.527297 | 2.709777 | 4.010302 |
| 2018Q1 | 0.747277 | 0.380127 | 2.566656 | 3.69406 |
| 2018Q2 | 0.631888 | 0.503043 | 2.498265 | 3.633195 |
| 2018Q3 | 0.642378 | 0.469909 | 2.52281 | 3.635097 |
| 2018Q4 | 0.659531 | 0.461328 | 2.610688 | 3.731547 |
| 2019Q1 | 0.619416 | 0.502728 | 2.73733 | 3.859475 |
| 2019Q2 | 0.565137 | 0.581933 | 2.573911 | 3.72098 |
| 2019Q3 | 0.544625 | 0.678073 | 2.926707 | 4.149406 |
| 2019Q4 | 0.693541 | 0.517632 | 2.849122 | 4.060295 |
| 2020Q1 | 0.739339 | 0.401775 | 2.740067 | 3.881181 |
| 2020Q2 | 0.792891 | 0.568422 | 2.929774 | 4.291087 |
| 2020Q3 | 0.87613 | 0.603912 | 3.211236 | 4.691278 |
| 2020Q4 | 1.029504 | 0.763279 | 3.456546 | 5.249328 |
| 2021Q1 | 1.061011 | 0.739486 | 3.282333 | 5.082829 |
| 2021Q2 | 1.050425 | 0.443884 | 2.757862 | 4.252171 |
| 2021Q3 | 0.975683 | 0.483737 | 2.295862 | 3.755283 |
| 2022Q1 | 1.049529 | 0.452328 | 3.224207 | 4.726064 |
| 2022Q3 | 0.86431 | 0.446886 | 2.940784 | 4.25198 |
| 2022Q4 | 0.955896 | 0.441877 | 2.57494 | 3.972713 |
| 2023Q1 | 0.731319 | 0.543911 | 3.135354 | 4.410584 |
| 2023Q2 | 0.755562 | 0.466456 | 3.045241 | 4.267259 |
| 2023Q3 | 0.833586 | 0.492025 | 2.960994 | 4.286605 |
| 2023Q4 | 0.879579 | 0.637671 | 3.218257 | 4.735507 |
| 2024Q1 | 0.650416 | 0.592064 | 2.902886 | 4.145366 |
| 2024Q2 | 0.696028 | 0.469377 | 3.1354 | 4.300805 |
| 2024Q3 | 0.527032 | 0.544612 | 2.988877 | 4.060521 |
| 2024Q4 | 0.47693 | 0.680078 | 2.904474 | 4.061482 |
| 2025Q1 | 0.889669 | 0.705265 | 2.735381 | 4.330314 |
| 2025Q2 | 0.903321 | 0.590672 | 2.589708 | 4.083701 |
| 2025Q3 | 0.875159 | 0.632721 | 2.979317 | 4.487197 |
| 2025Q4 | 0.799275 | 0.718342 | 3.112176 | 4.629793 |
| 2026Q1 | 0.562447 | 0.808738 | 2.889377 | 4.260562 |
How each quarter is derived, and its file
- 2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv - 2017Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin; they are read as hrs_lpnadmin. CMS's file labels its last six hours columns hrs_medaide, hrs_medaide_emp, hrs_rn_donadmin, hrs_na_trn, hrs_natrn_emp, hrs_natrn_ctr; they are read by position as Hrs_MedAide_emp, Hrs_MedAide_ctr, Hrs_NAtrn, Hrs_NAtrn_emp, Hrs_NAtrn_ctr, Hrs_MedAide, the order in which each total equals its employee and contract parts on every row.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv - 2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv - 2017Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv - 2018Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv - 2018Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv - 2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv - 2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv - 2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv - 2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv - 2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv - 2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv - 2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv - 2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv - 2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv - 2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv - 2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv - 2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv - 2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv - 2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv - 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