Velarion Records

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

Facility record report · CMS certification number 235704

WellBridge of Romeo

Romeo, Michigan · 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 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$31,157,437CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$14,165,532CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$16,991,905CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,566,292CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$574,387CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$972,617CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$398,230CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $398,230 (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 components124CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components45,384CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days5,045CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days26,204CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days11,928CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components43,177CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges147CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges82CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges347CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components576CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days319.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days74.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434399, 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 26 July 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$27,984,094CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$12,583,981CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,400,113CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,951,488CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$551,375CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$622,330CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$70,955CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $70,955 (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 components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,295CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components539CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days381.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days74.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390433, 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 4 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$23,431,768CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$10,406,048CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,025,720CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,735,529CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$709,809CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$622,775CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$87,034CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$87,034 (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 components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,814CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components371CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days328.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days93.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361030, 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$22,450,858CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$10,249,678CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,201,180CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,997,105CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$795,925CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,286,957CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$491,032CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $491,032 (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 components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,487CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components387CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days849CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days81.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331531, 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 17 November 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$24,922,227CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$11,630,225CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,292,002CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,245,440CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$953,438CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,711,112CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$757,674CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $421,094 (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 components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,334CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components402CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days441.22CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days87.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304779, 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 17 July 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$27,795,899CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$11,780,215CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$16,015,684CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,716,520CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$299,164CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$209,716CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$508,880CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $253,447 (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 components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,409CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components543CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days601.22CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days78.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1260446, 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 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$23,421,404CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,595,340CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,826,064CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,405,000CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$421,064CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$280,352CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$701,416CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $53,561 (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 components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,950CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components539CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days500.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days75.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238085, 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 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$24,542,984CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$9,621,229CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,921,755CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,298,485CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$623,270CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$58,325CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$681,595CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $622,949 (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 components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components40,047CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components647CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days444.66CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days61.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1202703, read from the public cost report file SNF10FY2017.zip.

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

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$22,028,320CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,615,146CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,413,174CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,587,099CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$173,925CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$118,990CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$54,935CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$108,641 (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 components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,665CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components664CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days432.96CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days49.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169124, read from the public cost report file SNF10FY2016.zip.

Cost report for 3 February 2015 to 31 December 2015 — a reporting period of 331 days, on form CMS-2540-10, settled, processed by CMS on 28 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$12,995,168CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,288,795CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,706,373CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,236,275CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,529,902CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$71,062CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,458,840CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,458,840 (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 components124CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,702CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components385CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days355.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days45.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138564, read from the public cost report file SNF10FY2015.zip.

Five facilities of a similar size in Michigan, 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
BOULEVARD TEMPLE CARE CENTER12439,480$14,542,758$15,568,512−$1,025,75431 December 2024
GTC OPCO LLC12533,095$12,018,177$11,806,470$211,70731 December 2024
LENAWEE COUNTY MEDICAL CARE FACILITY12540,671$19,052,773$19,607,904−$555,13131 December 2024
OPTALIS DEARBORN HEIGHTS12435,306$12,835,504$14,479,533−$1,644,02930 April 2024
THE LAURELS OF BEDFORD12338,745$14,266,228$14,286,624−$20,39631 December 2024
WELLBRIDGE OF ROMEO LLC12443,177$16,991,905$17,566,292−$574,38731 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
E2G, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization30%since 04/22/2008
FRANK M WRONSKI LIVING TRUST5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization30%since 04/22/2008
PERRY, MICHAEL5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual5%since 01/01/2015
SENIOR CARE EQUITIES #15 LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization30%since 04/22/2008
SANGSTER, TODDCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/01/2016
NEXCARE HEALTH SYSTEMS, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2016
JACKSON, SPARKLEW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 07/27/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WELLBRIDGE OF ROMEO LLC (enrollment ID O20150424000689).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
E2G, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST30.34/22/2008
Private equity company: No
Real estate investment trust: No
Holding company: No
FRANK M WRONSKI LIVING TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST30.34/22/2008
Private equity company: No
Real estate investment trust: No
Holding company: No
MICHAEL D PERRYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST51/1/2015
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.
SENIOR CARE EQUITIES #15 LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST30.34/22/2008
Private equity company: No
Real estate investment trust: No
Holding company: No
FRANK M WRONSKIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST30.34/22/2008
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.
JAMES BRANSCUMIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST30.34/22/2008
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.
LEO EISENBERGIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST30.34/22/2008
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.
TODD M SANGSTERIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/1/2016
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.
NEXCARE HEALTH SYSTEMS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL104/1/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
SPARKLE JACKSONIndividualW-2 MANAGING EMPLOYEE1007/27/2021
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.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
117 December 202517 December 202521
210 October 202410 October 202431
316 August 202316 August 202361

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
17 December 2025HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.FNoDeficient, Provider has date of correction5 January 2026
17 December 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction5 January 2026
10 October 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction21 October 2024
10 October 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correction21 October 2024
10 October 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DYesDeficient, Provider has date of correction21 October 2024
20 March 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction24 March 2024
16 August 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction25 August 2023
16 August 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction25 August 2023
16 August 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction25 August 2023
16 August 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction25 August 2023
16 August 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction25 August 2023

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 - Limited Liability company
Legal Business NameWELLBRIDGE OF ROMEO LLC
Date First Approved to Provide Medicare and Medicaid Services2015-02-03
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishMacomb
Telephone Number5865893800
Chain NameTHE WELLBRIDGE GROUP
Chain ID517
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds124
Average Number of Residents per Day119.4
Overall Rating5
Health Inspection Rating5
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating5
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, WellBridge of Romeo — facility record report, CMS certification number 235704. https://velarionrecords.com/facility/235704/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 235704. 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 2017909,22212,343.257,601.7519,538.2539,483.25
2017Q230 June 2017919,99913,005.257,42724,33644,768.25
2017Q330 September 20179210,57611,6558,41523,957.7544,027.75
2017Q431 December 20179210,83710,6368,71023,283.542,629.5
2018Q131 March 2018909,7119,3679,324.7521,41440,105.75
2018Q230 June 2018919,95210,077.258,08020,597.2538,754.5
2018Q330 September 20189211,16010,617.57,73920,53838,894.5
2018Q431 December 20189211,39811,201.59,856.2520,360.7541,418.5
2019Q131 March 20199010,65611,853.57,966.520,85040,670
2019Q230 June 20199110,81211,191.58,954.7524,000.7544,147
2019Q330 September 20199210,28510,4739,48323,99343,949
2019Q431 December 20199211,10210,478.59,725.7522,500.7542,705
2020Q230 June 2020918,4807,818.258,742.2517,982.534,543
2020Q330 September 2020928,4378,3637,950.517,194.533,508
2020Q431 December 2020928,0497,922.759,09115,21232,225.75
2021Q131 March 2021907,3507,1108,843.2513,213.7529,167
2021Q230 June 2021918,0297,260.759,020.7514,346.530,628
2021Q330 September 2021927,9837,166.58,991.7513,841.529,999.75
2021Q431 December 2021928,5356,5708,053.7515,337.7529,961.5
2022Q131 March 2022908,5285,868.58,89914,866.2529,633.75
2022Q230 June 2022918,6176,720.259,562.7511,960.1928,243.19
2022Q330 September 2022928,6377,166.258,868.7512,757.7528,792.75
2022Q431 December 2022929,7317,291.259,891.515,00632,188.75
2023Q131 March 2023909,7496,406.759,134.2518,01233,553
2023Q230 June 20239110,1926,873.259,859.517,450.534,183.25
2023Q330 September 20239210,8367,764.7510,103.518,46736,335.25
2023Q431 December 20239210,7218,141.510,286.7518,187.7536,616
2024Q131 March 20249110,7867,783.759,47618,735.2535,995
2024Q230 June 20249110,8537,672.7510,479.2518,364.7836,516.78
2024Q330 September 20249211,0708,096.2811,219.619,579.138,894.98
2024Q431 December 20249211,0688,321.3311,29621,423.7641,041.09
2025Q131 March 20259010,7898,466.2511,679.0820,061.140,206.43
2025Q230 June 20259110,8158,69812,00621,760.2642,464.26
2025Q330 September 20259210,8898,096.512,637.1522,528.1243,261.77
2025Q431 December 20259211,1138,164.2512,27522,635.3643,074.61
2026Q131 March 20269010,7427,805.7512,176.7521,634.2241,616.72
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
2017Q11.3384570.8243062.1186564.281419
2017Q21.3006550.7427742.4338434.477273
2017Q31.1020230.7956692.2652944.162987
2017Q40.9814520.8037282.1485193.933699
2018Q10.9645760.9602262.2051284.12993
2018Q21.0125850.8118972.0696593.894142
2018Q30.9513890.6934591.8403233.48517
2018Q40.982760.8647351.7863443.633839
2019Q11.1123780.7476071.9566443.816629
2019Q21.03510.8282232.2198254.083148
2019Q31.0182790.9220222.3328154.273116
2019Q40.9438390.8760362.0267293.846604
2020Q20.9219631.0309262.1205784.073467
2020Q30.9912290.9423372.0379873.971554
2020Q40.9843151.1294571.8899244.003696
2021Q10.9673471.2031631.7977893.968299
2021Q20.9043161.1235211.7868353.814672
2021Q30.897721.1263621.7338723.757954
2021Q40.7697720.9436151.7970423.510428
2022Q10.6881451.0435041.7432283.474877
2022Q20.7798831.1097541.3879763.277613
2022Q30.8297151.0268321.4771043.333652
2022Q40.7492811.0164941.5420823.307856
2023Q10.657170.9369421.8475743.441686
2023Q20.6743770.9673761.7121763.35393
2023Q30.716570.9324011.7042273.353198
2023Q40.7593970.9594951.696463.415353
2024Q10.7216530.8785461.7369973.337196
2024Q20.706970.9655631.6921393.364672
2024Q30.7313711.0135141.7686633.513548
2024Q40.7518371.02061.9356493.708085
2025Q10.7847111.0824991.8594033.726613
2025Q20.8042531.1101252.0120443.926423
2025Q30.7435491.1605432.0688883.972979
2025Q40.7346581.1045622.0368363.876056
2026Q10.7266571.1335652.0139843.874206

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
  • 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