Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Facility record report · CMS certification number 185200

Letcher Manor

Whitesburg, 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, as submitted, processed by CMS on 22 May 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$13,845,924CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,330,243CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,176,167CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,410,509CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,765,658CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,159CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,767,817CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,767,818 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components51,972CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,726CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days35,192CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days6,044CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components43,962CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges59CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges61CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges106CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components226CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days576.92CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days194.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1423586, 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 24 November 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$15,319,932CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,610,072CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,709,860CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,434,490CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,275,370CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$70,846CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,346,216CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,346,215 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components46,504CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components265CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.58CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days476.32CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days175.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1442841, 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 23 May 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$13,136,107CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,396,093CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,740,014CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,155,379CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$415,365CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,387,891CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$972,526CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $972,526 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,353CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components269CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days410.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days168.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1379002, 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 18 April 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$9,391,582CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$241,719CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,633,301CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,405,123CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$771,822CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,519,259CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,747,437CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,747,437 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,385CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components229CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days497.95CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days158.89CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345510, 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 26 January 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$11,355,886CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$369,983CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,985,903CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,605,458CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$619,555CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,072,076CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$452,521CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $452,521 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components44,915CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components244CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days491.99CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days184.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1340994, 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 3 June 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$12,428,789CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,608,390CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,820,399CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,741,756CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$921,357CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,554CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$912,803CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$912,803 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,956CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components332CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days541.24CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days138.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1285215, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 October 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$12,521,074CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,367,065CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,154,009CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,724,086CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$570,077CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,708CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$543,369CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$543,369 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,702CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components346CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days394.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1244830, 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 25 July 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$11,539,364CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,364,148CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,175,216CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,846,900CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$671,684CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$38,037CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$633,647CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$633,647 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components43,681CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components347CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days471.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days125.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238180, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 October 2016 — a reporting period of 304 days, on form CMS-2540-10, settled, processed by CMS on 8 February 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$9,182,164CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,297,046CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,885,118CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,292,344CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$592,774CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$46,303CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$639,077CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $639,077 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,608CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components332CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days262.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days107.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183505, 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 26 January 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$10,986,777CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,651,119CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,335,658CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,702,277CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$633,381CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,745CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$676,126CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $676,126 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components44,087CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components398CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days280.02CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151888, 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 7 March 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$10,600,708CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,396,526CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,204,182CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,401,932CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$802,250CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$47,153CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$849,403CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $849,403 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components43,047CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components386CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days252.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days111.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1119968, 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 12 June 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$10,170,015CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,048,443CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,121,572CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,492,675CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$628,897CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$37,299CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$666,196CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $666,196 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,426CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components467CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days203.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days90.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1096150, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 June 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$10,154,461CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,104,735CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,049,726CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,051,580CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$998,146CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$49,231CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,047,377CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,047,377 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components43,151CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components467CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days180.58CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days92.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1062085, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 March 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$9,706,133CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$770,037CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,936,096CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,566,916CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,369,180CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$76,214CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,445,394CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,445,375 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components43,032CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components667CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days107.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days64.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1026589, 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 15 November 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$9,114,790CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,827,702CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,287,088CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$85,714CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,372,802 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components45,569CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components561CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days123.47CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days81.23CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433699, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 June 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$8,621,384CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,322,634CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,298,750CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$146,625CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,445,375 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components46,673CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components527CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.95CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days135.77CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days88.56CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 402503, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 25 June 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$8,753,945CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,715,934CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,038,011CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$61,722CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,099,733 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components142CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components48,353CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components375CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.61CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days253.04CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days128.94CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 378148, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 April 2009.

None of these figures is carried on this report.

CMS report record 336838, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 December 2007.

None of these figures is carried on this report.

CMS report record 299578, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 May 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$8,318,676CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,218,703CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,099,973CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$45,838CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,145,811 (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
FigureAs filedWhere it comes from
Total facility beds, all components152CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components51,233CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components263CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.11CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days438.02CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days194.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 278369, 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 17 May 2006.

None of these figures is carried on this report.

CMS report record 249445, 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 8 September 2005.

None of these figures is carried on this report.

CMS report record 232465, 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 27 April 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$5,769,502CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,283,674CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$485,828CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$33,064CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $518,892 (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
FigureAs filedWhere it comes from
Total facility beds, all components152CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components51,528CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components290CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days321.49CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days177.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173477, 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 7 April 2003.

None of these figures is carried on this report.

CMS report record 139517, 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 21 February 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$5,490,893CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,900,243CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$590,650CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$25,270CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $615,920 (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
FigureAs filedWhere it comes from
Total facility beds, all components152CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components53,322CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components249CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.88CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days418.38CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days214.14CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 20887, read from the public cost report file SNFFY2000.zip.

Cost report for 1 January 1999 to 31 October 1999 — a reporting period of 303 days, on form CMS-2540-96, settled, processed by CMS on 18 March 2003.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$3,447,275CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,689,014CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$241,739CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,075CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$229,664 (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
FigureAs filedWhere it comes from
Total facility beds, all components152CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,910CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components163CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.47CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days460.6CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days263.25CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 132855, read from the public cost report file SNFFY1999.zip.

Cost report for 1 December 1998 to 31 December 1998 — a reporting period of 30 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 16 August 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$349,569CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$354,477CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$4,908CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,037CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$3,871 (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
FigureAs filedWhere it comes from
Total facility beds, all components152CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components4,390CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components4CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicaid, in days1,009.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days1,097.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 20883, read from the public cost report file SNFFY1999.zip.

Cost report for 1 April 1996 to 31 March 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 April 1998.

Net income, stated at moderate confidence: $80,660 (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.

CMS report record 20880, 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.

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
COLDSPRING TRANSITIONAL CARE CENTER14346,446$19,414,828$17,357,731$2,057,09731 December 2024
HARLAN NURSING HOME14345,321$14,733,320$12,836,415$1,896,90531 December 2024
HIGHLANDSPRING OF FT THOMAS14046,118$18,274,263$16,234,904$2,039,35931 December 2024
LETCHER MANOR14243,962$15,176,167$13,410,509$1,765,65831 December 2024
SALYERSVILLE NURSING & REHAB CENTER14239,917$12,945,795$12,002,394$943,40131 December 2024
VILLASPRING HEALTH CARE14047,282$18,936,741$16,935,563$2,001,17831 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 managerRoleTypeOwnership percentageAssociation
GRINSPAN, ELI5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual15%since 01/01/2023
KENNEDY KY HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization14%since 01/01/2023
KY EQUITY PARTNERS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization21%since 01/01/2023
DJLM REALTY LLC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 11/01/2016
GREYSTONE SERVICING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANY5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 08/28/2019
BERKOWITZ, CHESKELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
BOWLING, AMANDAADP OF THE SNFIndividualNOT APPLICABLEsince 03/28/2023
COMBS, KIMBERLYADP OF THE SNFIndividualNOT APPLICABLEsince 08/02/2021
DAVID, ROCHELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
DJLM REALTY LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2016
EDELSTEIN, JOELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FISCHEL, MAYERADP OF THE SNFIndividualNOT APPLICABLEsince 11/01/2016
FREUND, ISRAELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FRIEDMAN, LEAHADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, BERNARDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, GERALDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, TOVAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
GRINSPAN, ELIADP OF THE SNFIndividualNOT APPLICABLEsince 11/01/2016
KENNEDY KY HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2023
KY 90 EQUITIES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2023
KY EQUITY PARTNERS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2023
LANDA, BENJAMINADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
LEIFER, JOELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
RAICHEL, MICHAELADP OF THE SNFIndividualNOT APPLICABLEsince 09/01/2021
VALLEY STREAM OPERATOR I LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/12/2025
ZAHLER, CHARLESADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, CHAYAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, DAVIDADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, JACOBADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
ZF REALTY LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2023
ZUPNICK, JOELADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
ZUPNICK, MIRIAMADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
FISCHEL, MAYERCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2016
GRINSPAN, ELICORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2016
BERKOWITZ, CHESKELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
DAVID, ROCHELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
EDELSTEIN, JOELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FREUND, ISRAELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FRIEDMAN, LEAHINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, BERNARDINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, GERALDINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
FUCHS, TOVAINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
KY 90 EQUITIES LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 01/01/2023
LEIFER, JOELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, CHARLESINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, CHAYAINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, DAVIDINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZAHLER, JACOBINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZUPNICK, JOELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
ZUPNICK, MIRIAMINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2023
BOWLING, AMANDAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/03/2024
FISCHEL, MAYEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2016
GRINSPAN, ELIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2016
VALLEY STREAM OPERATOR I LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2016

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of DJLM OPERATIONS LLC (enrollment ID O20170406003239).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
BENJAMIN LANDAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST29.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ELI GRINSPANIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST15.251/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KENNEDY KY HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST14.251/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
KY EQUITY PARTNERS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST20.91/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
MAYER FISCHELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10.251/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DJLM REALTY LLCOrganization5% OR GREATER MORTGAGE INTEREST10011/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
GREYSTONE SERVICING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANYOrganization5% OR GREATER MORTGAGE INTEREST1008/28/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
AMANDA BOWLINGIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/28/2023
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.
BENJAMIN LANDAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BERNARD FUCHSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHARLES ZAHLERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAYA ZAHLERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHESKEL DAVID BERKOWITZIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID ZAHLERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DJLM REALTY LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
ELI GRINSPANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
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.
GERALD B FUCHSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ISRAEL D FREUNDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACOB J ZAHLERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL EDELSTEINIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL LEIFERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL ZUPNICKIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KENNEDY KY HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
KIMBERLY COMBSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/2/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KY 90 EQUITIES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
KY EQUITY PARTNERS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
LEAH FRIEDMANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MAYER FISCHELIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
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.
MICHAEL W RAICHELIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MIRIAM ZUPNICKIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROCHEL DAVIDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TOVA L FUCHSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VALLEY STREAM OPERATOR I LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/12/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
ZF REALTY LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
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.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/12/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
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.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
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.
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.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
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.
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.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
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.
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.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
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.
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.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/12/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
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.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
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.
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.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ELI GRINSPANIndividualCORPORATE OFFICER10011/1/2016
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.
MAYER FISCHELIndividualCORPORATE OFFICER10011/1/2016
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.
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.IndividualDIRECT OWNERSHIP INTEREST4.751/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.OrganizationDIRECT OWNERSHIP INTEREST4.751/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
BERNARD FUCHSIndividualINDIRECT OWNERSHIP INTEREST2.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHARLES ZAHLERIndividualINDIRECT OWNERSHIP INTEREST0.951/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAYA ZAHLERIndividualINDIRECT OWNERSHIP INTEREST0.481/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHESKEL DAVID BERKOWITZIndividualINDIRECT OWNERSHIP INTEREST4.671/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID ZAHLERIndividualINDIRECT OWNERSHIP INTEREST0.481/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GERALD B FUCHSIndividualINDIRECT OWNERSHIP INTEREST2.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ISRAEL D FREUNDIndividualINDIRECT OWNERSHIP INTEREST2.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACOB J ZAHLERIndividualINDIRECT OWNERSHIP INTEREST0.951/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL EDELSTEINIndividualINDIRECT OWNERSHIP INTEREST2.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL LEIFERIndividualINDIRECT OWNERSHIP INTEREST4.671/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOEL ZUPNICKIndividualINDIRECT OWNERSHIP INTEREST4.671/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KY 90 EQUITIES LLCOrganizationINDIRECT OWNERSHIP INTEREST3.791/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
LEAH FRIEDMANIndividualINDIRECT OWNERSHIP INTEREST0.951/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MIRIAM ZUPNICKIndividualINDIRECT OWNERSHIP INTEREST3.091/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROCHEL DAVIDIndividualINDIRECT OWNERSHIP INTEREST0.951/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TOVA L FUCHSIndividualINDIRECT OWNERSHIP INTEREST2.851/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
AMANDA BOWLINGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/3/2024
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.
ELI GRINSPANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
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.
MAYER FISCHELIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
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.
VALLEY STREAM OPERATOR I LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
127 February 202527 February 202552
25 April 20245 April 202439
37 November 20197 November 201940

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

Deficiencies cited

12 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
16 April 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction13 May 2026
27 February 2025HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DNoDeficient, Provider has date of correction18 March 2025
27 February 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction18 March 2025
27 February 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction18 March 2025
27 February 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction18 March 2025
27 February 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction18 March 2025
5 April 2024HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.EYesDeficient, Provider has date of correction3 May 2024
5 April 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction3 May 2024
7 November 2019HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DNoDeficient, Provider has date of correction28 November 2019
7 November 2019HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction28 November 2019
7 November 2019HealthF 0661Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DNoDeficient, Provider has date of correction28 November 2019
7 November 2019HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction28 November 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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameDJLM OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid Services1989-10-02
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishLetcher
Telephone Number6066331434
Chain NameBLUEGRASS HEALTH KY
Chain ID748
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds142
Average Number of Residents per Day121.4
Overall Rating2
Health Inspection Rating3
QM Rating3
Long-Stay QM Rating3
Short-Stay QM Rating4
Processing Date2026-08-01

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

Every change on this record

How to read this report

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

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

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

How to cite this report

Velarion Records, Letcher Manor — facility record report, CMS certification number 185200. https://velarionrecords.com/facility/185200/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 185200. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 20179010,9965,781.758,809.8134,275.1948,866.75
2017Q230 June 20179111,3995,984.248,701.7735,056.7649,742.77
2017Q330 September 20179210,9396,443.489,490.3632,037.0747,970.91
2017Q431 December 20179210,4896,109.268,760.5632,895.1847,765
2018Q131 March 20189011,0726,986.048,311.9331,234.5246,532.49
2018Q230 June 20189111,2696,484.498,186.9632,372.1347,043.58
2018Q330 September 20189211,7195,893.438,640.0533,588.9248,122.4
2018Q431 December 20189211,6415,416.397,960.0131,933.4845,309.88
2019Q131 March 20199011,4755,562.177,278.3329,099.3941,939.89
2019Q230 June 20199111,5886,053.196,798.9730,218.4943,070.65
2019Q330 September 20199211,5737,149.846,352.8930,673.2644,175.99
2019Q431 December 20199211,4066,247.056,219.7430,418.142,884.89
2020Q131 March 20209111,6646,691.495,857.6631,871.5444,420.69
2020Q230 June 20209111,1116,198.946,041.3131,800.5944,040.84
2020Q330 September 20209211,0266,706.526,696.7629,676.2643,079.54
2020Q431 December 20209211,1496,868.477,020.8527,407.1341,296.45
2021Q131 March 2021908,4435,754.636,547.122,349.0134,650.74
2021Q230 June 2021918,3475,572.546,637.3221,708.5633,918.42
2021Q330 September 2021929,1725,997.885,163.6921,390.1632,551.73
2021Q431 December 2021929,7885,911.275,437.5519,898.0231,246.84
2022Q131 March 20229010,9845,579.015,258.4520,626.1131,463.57
2022Q230 June 20229111,0105,220.855,946.5925,138.7536,306.19
2022Q330 September 20229211,1735,018.717,104.7128,079.240,202.62
2022Q431 December 20229211,3385,148.356,587.226,666.5338,402.08
2023Q131 March 20239011,3445,068.397,063.4226,993.0539,124.86
2023Q230 June 20239111,4565,284.367,416.5824,769.8437,470.78
2023Q330 September 20239211,0985,770.516,173.6525,278.0137,222.17
2023Q431 December 20239211,6766,257.396,827.6826,661.0639,746.13
2024Q131 March 20249110,7765,658.457,111.8426,612.739,382.99
2024Q230 June 20249110,8425,640.327,082.0427,183.3239,905.68
2024Q330 September 20249211,0755,775.877,854.9125,810.5239,441.3
2024Q431 December 20249211,0606,230.257,266.0725,558.0439,054.36
2025Q131 March 20259010,2456,170.877,386.9123,047.9636,605.74
2025Q230 June 20259110,8584,918.347,364.0623,159.6635,442.06
2025Q330 September 20259210,8664,390.317,972.8424,790.3437,153.49
2025Q431 December 20259210,6494,885.68,082.2324,610.5837,578.41
2026Q131 March 20269010,9224,627.718,910.4324,388.5637,926.7
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q10.5258050.8011833.117064.444048
2017Q20.5249790.763383.0754244.363784
2017Q30.5890370.8675712.9287024.38531
2017Q40.5824440.8352143.136164.553818
2018Q10.6309650.7507162.8210374.202718
2018Q20.5754270.7265032.8726714.174601
2018Q30.5028950.7372692.8661934.106357
2018Q40.4652860.6837912.743193.892267
2019Q10.4847210.6342772.5358953.654892
2019Q20.5223670.5867252.607743.716832
2019Q30.6178040.5489412.6504163.81716
2019Q40.5476990.5453042.6668513.759854
2020Q10.5736870.50222.7324713.808358
2020Q20.557910.5437232.8620823.963715
2020Q30.6082460.6073612.691483.907087
2020Q40.6160620.6297292.4582593.70405
2021Q10.6815860.7754472.6470464.104079
2021Q20.667610.7951742.6007624.063546
2021Q30.6539340.5629842.3321153.549033
2021Q40.603930.5555322.0328993.192362
2022Q10.5079220.4787371.8778322.864491
2022Q20.4741920.5401082.2832653.297565
2022Q30.4491820.6358822.513133.598194
2022Q40.4540790.5809842.3519613.387024
2023Q10.446790.6226572.37953.448947
2023Q20.4612740.6473972.1621723.270843
2023Q30.5199590.5562852.2777093.353953
2023Q40.5359190.5847622.2834073.404088
2024Q10.5250970.659972.4696273.654695
2024Q20.5202290.6532042.5072243.680657
2024Q30.5215230.7092472.3305213.561291
2024Q40.5633140.6569682.3108543.531136
2025Q10.602330.7210262.2496793.573035
2025Q20.4529690.6782152.1329583.264143
2025Q30.4040410.7337422.281463.419243
2025Q40.4587850.7589662.311073.528821
2026Q10.4237050.8158242.2329763.472505

How each quarter is derived, and its file

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

← the facility’s full record