Facility record report · CMS certification number 185087

Twin Rivers Nursing and Rehabilitation Center

Owensboro, Kentucky · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 6 November 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,267,167	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$2,059,964	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,327,131	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,283,073	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,044,058	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,320	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,045,378	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,045,378 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	48,312	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	573	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	30,199	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,839	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	33,611	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	9	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	253	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	71	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	333	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	119.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1442008, 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 7 November 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$9,016,347	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$642,879	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,659,226	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,114,528	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$455,302	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$141,305	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$313,997	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$313,997 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,651	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	220	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	75.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	170.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	148.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398725, 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 7 November 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$9,450,279	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$79,695	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,370,584	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,029,532	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$658,948	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$266,319	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$392,629	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$392,629 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,679	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	170	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	109.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	239.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	192.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1367698, 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 16 February 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,383,518	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$182,577	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,566,095	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,185,532	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,619,437	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$583,479	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,035,958	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,035,958 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,673	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	108	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	75.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	246.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342534, 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 29 June 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$9,424,949	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$205,290	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,219,659	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,631,820	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$412,161	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$65,995	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$346,166	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$346,166 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,667	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	235	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	87.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	147.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1323640, 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 16 December 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$11,658,777	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,628,109	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,030,668	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,517,233	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$486,565	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,111	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$485,454	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$485,454 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,173	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	76	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	475.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1307338, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 September 2018 to 31 December 2018 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,732,038	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,410,614	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,321,424	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,238,143	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$83,281	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$248	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$83,529	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $83,529 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,768	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	39.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	178.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241680, 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 6 August 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$15,847,339	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,090,226	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,757,113	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,994,771	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$237,658	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$36,028	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$201,630	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$216,183 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,155	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	247	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	226.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	174.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239722, 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 9 May 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$14,711,505	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,973,095	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,738,410	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,843,604	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,105,194	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$31,840	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,073,354	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,099,061 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,000	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	252	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	201.99	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	154.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1189519, 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 17 January 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$14,972,903	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,992,443	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,980,460	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,371,237	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$390,777	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$836,382	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$445,605	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $445,605 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	40,421	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	249	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	226.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	162.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151308, 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 11 May 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$14,666,287	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,309,174	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,357,113	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,607,614	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$749,499	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$164,826	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$914,325	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $914,325 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,987	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	240	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	269.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	179.11	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1123562, 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 December 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$13,814,106	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,741,299	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,072,807	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,654,922	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$417,885	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$49,881	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$467,766	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $467,766 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,770	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	264	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	269.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	162.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1115745, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 July 2012 to 31 December 2012 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 26 March 2015.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$8,287,006	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,595,237	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,691,769	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,011,464	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$680,305	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,886	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$683,191	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $683,191 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,874	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	100	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	423.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	228.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1087749, 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, as submitted, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$13,165,698	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,164,419	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,001,279	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,505,540	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$495,739	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$119,055	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$376,684	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $376,684 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	45,508	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	273	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	166.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1016295, 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 27 April 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$10,930,791	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,917,704	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,013,087	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$70,837	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $942,250 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,414	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	270	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	164.5	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 428293, 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, reopened, processed by CMS on 9 May 2013.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$10,313,715	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,082,911	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,230,804	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$208,773	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,439,577 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,563	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	330	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.35	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	132.01	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434602, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 19 April 2013.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$10,315,114	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,103,794	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,211,320	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$136,989	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,348,309 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,924	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	348	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	129.09	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434426, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$9,895,000	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,692,590	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,202,410	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$81,889	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,284,299 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,596	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	297	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.14	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	156.89	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 435068, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 14 November 2015.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$9,498,943	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,712,490	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,786,453	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$39,104	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,825,556 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,136	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	303	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.14	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	152.26	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 435655, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 14 June 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$8,589,591	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,276,579	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$1,313,012	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$38,867	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,351,879 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,321	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	350	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.58	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	126.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 253548, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 March 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$8,059,949	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,683,672	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$1,376,277	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$87,296	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,463,573 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,009	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	453	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	97.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 245676, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 July 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$7,473,423	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,305,825	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$2,167,598	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$28,648	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $2,138,950 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,259	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	323	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.77	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	143.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 227523, read from the public cost report file SNFFY2003.zip.

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 September 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$6,799,170	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,206,635	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$1,592,535	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$25,471	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$7	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,567,057 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	45,950	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	342	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.77	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	134.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 233982, read from the public cost report file SNFFY2002.zip.

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 July 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$5,991,147	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,114,682	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$876,465	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$40,266	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $916,731 (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 2001
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,251	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	268	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.27	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	172.58	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 152697, read from the public cost report file SNFFY2001.zip.

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$5,681,181	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,536,528	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$1,144,653	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$47,022	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,191,674 (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 2000
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,320	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	394	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.01	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	117.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 130389, read from the public cost report file SNFFY2000.zip.

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 October 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$4,866,359	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,134,719	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$731,640	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$47,794	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$7	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $779,427 (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 1999
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,521	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	394	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	59.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	118.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 68323, read from the public cost report file SNFFY1999.zip.

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 17 October 2006.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$4,959,788	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,342,216	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$617,572	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$40,317	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$114	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $657,775 (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 1998
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,992	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	303	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	63.32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	155.09	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 264729, read from the public cost report file SNFFY1998.zip.

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 20 December 2006.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$5,068,088	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,373,634	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$694,454	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$28,649	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$108	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $722,995 (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 1997
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	46,978	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	326	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	73.54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	144.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 269230, read from the public cost report file SNFFY1997.zip.

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 30 July 2003.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$4,917,813	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,377,106	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$540,707	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$35,470	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$112	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $576,065 (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 1996
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	47,425	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	236	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	85.78	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	200.95	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 155760, read from the public cost report file SNFFY1996.zip.

Five facilities of a similar size in Kentucky, 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
BARBOURVILLE NURSING HOME	135	42,634	$13,695,327	$11,987,689	$1,707,638	31 December 2024
GREENWOOD NURSING & REHAB CTR	128	42,820	$14,844,327	$15,007,214	−$162,887	30 September 2024
LEXINGTON COUNTRY PLACE	133	37,540	$12,061,256	$10,513,243	$1,548,013	31 December 2024
MAYSVILLE NURSING & REHABILITATION	130	44,867	$15,853,814	$13,349,036	$2,504,778	31 December 2024
THE WILLOWS AT SPRINGHURST	130	42,936	$14,816,709	$14,645,936	$170,773	31 December 2024
TWIN RIVERS NURSING & REHAB CENTER	132	33,611	$12,327,131	$11,283,073	$1,044,058	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
PLATSCHEK, ALEXANDER	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	15%	since 09/01/2018
PLATSCHEK, GOLDIE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	25%	since 09/01/2018
RUBENSTEIN, DAVID	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	7%	since 09/01/2018
BON HARBOR RE, LLC	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 09/01/2018
CIBC BANK USA	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 09/01/2018
METROPOLITAN COMMERCIAL BANK	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 09/01/2018
KELMAN, MOSHE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/01/2018
RAYMER, MYRA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/10/2020
WHITLEDGE, ALICIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/05/2023
WHITLEDGE, ALICIA	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 06/05/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of TWIN RIVERS OPERATING COMPANY LLC (enrollment ID O20181029002419).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ALEXANDER PLATSCHEK	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	15	9/1/2018	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.
BENJAMIN LANDA	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	43.5	9/1/2018	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.
DAVID RUBENSTEIN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	7	9/1/2018	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.
GOLDIE PLATSCHEK	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	24.5	9/1/2018	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.
BON HARBOR RE, LLC	Organization	5% OR GREATER SECURITY INTEREST	100	9/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
CIBC BANK USA	Organization	5% OR GREATER SECURITY INTEREST	100	9/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
METROPOLITAN COMMERCIAL BANK	Organization	5% OR GREATER SECURITY INTEREST	100	9/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
ALICIA WHITLEDGE	Individual	OPERATIONAL/MANAGERIAL CONTROL	33	6/5/2023	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.
MOSHE KELMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	33	9/1/2018	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.
MYRA J RAYMER	Individual	OPERATIONAL/MANAGERIAL CONTROL	33	10/10/2020	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.
ALICIA WHITLEDGE	Individual	W-2 MANAGING EMPLOYEE	33	6/5/2023	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.

Changes in ownership

1 July 2026: ALEXANDER PLATSCHEK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ALEXANDER PLATSCHEK appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
15 September 2023: JEREMIAH D WYMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
15 September 2023: JEREMIAH D WYMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
15 September 2023: ALICIA WHITLEDGE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
15 September 2023: ALICIA WHITLEDGE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	18 July 2025	18 July 2025	0	0
2	26 July 2024	26 July 2024	8	5
3	26 March 2019	26 March 2019	10	2

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

Deficiencies cited

18 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
26 July 2024	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	21 August 2024
26 July 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	F	No	Deficient, Provider has date of correction	21 August 2024
26 July 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	21 August 2024
26 July 2024	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	21 August 2024
26 July 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	21 August 2024
26 July 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	21 August 2024
26 July 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	21 August 2024
26 July 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	21 August 2024
26 March 2019	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	No	Deficient, Provider has date of correction	24 April 2019
26 March 2019	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	24 April 2019
26 March 2019	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	24 April 2019
26 March 2019	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	24 April 2019
26 March 2019	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	24 April 2019
26 March 2019	Health	F 0659	Resident Assessment and Care Planning Deficiencies	Provide care by qualified persons according to each resident's written plan of care.	E	No	Deficient, Provider has date of correction	24 April 2019
26 March 2019	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	24 April 2019
26 March 2019	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	24 April 2019
26 March 2019	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	24 April 2019
26 March 2019	Health	F 0810	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D	No	Deficient, Provider has date of correction	24 April 2019

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	TWIN RIVERS OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid Services	1969-09-03
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Daviess
Telephone Number	2706853141
Chain Name	BENJAMIN LANDA
Chain ID	646
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	132
Average Number of Residents per Day	100.6
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: ALEXANDER PLATSCHEK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ALEXANDER PLATSCHEK appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
6 November 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
7 November 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
7 November 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
15 September 2023: JEREMIAH D WYMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
15 September 2023: JEREMIAH D WYMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
15 September 2023: ALICIA WHITLEDGE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
15 September 2023: ALICIA WHITLEDGE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
16 February 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
29 June 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
16 December 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
22 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
6 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
6 August 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
9 May 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
17 January 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
11 May 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
18 December 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
14 November 2015: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
26 March 2015: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
13 November 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
23 July 2013: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
9 May 2013: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
19 April 2013: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
27 April 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
20 December 2006: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
17 October 2006: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
14 June 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
21 March 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
30 September 2005: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
13 July 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
30 July 2003: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
8 July 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
13 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
9 October 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.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, Twin Rivers Nursing and Rehabilitation Center — facility record report, CMS certification number 185087. https://velarionrecords.com/facility/185087/report.

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

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 185087. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	10,565	5,112.5	7,658.75	24,481.25	37,252.5
2017Q2	30 June 2017	91	10,774	5,410.25	7,313.5	24,602.5	37,326.25
2017Q3	30 September 2017	92	11,143	6,107.92	7,469	24,940.75	38,517.67
2017Q4	31 December 2017	92	10,615	6,678	8,049.5	25,978.2	40,705.7
2018Q1	31 March 2018	90	10,184	6,511.5	7,923	21,518.25	35,952.75
2018Q2	30 June 2018	91	10,099	6,829.73	8,114.25	21,682.75	36,626.73
2018Q4	31 December 2018	92	10,362	8,176.45	7,193.65	20,796.85	36,166.95
2019Q1	31 March 2019	90	9,588	7,066.3	6,037.82	18,674.05	31,778.17
2019Q2	30 June 2019	91	9,571	8,456.02	6,507.04	19,724.42	34,687.48
2019Q3	30 September 2019	92	8,341	7,286.4	6,697.67	19,904.25	33,888.32
2019Q4	31 December 2019	92	8,899	6,755.5	6,727.45	18,587.69	32,070.64
2020Q1	31 March 2020	91	8,992	6,425.97	7,367.25	20,035.87	33,829.09
2020Q2	30 June 2020	91	8,790	5,714.85	7,170.48	19,350.03	32,235.36
2020Q3	30 September 2020	92	8,920	5,308.4	6,053.75	18,687.33	30,049.48
2020Q4	31 December 2020	92	7,936	4,590.3	4,724.5	13,984.42	23,299.22
2021Q1	31 March 2021	90	6,876	4,111.15	4,552.5	17,345.35	26,009
2021Q2	30 June 2021	91	6,714	3,504	3,659	12,686.25	19,849.25
2021Q3	30 September 2021	92	6,524	4,062.74	4,789.75	17,620.11	26,472.6
2021Q4	31 December 2021	92	6,557	3,366.73	5,355.19	14,936.53	23,658.45
2022Q1	31 March 2022	90	8,033	3,479.5	4,153.27	17,114.41	24,747.18
2022Q2	30 June 2022	91	8,153	3,071.45	3,423.24	18,034.5	24,529.19
2022Q3	30 September 2022	92	8,217	3,193.52	4,088.4	19,859.11	27,141.03
2022Q4	31 December 2022	92	8,369	2,999.25	5,427	22,973.2	31,399.45
2023Q1	31 March 2023	90	7,956	3,243.65	4,624.7	23,671.3	31,539.65
2023Q2	30 June 2023	91	8,246	3,244.6	3,995.2	25,033.7	32,273.5
2023Q3	30 September 2023	92	8,416	4,387.8	3,760.5	23,751.4	31,899.7
2023Q4	31 December 2023	92	7,998	5,644.1	4,202.8	19,316.8	29,163.7
2024Q1	31 March 2024	91	7,745	5,781.5	4,487.1	19,175.3	29,443.9
2024Q2	30 June 2024	91	8,358	6,715.7	3,985	20,017.6	30,718.3
2024Q3	30 September 2024	92	8,508	6,394.7	3,684.9	22,665	32,744.6
2024Q4	31 December 2024	92	9,006	6,148.5	4,726.1	20,745.2	31,619.8
2025Q1	31 March 2025	90	9,144	5,165.7	5,393.5	21,906.1	32,465.3
2025Q2	30 June 2025	91	9,259	5,151.2	5,306.1	22,574.1	33,031.4
2025Q3	30 September 2025	92	8,976	5,323.1	5,189.2	21,756.3	32,268.6
2025Q4	31 December 2025	92	8,575	6,331.23	4,327.9	21,395.04	32,054.17
2026Q1	31 March 2026	90	9,054	6,184.74	4,656.23	20,628.98	31,469.95

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.483909	0.724917	2.317203	3.526029
2017Q2	0.502158	0.67881	2.283507	3.464475
2017Q3	0.54814	0.670286	2.238244	3.45667
2017Q4	0.62911	0.758314	2.44731	3.834734
2018Q1	0.639385	0.777985	2.112947	3.530317
2018Q2	0.676278	0.803471	2.14702	3.626768
2018Q4	0.78908	0.694234	2.00703	3.490345
2019Q1	0.736994	0.629727	1.947648	3.314369
2019Q2	0.883504	0.67987	2.060853	3.624227
2019Q3	0.873564	0.802982	2.386315	4.062861
2019Q4	0.75913	0.755978	2.088739	3.603848
2020Q1	0.714632	0.819312	2.228188	3.762132
2020Q2	0.650154	0.815754	2.201369	3.667276
2020Q3	0.595112	0.678672	2.094992	3.368776
2020Q4	0.578415	0.595325	1.76215	2.93589
2021Q1	0.597898	0.662086	2.522593	3.782577
2021Q2	0.521895	0.544981	1.889522	2.956397
2021Q3	0.622738	0.734174	2.700814	4.057725
2021Q4	0.513456	0.816713	2.277952	3.608121
2022Q1	0.433151	0.517026	2.130513	3.08069
2022Q2	0.376726	0.419875	2.212008	3.008609
2022Q3	0.388648	0.497554	2.416832	3.303034
2022Q4	0.358376	0.648465	2.745035	3.751876
2023Q1	0.407699	0.581285	2.975277	3.96426
2023Q2	0.393476	0.484502	3.03586	3.913837
2023Q3	0.521364	0.446827	2.822172	3.790364
2023Q4	0.705689	0.525481	2.415204	3.646374
2024Q1	0.746482	0.579354	2.47583	3.801666
2024Q2	0.803506	0.476789	2.395023	3.675317
2024Q3	0.75161	0.43311	2.663963	3.848684
2024Q4	0.682712	0.524772	2.303487	3.51097
2025Q1	0.564928	0.58984	2.39568	3.550448
2025Q2	0.556345	0.573075	2.438071	3.567491
2025Q3	0.593037	0.578119	2.42383	3.594987
2025Q4	0.738336	0.504711	2.495048	3.738096
2026Q1	0.683095	0.514273	2.278438	3.475806

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
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

← the facility’s full record