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Facility record report · CMS certification number 165570

Crystal Heights Care Center

Oskaloosa, 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 2025 to 31 July 2025 — a reporting period of 211 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 26 January 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$3,278,286CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$115,324CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,162,962CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,748,427CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$414,535CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,243CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$426,778CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $6,452 (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 2025
FigureAs filedWhere it comes from
Total facility beds, all components72CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components15,264CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days232CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days10,102CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days2,697CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components13,031CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges14CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges11CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges17CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days16.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days918.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days310.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446969, read from the public cost report file SNF10FY2025.zip.

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 6 May 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,375,462CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$230,547CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,144,915CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,553,357CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$591,558CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$24,081CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$615,639CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$62,361 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components72CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,080CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components85CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.12CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days691.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days248CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421756, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,220,876CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$153,094CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,067,782CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,604,521CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$463,261CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$33,413CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$496,674CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$19,905 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,510CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components64CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days550.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days289.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390282, 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 14 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,644,620CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$198,995CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,445,625CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,832,502CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$386,877CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$30,239CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$356,638CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$581,650 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,528CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components78CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days685.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days237.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358616, 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 22 July 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,726,737CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$220,350CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,506,387CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,931,636CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$425,249CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,326,620CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$901,371CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $675,466 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,973CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components71CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days703.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days267.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327515, 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 30 August 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$4,759,439CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$361,309CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,398,130CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,387,396CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$10,734CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$73,974CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$84,708CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$191,891 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,059CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components109CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days372.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days211.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1297432, 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 4 June 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$4,614,026CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$150,309CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,463,717CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,228,553CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$235,164CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,314CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$246,478CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$16,401 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,322CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components150CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days16.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days250.44CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days182.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1256847, 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 10 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$4,902,245CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$466,431CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,435,814CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,396,286CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$39,528CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$28,574CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$68,102CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$120,101 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,898CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components139CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days423.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days200.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1235280, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 June 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$5,809,343CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$849,734CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,959,609CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,608,057CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$351,552CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$38,243CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$389,795CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $203,953 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,485CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components181CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.58CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days241.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days151.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1197641, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$4,692,585CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$430,945CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,261,640CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,912,954CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$348,686CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,014CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$360,700CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $154,545 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,477CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components156CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days194.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days169.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169280, 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 29 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$4,531,315CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$374,146CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,157,169CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,939,780CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$217,389CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,719CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$239,108CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $108,555 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,362CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components100CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days644.81CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days263.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138873, 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 25 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$4,600,283CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$431,006CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,169,277CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,711,430CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$457,847CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,844CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$466,691CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $341,030 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,542CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components132CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days800.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days201.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1104593, 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 18 August 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,117,995CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$298,018CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,819,977CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,548,404CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$271,573CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,837CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$314,410CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $194,350 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,596CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components138CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days542.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days192.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1076370, 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 23 July 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$3,797,713CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$292,591CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,505,122CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,422,280CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$82,842CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$50,758CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$133,600CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $18,322 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,837CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components137CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days35.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days86.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1042112, read from the public cost report file SNF10FY2012.zip.

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

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$3,924,865CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$189,559CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,735,306CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,525,773CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$209,533CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,416CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$214,949CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $82,523 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components78CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,453CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components51CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days773.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days538.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1012755, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 July 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$3,439,187CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,412,165CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$27,022CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,969CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $31,991 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,533CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components46CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days83.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days718.25CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days576.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 412861, read from the public cost report file SNFFY2010.zip.

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

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$3,100,380CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,084,606CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$15,774CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,443CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $20,217 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,318CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components75CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days18.39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days7,039CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days337.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381303, read from the public cost report file SNFFY2009.zip.

Cost report for 1 February 2008 to 31 December 2008 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on 17 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,110,196CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,976,498CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$133,698CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,368CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $137,066 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,416CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components97CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.11CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days3,004CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days251.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 351314, read from the public cost report file SNFFY2008.zip.

Cost report for 1 June 2006 to 31 December 2006 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 20 February 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$1,613,049CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,417,531CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$195,518CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $195,518 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components92CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,926CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components73CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.36CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days334.15CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days177.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 302669, read from the public cost report file SNFFY2006.zip.

Five facilities of a similar size in Iowa, fiscal year 2025

Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
CRYSTAL HEIGHTS CARE CENTER7213,031$3,162,962$2,748,427$414,53531 July 2025
IOWA JEWISH SENIOR LIFE CENTER7214,811$5,524,276$6,077,592−$553,31630 June 2025
PREMIER ESTATES 510 LLC712,096$622,784$515,568$107,21631 January 2025
PREMIER ESTATES 511 LLC701,080$346,664$381,850−$35,18631 January 2025
PREMIER ESTATES OF MUSCATINE LLC751,666$544,772$586,273−$41,50131 January 2025
SUNRISE HILL CARE CENTER7617,405$5,461,998$5,901,471−$439,47330 June 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
ENSIGN SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/21/2025
KOENIG, DEBRAADP OF THE SNFIndividualNOT APPLICABLEsince 07/24/2025
NARROWS PEAK HEALTH HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2025
NORTH, DAVIDADP OF THE SNFIndividualNOT APPLICABLEsince 07/24/2025
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2025
GATEWAY HEALTHCARE LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/21/2025
THE ENSIGN GROUP INCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/21/2025
JORGENSEN, DAVIDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 08/20/2025
KEETCH, CHADINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 08/20/2025
PORT, BARRYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 07/24/2025
BURNAM, SOONMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/21/2025
KOENIG, DEBRAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/01/2025
NORTH, DAVIDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/01/2025
BURNAM, SOONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/21/2025
KOENIG, DEBRAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2025
NORTH, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CANFIELD RIVER HEALTHCARE LLC (enrollment ID O20250904001667).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
DAVID E NORTHIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/24/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEBRA K KOENIGIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/24/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ENSIGN SERVICES INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/21/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
NARROWS PEAK HEALTH HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
STANDARD BEARER HEALTHCARE OP, LPOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
GATEWAY HEALTHCARE LLCOrganizationDIRECT OWNERSHIP INTEREST1005/21/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
THE ENSIGN GROUP INCOrganizationINDIRECT OWNERSHIP INTEREST1005/21/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
DAVID E NORTHIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEBRA K KOENIGIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOON BURNAMIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/21/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID E NORTHIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEBRA K KOENIGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOON BURNAMIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/21/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
126 June 202526 June 2025123
28 August 20248 August 202403
37 December 20237 December 202347

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

Deficiencies cited

16 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
8 December 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correction15 December 2025
26 June 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction26 July 2025
26 June 2025HealthF 0567Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.DNoDeficient, Provider has date of correction26 July 2025
26 June 2025HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correction26 July 2025
26 June 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction26 July 2025
26 June 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correction26 July 2025
26 June 2025HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.ENoDeficient, Provider has date of correction26 July 2025
26 June 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction26 July 2025
26 June 2025HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction26 July 2025
26 June 2025HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DNoDeficient, Provider has date of correction26 July 2025
26 June 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DYesDeficient, Provider has date of correction26 July 2025
26 June 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction26 July 2025
7 December 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction7 January 2024
7 December 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction7 January 2024
7 December 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction7 January 2024
7 December 2023HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction7 January 2024

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
11 December 2023Fine$10,48979130

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameCANFIELD RIVER HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services2006-06-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishMahaska
Telephone Number6416737032
Chain NameTHE ENSIGN GROUP
Chain ID507
Provider Changed Ownership in Last 12 MonthsY
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds72
Average Number of Residents per Day66.5
Overall Rating2
Health Inspection Rating2
QM Rating2
Long-Stay QM Rating3
Short-Stay QM Rating2
Processing Date2026-08-01

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

Every change on this record

How to read this report

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

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

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

How to cite this report

Velarion Records, Crystal Heights Care Center — facility record report, CMS certification number 165570. https://velarionrecords.com/facility/165570/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 165570. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 2017906,3002,925.413,007.389,578.815,511.59
2017Q230 June 2017916,7033,713.42,437.6111,638.9417,789.95
2017Q330 September 2017927,3473,182.085,218.4712,250.620,651.15
2017Q431 December 2017927,0613,110.233,564.4311,274.4317,949.09
2018Q131 March 2018907,1732,824.874,508.0712,285.3419,618.28
2018Q230 June 2018916,8163,211.493,699.8111,844.3318,755.63
2018Q330 September 2018926,7692,787.043,759.8411,330.117,876.98
2018Q431 December 2018926,8102,382.264,327.311,982.518,692.06
2019Q131 March 2019907,0192,729.534,122.7611,716.5218,568.81
2019Q230 June 2019917,0102,933.234,625.3711,981.9419,540.54
2019Q330 September 2019926,6442,622.575,003.9611,945.9219,572.45
2019Q431 December 2019926,8211,715.885,200.5711,782.7818,699.23
2020Q131 March 2020916,8942,249.355,555.0911,650.5319,454.97
2020Q230 June 2020916,2212,479.155,745.510,424.5718,649.22
2020Q330 September 2020925,0272,503.084,670.618,002.9315,176.62
2020Q431 December 2020924,8742,403.444,300.478,066.5614,770.47
2021Q131 March 2021904,7332,481.733,244.437,713.913,440.06
2021Q230 June 2021914,7672,608.663,028.216,726.4112,363.28
2021Q330 September 2021924,8013,174.72,944.116,218.8712,337.68
2021Q431 December 2021924,6541,555.773,797.046,553.3411,906.15
2022Q131 March 2022904,7951,351.973,681.186,081.1511,114.3
2022Q230 June 2022914,4731,664.923,197.476,436.7411,299.13
2022Q330 September 2022924,8402,463.182,662.16,845.7911,971.07
2022Q431 December 2022924,3831,627.692,550.56,577.9810,756.17
2023Q131 March 2023904,4321,921.222,362.925,608.879,893.01
2023Q230 June 2023914,5051,974.132,101.336,068.3510,143.81
2023Q330 September 2023924,4511,907.292,282.137,04411,233.42
2023Q431 December 2023924,9131,766.552,344.417,947.3112,058.27
2024Q131 March 2024914,8711,383.613,148.698,196.5312,728.83
2024Q230 June 2024915,2771,330.013,478.949,010.9413,819.89
2024Q330 September 2024925,2571,522.793,435.4110,395.3415,353.54
2024Q431 December 2024925,1601,286.573,601.529,474.7314,362.82
2025Q131 March 2025905,5421,317.593,414.539,574.0514,306.17
2025Q230 June 2025915,5361,674.593,332.7110,329.8515,337.15
2025Q330 September 2025925,9251,380.813,808.4911,400.8916,590.19
2025Q431 December 2025926,1772,113.692,996.7813,035.8618,146.33
2026Q131 March 2026905,9892,412.062,516.2313,445.7618,374.05
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q10.4643510.4773621.5204442.462157
2017Q20.5539910.363661.7363782.654028
2017Q30.4331130.7102861.6674292.810828
2017Q40.440480.5048051.5967192.542004
2018Q10.393820.6284781.712722.735017
2018Q20.4711690.5428131.7377242.751706
2018Q30.4117360.555451.6738222.641008
2018Q40.3498180.6354331.7595452.744796
2019Q10.3888770.5873711.6692582.645506
2019Q20.4184350.6598251.7092642.787524
2019Q30.3947280.7531551.7980012.945884
2019Q40.2515580.7624351.7274272.741421
2020Q10.3262760.8057861.6899522.822015
2020Q20.3985130.9235651.6757062.997785
2020Q30.4979270.9291051.5919893.019021
2020Q40.4931140.8823291.6550183.030462
2021Q10.5243460.6854911.6298122.839649
2021Q20.5472330.6352441.4110362.593514
2021Q30.6612580.6132281.2953282.569815
2021Q40.3342870.8158661.4081092.558262
2022Q10.2819540.7677121.2682272.317894
2022Q20.3722160.7148381.4390212.526074
2022Q30.5089210.5500211.4144192.473362
2022Q40.3713640.5819071.5007942.454066
2023Q10.4334880.533151.2655392.232177
2023Q20.4382090.4664441.3470262.251678
2023Q30.4285080.5127231.5825662.523797
2023Q40.3595660.4771851.6176082.45436
2024Q10.2840510.6464161.682722.613186
2024Q20.2520390.6592651.7075882.618891
2024Q30.2896690.6534921.9774282.92059
2024Q40.2493350.6979691.8361882.783492
2025Q10.2377460.6161191.7275442.581409
2025Q20.3024910.6020071.8659412.770439
2025Q30.2330480.6427831.9242012.800032
2025Q40.3421870.4851512.1103872.937725
2026Q10.4027480.4201422.2450763.067966

How each quarter is derived, and its file

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

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