Velarion Records

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

Facility record report · CMS certification number 225772

Our Island Home

NANTUCKET, Massachusetts · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$3,815,398CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,815,398CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,744,493CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,929,095CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,207,461CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,278,366CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,278,366 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components16,470CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,047CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,342CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days2,961CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components12,350CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges27CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges7CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges6CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components40CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,191.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days308.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437095, 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 14 May 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$5,806,475CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,806,475CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,704,005CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,897,530CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,938,247CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$40,717CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $40,717 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,575CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components25CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days84.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days956.22CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days543CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1377716, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$5,404,487CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,404,487CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,068,250CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,663,763CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,931,117CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,267,354CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,267,354 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,479CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components17CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days132CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,377CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days675.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1357542, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$4,052,518CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,052,518CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,424,223CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,371,705CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,033,337CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$661,632CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $661,632 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,995CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components21CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days195CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days786.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days618.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331307, 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 16 September 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$3,904,144CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,904,144CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,145,130CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,240,986CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,550,008CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,309,022CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,309,022 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,168CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components46CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days671.13CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days286.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300227, 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 10 November 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$4,125,910CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,125,910CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,810,083CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,684,173CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,754,608CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$70,435CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $70,435 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,352CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components26CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days106.64CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,122.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days513.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1273465, 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 31 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$3,489,731CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,489,731CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,093,685CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,603,954CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,414,990CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,188,964CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,188,964 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,352CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components21CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days8,722CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days588.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238946, 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 23 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,134,070CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,134,070CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,965,990CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,831,920CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,855,716CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$976,204CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$976,204 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,235CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components28CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days79.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,054.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days508.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1201881, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$4,187,264CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,187,264CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,153,398CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,966,134CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,072,460CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,106,326CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,106,326 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,216CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components13CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days81.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days10,673CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days1,170.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170540, 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 30 June 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$4,183,694CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,183,694CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,667,365CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,483,671CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,787,576CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,303,905CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,303,905 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,029CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components31CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days75.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,732.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days484.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1133794, 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 29 May 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,873,224CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,873,224CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,594,760CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,721,536CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,979,865CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$258,329CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $258,329 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,295CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components40CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days669.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days357.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1092056, 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 26 December 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,249,283CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,249,283CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,114,593CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,865,310CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,817,499CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$47,811CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$47,811 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,356CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components12CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days1,279.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1083630, 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 21 August 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$4,362,763CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,362,763CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,559,419CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,196,656CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,622,606CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,425,950CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,425,950 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,107CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components28CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,618.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days575.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1047066, 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 September 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$4,212,652CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,212,651CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,959,796CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,747,145CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,522,120CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$774,975CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $774,975 (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 components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,061CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components11CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days84.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days1,460.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013051, 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 25 August 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$2,487,850CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,685,909CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$4,198,059CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,700,637CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$2,497,422 (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 components45CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components14,909CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components30CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days80.8CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,565.83CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days496.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 416317, 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 29 July 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$3,585,429CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,827,947CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$3,242,518CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$36,601CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$3,205,917 (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 components45CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components14,569CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components29CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days115CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days707.54CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days502.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 384272, 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 16 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,154,440CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,056,061CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$3,901,621CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$91,593CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$3,810,028 (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 components45CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components14,916CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components41CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days514.79CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days363.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350856, read from the public cost report file SNFFY2008.zip.

Cost report for 1 August 2007 to 31 December 2007 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 25 July 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$1,558,968CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,722,413CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,163,445CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$17,377CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,146,068 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components45CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components6,706CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components15CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days715.38CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days447.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 321360, read from the public cost report file SNFFY2007.zip.

Five facilities of a similar size in Massachusetts, 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
ABBOTT SKILLED NUSING4613,826$5,260,058$5,206,646$53,41231 December 2024
BERKELEY RETIREMENT HOME. THE4412,498$3,068,637$3,889,440−$820,80331 December 2024
NEWBRIDGE ON THE CHARLES INC.4810,128$7,375,956$8,444,154−$1,068,19830 September 2024
OUR ISLAND HOME4512,350$3,815,398$9,744,493−$5,929,09531 December 2024
THE ELMHURST HEALTHCARE4511,217$6,510,006$6,165,693$344,31331 December 2024
WELLESLEY HEALTHCARE SOLUTIONS LLC4515,230$6,339,526$5,631,396$708,13031 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
TOWN OF NANTUCKET5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 09/15/1981
CHRETIEN, RACHELCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/07/2011
GIBSON, C. ELIZABETHCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/18/1995
CHRETIEN, RACHELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/07/2011
TOWN OF NANTUCKETOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 02/07/2011
CHRETIEN, RACHELW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 02/07/2011
DYER, HEATHERW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 02/12/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of TOWN OF NANTUCKET (enrollment ID O20061019000606).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
TOWN OF NANTUCKETOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1009/15/1981
Private equity company: No
Real estate investment trust: No
Holding company: No
RACHEL K CHRETIENIndividualCORPORATE DIRECTOR1002/7/2011
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.
C. ELIZABETH A GIBSONIndividualCORPORATE OFFICER1004/18/1995
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.
RACHEL K CHRETIENIndividualOPERATIONAL/MANAGERIAL CONTROL1002/7/2011
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.
TOWN OF NANTUCKETOrganizationOPERATIONAL/MANAGERIAL CONTROL1002/7/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
HEATHER ALLYSON DYERIndividualW-2 MANAGING EMPLOYEE252/12/2017
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.
RACHEL K CHRETIENIndividualW-2 MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/7/2011
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

No change in ownership appears in the CMS files on record since 20 September 2022.

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
19 April 20269 April 202658
28 May 20258 May 202528
39 May 20249 May 202440

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

Deficiencies cited

11 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
9 April 2026HealthF 0551Resident Rights DeficienciesGive the resident's representative the ability to exercise the resident's rights.DNoDeficient, Provider has date of correction15 May 2026
9 April 2026HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.ENoDeficient, Provider has date of correction15 May 2026
9 April 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction15 May 2026
9 April 2026HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction15 May 2026
9 April 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction15 May 2026
8 May 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction21 May 2025
8 May 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction21 May 2025
9 May 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction31 May 2024
9 May 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction31 May 2024
9 May 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.ENoDeficient, Provider has date of correction31 May 2024
9 May 2024HealthF 0945Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DNoDeficient, Provider has date of correction31 May 2024

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - City
Legal Business NameTOWN OF NANTUCKET
Date First Approved to Provide Medicare and Medicaid Services2007-08-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishNantucket
Telephone Number5082280462
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds45
Average Number of Residents per Day32.8
Overall Rating5
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
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

  • 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 14 May 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 14 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • 16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 16 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 10 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 31 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 23 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • 25 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • 30 June 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • 29 May 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • 26 December 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • 21 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • 28 September 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
  • 25 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • 29 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • 16 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • 25 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, Our Island Home — facility record report, CMS certification number 225772. https://velarionrecords.com/facility/225772/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 225772. 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 2017903,6982,5663,088.511,176.516,831
2017Q230 June 2017913,5572,505.242,911.6911,525.7416,942.67
2017Q330 September 2017923,5741,997.73,267.512,238.217,503.4
2017Q431 December 2017923,3221,312.54,008.0712,047.0817,367.65
2018Q131 March 2018903,1511,361.93,517.711,452.3216,331.92
2018Q230 June 2018912,8501,388.353,729.559,484.7214,602.62
2018Q330 September 2018922,8881,791.33,652.48,335.1213,778.82
2018Q431 December 2018923,1721,554.83,325.918,966.8213,847.53
2019Q131 March 2019903,0341,5722,867.258,68713,126.25
2019Q230 June 2019913,0821,715.53,435.258,592.513,743.25
2019Q330 September 2019923,6222,889.42,894.88,925.1814,709.38
2019Q431 December 2019923,6062,662.951,904.49,345.813,913.15
2020Q131 March 2020913,4863,085.451,9258,932.213,942.65
2020Q230 June 2020913,3323,210.71,874.49,939.0515,024.15
2020Q330 September 2020923,0782,457.752,127.59,496.1514,081.4
2020Q431 December 2020923,1731,9072,353.259,328.5213,588.77
2021Q131 March 2021903,1382,6231,651.259,469.7713,744.02
2021Q230 June 2021913,4672,435.552,417.79,346.414,199.65
2021Q330 September 2021923,2661,841.252,728.059,643.714,213
2022Q131 March 2022902,5271,515.82,390.859,187.5513,094.2
2022Q230 June 2022912,5891,362.42,269.38,522.1112,153.81
2022Q330 September 2022922,926701.31,627.37,509.259,837.85
2022Q431 December 2022923,2901,469.72,054.69,167.412,691.7
2023Q131 March 2023903,5741,506.232,191.88,871.0812,569.11
2023Q230 June 2023913,7641,736.72,3209,072.7813,129.48
2023Q330 September 2023923,6981,688.12,108.88,998.1812,795.08
2023Q431 December 2023923,5322,3171,507.68,826.712,651.3
2024Q131 March 2024913,2822,159.91,896.98,784.7512,841.55
2024Q230 June 2024912,9332,624.31,772.48,316.912,713.6
2024Q330 September 2024922,9402,119.421,5708,386.712,076.12
2024Q431 December 2024923,1382,064.62,186.38,824.113,075
2025Q131 March 2025903,5792,3612,575.310,534.415,470.7
2025Q230 June 2025913,4542,607.52,246.19,375.114,228.7
2025Q330 September 2025923,4152,218.71,992.58,397.612,608.8
2025Q431 December 2025923,4663,328.91,115.88,508.512,953.2
2026Q131 March 2026902,9503,320.18237,570.111,713.2
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
2017Q10.6938890.8351813.0223094.551379
2017Q20.7043130.818583.2402984.763191
2017Q30.5589540.9142423.4242314.897426
2017Q40.3950931.2065233.6264545.22807
2018Q10.4322121.1163763.6345035.183091
2018Q20.487141.3086143.3279725.123726
2018Q30.6202561.2646812.8861224.77106
2018Q40.4901641.0485212.8268664.365552
2019Q10.5181280.945042.8632174.326384
2019Q20.5566191.1146172.7879624.459199
2019Q30.7977360.7992272.4641584.061121
2019Q40.7384780.528122.5917363.858333
2020Q10.8850980.5522092.5623063.999613
2020Q20.9635950.5625452.9829084.509049
2020Q30.7984890.6911963.0851694.574854
2020Q40.6010090.7416482.9399684.282625
2021Q10.8358830.5262113.0177724.379866
2021Q20.7024950.6973462.6958184.095659
2021Q30.5637630.8352882.9527564.351806
2022Q10.5998420.9461223.6357545.181717
2022Q20.5262260.8765163.2916614.694403
2022Q30.2396790.5561522.5663883.362218
2022Q40.4467170.6244982.7864443.85766
2023Q10.4214410.6132622.4821153.516819
2023Q20.4613970.6163662.4104093.488172
2023Q30.456490.5702542.4332563.46
2023Q40.6560020.426842.4990663.581908
2024Q10.6581050.5779712.6766453.912721
2024Q20.8947490.6042962.8356294.334674
2024Q30.7208910.5340142.8526194.107524
2024Q40.6579350.6967182.8120144.166667
2025Q10.6596810.7195592.9433924.322632
2025Q20.7549220.650292.7142734.119485
2025Q30.6496930.5834552.4590343.692182
2025Q40.9604440.3219272.4548473.737219
2026Q11.1254580.2789832.5661363.970576

How each quarter is derived, and its file

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

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