Facility record report · CMS certification number 165792
Mount Carmel Bluffs
Dubuque, 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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 March 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,089,340 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $286,949 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,802,391 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,149,642 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$12,347,251 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,487,088 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$860,163 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$860,163 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,960 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 858 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,200 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,267 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 18,325 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 74 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 85.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,420 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 194.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1405411, read from the public cost report file SNF10FY2024.zip.
Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 April 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,019,501 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $96,954 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,922,547 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,649,249 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,726,702 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,177,292 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,549,410 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,539,199 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,305 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 129.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 733.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375950, read from the public cost report file SNF10FY2023.zip.
Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,887,257 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$76,904 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,964,161 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,870,796 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,906,635 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,569,353 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,337,282 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,337,282 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,973 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 318.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 270.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346078, read from the public cost report file SNF10FY2022.zip.
Cost report for 31 August 2021 to 30 September 2021 — a reporting period of 30 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 10 March 2022.
None of these figures is carried on this report.
CMS report record 1311751, read from the public cost report file SNF10FY2021.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 |
|---|---|---|---|---|---|---|
| EMBASSY REHAB & CARE CENTER | 60 | 19,877 | $5,272,984 | $5,390,932 | −$117,948 | 31 December 2024 |
| GOOD SAMARITAN SOCIETY-HOLSTEIN | 60 | 19,785 | $6,555,751 | $6,603,432 | −$47,681 | 31 December 2024 |
| KEOSAUQUA HEALTH CARE CENTER | 60 | 20,637 | $5,945,614 | $6,318,956 | −$373,342 | 31 December 2024 |
| LAKE MILLS CARE CENTER | 61 | 7,258 | $2,262,753 | $2,316,652 | −$53,899 | 31 December 2024 |
| MOUNT CARMEL BLUFFS | 60 | 18,325 | $6,802,391 | $19,149,642 | −$12,347,251 | 30 September 2024 |
| OELWEIN HEALTHCARE CENTER | 61 | 7,022 | $2,227,061 | $2,000,816 | $226,245 | 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 |
|---|---|---|---|---|
| PRESBYTERIAN HOMES AND SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | since 08/31/2021 |
| SISTERS OF CHARITY OF THE BLESSED VIRGIN MARY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | since 08/31/2021 |
| MANTERNACH, LADONNA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 25% | since 08/01/2022 |
| MIDWESTONE BANK | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 07/01/2019 |
| MIDWESTONE BANK | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 07/01/2019 |
| FLETCHER, JONATHAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| MEYER, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/07/2018 |
| PETERSON, HEIDI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| PHS MANAGEMENT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/18/2025 |
| RENTZ, SARAH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/15/2020 |
| RIES, ANDREA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2022 |
| LINDH, DANIEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/07/2018 |
| MEYER, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/07/2018 |
| STACHE, ALAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/07/2018 |
| FLETCHER, JONATHAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2025 |
| MEYER, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/07/2018 |
| STACHE, ALAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/07/2018 |
| FLETCHER, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2025 |
| MEYER, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/07/2018 |
| PETERSON, HEIDI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| PHS MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/15/2020 |
| RENTZ, SARAH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/15/2020 |
| RIES, ANDREA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2022 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BVM-PHS SENIOR HOUSING INC (enrollment ID O20200728002489).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PRESBYTERIAN HOMES AND SERVICES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 8/31/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| SISTERS OF CHARITY OF THE BLESSED VIRGIN MARY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 8/31/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| LADONNA M MANTERNACH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25 | 8/1/2022 | 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. |
| MIDWESTONE BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | 67 | 7/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| MIDWESTONE BANK | Organization | 5% OR GREATER SECURITY INTEREST | 67 | 7/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREA L RIES | Individual | ADP OF THE SNF | 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. | 7/1/2022 | 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. |
| HEIDI A PETERSON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONATHAN DAVID FLETCHER | Individual | ADP OF THE SNF | 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. | 2/1/2025 | 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. |
| MARK T MEYER | Individual | ADP OF THE SNF | 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. | 9/7/2018 | 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. |
| PHS MANAGEMENT, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/18/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SARAH RENTZ | Individual | ADP OF THE SNF | 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. | 10/15/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ALAN STACHE | Individual | CORPORATE DIRECTOR | 25 | 9/7/2018 | 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. |
| DANIEL A LINDH | Individual | CORPORATE DIRECTOR | 25 | 9/7/2018 | 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. |
| MARK T MEYER | Individual | CORPORATE DIRECTOR | 25 | 9/7/2018 | 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. |
| ALAN STACHE | Individual | CORPORATE OFFICER | 25 | 9/7/2018 | 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. |
| JONATHAN DAVID FLETCHER | Individual | CORPORATE OFFICER | 0 | 2/1/2025 | 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. |
| MARK T MEYER | Individual | CORPORATE OFFICER | 25 | 9/7/2018 | 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. |
| ANDREA L RIES | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 7/1/2022 | 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. |
| HEIDI A PETERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JONATHAN DAVID FLETCHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 2/1/2025 | 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. |
| MARK T MEYER | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 9/7/2018 | 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. |
| PHS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 10/15/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| SARAH RENTZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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. | 10/15/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 April 2026: TERESA HADRO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TERESA HADRO no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DANIEL A LINDH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SARAH RENTZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: PRESBYTERIAN HOMES AND SERVICES appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SISTERS OF CHARITY OF THE BLESSED VIRGIN MARY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: LADONNA M MANTERNACH appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HEIDI A PETERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HEIDI A PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: PHS MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SARAH RENTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK T MEYER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK T MEYER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ANDREA L RIES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ANDREA L RIES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MIDWESTONE BANK appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 26 February 2026 | 26 February 2026 | 1 | 2 |
| 2 | 20 February 2025 | 20 February 2025 | 3 | 2 |
| 3 | 4 April 2024 | 4 April 2024 | 3 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
7 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 26 February 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | No | Deficient, Provider has date of correction | 18 March 2026 |
| 9 July 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 19 August 2025 |
| 9 July 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 19 August 2025 |
| 9 July 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | 19 August 2025 |
| 4 April 2024 | 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 | 3 May 2024 |
| 4 April 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | No | Deficient, Provider has date of correction | 3 May 2024 |
| 4 April 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 3 May 2024 |
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 | BVM-PHS SENIOR HOUSING INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2021-08-31 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Dubuque |
| Telephone Number | 5635565474 |
| Chain Name | PRESBYTERIAN HOMES & SERVICES |
| Chain ID | 412 |
| 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 | 60 |
| Average Number of Residents per Day | 54.1 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 2 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 2 |
| 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 April 2026: TERESA HADRO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: TERESA HADRO no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: DANIEL A LINDH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SARAH RENTZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: PRESBYTERIAN HOMES AND SERVICES appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SISTERS OF CHARITY OF THE BLESSED VIRGIN MARY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: LADONNA M MANTERNACH appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HEIDI A PETERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: HEIDI A PETERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: PHS MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: JONATHAN DAVID FLETCHER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: SARAH RENTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK T MEYER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MARK T MEYER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ANDREA L RIES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: ANDREA L RIES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 1 April 2026: MIDWESTONE BANK appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- 18 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 10 April 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 20 April 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 10 March 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
How to read this report
Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.
A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.
This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.
How to cite this report
Velarion Records, Mount Carmel Bluffs — facility record report, CMS certification number 165792. https://velarionrecords.com/facility/165792/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 2022Q2 to 2026Q1.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 165792. 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 |
|---|---|---|---|---|---|---|---|
| 2022Q2 | 30 June 2022 | 91 | 2,887 | 5,604 | 881.25 | 10,919.75 | 17,405 |
| 2022Q3 | 30 September 2022 | 92 | 3,357 | 5,391.5 | 45.75 | 10,906.75 | 16,344 |
| 2022Q4 | 31 December 2022 | 92 | 3,441 | 5,953.5 | 1,034.62 | 10,133.25 | 17,121.37 |
| 2023Q1 | 31 March 2023 | 90 | 3,627 | 6,601.5 | 883 | 9,961 | 17,445.5 |
| 2023Q2 | 30 June 2023 | 91 | 3,673 | 5,478 | 969 | 9,911.96 | 16,358.96 |
| 2023Q3 | 30 September 2023 | 92 | 3,901 | 5,355 | 1,083 | 11,831.26 | 18,269.26 |
| 2023Q4 | 31 December 2023 | 92 | 4,173 | 2,998.75 | 843.25 | 10,790.25 | 14,632.25 |
| 2024Q1 | 31 March 2024 | 91 | 4,208 | 5,076.25 | 1,163.75 | 12,194.25 | 18,434.25 |
| 2024Q2 | 30 June 2024 | 91 | 4,464 | 5,228 | 1,329.25 | 14,852 | 21,409.25 |
| 2024Q3 | 30 September 2024 | 92 | 4,834 | 5,185.75 | 1,107.75 | 15,321.25 | 21,614.75 |
| 2024Q4 | 31 December 2024 | 92 | 4,703 | 5,690 | 901.25 | 15,675.06 | 22,266.31 |
| 2025Q1 | 31 March 2025 | 90 | 4,591 | 5,745.75 | 1,065.75 | 14,787 | 21,598.5 |
| 2025Q2 | 30 June 2025 | 91 | 4,666 | 6,051.25 | 748.5 | 14,759.5 | 21,559.25 |
| 2025Q3 | 30 September 2025 | 92 | 4,663 | 5,847.25 | 611.25 | 14,839 | 21,297.5 |
| 2025Q4 | 31 December 2025 | 92 | 4,790 | 5,929.75 | 492.75 | 15,075.75 | 21,498.25 |
| 2026Q1 | 31 March 2026 | 90 | 4,865 | 5,741.75 | 492.75 | 14,777.5 | 21,012 |
| 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 |
|---|---|---|---|---|
| 2022Q2 | 1.941115 | 0.305248 | 3.782387 | 6.02875 |
| 2022Q3 | 1.606047 | 0.013628 | 3.248957 | 4.868633 |
| 2022Q4 | 1.730166 | 0.300674 | 2.944856 | 4.975696 |
| 2023Q1 | 1.820099 | 0.243452 | 2.746347 | 4.809898 |
| 2023Q2 | 1.491424 | 0.263817 | 2.698601 | 4.453842 |
| 2023Q3 | 1.372725 | 0.277621 | 3.032879 | 4.683225 |
| 2023Q4 | 0.718608 | 0.202073 | 2.58573 | 3.50641 |
| 2024Q1 | 1.206333 | 0.276557 | 2.897873 | 4.380763 |
| 2024Q2 | 1.171147 | 0.297771 | 3.327061 | 4.795979 |
| 2024Q3 | 1.072766 | 0.229158 | 3.169477 | 4.4714 |
| 2024Q4 | 1.209866 | 0.191633 | 3.332992 | 4.734491 |
| 2025Q1 | 1.251525 | 0.232139 | 3.220867 | 4.704531 |
| 2025Q2 | 1.296882 | 0.160416 | 3.163202 | 4.620499 |
| 2025Q3 | 1.253967 | 0.131085 | 3.182286 | 4.567339 |
| 2025Q4 | 1.237944 | 0.102871 | 3.147338 | 4.488152 |
| 2026Q1 | 1.180216 | 0.101285 | 3.037513 | 4.319013 |
How each quarter is derived, and its file
- 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