Velarion Records

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

Facility record report · CMS certification number 235709

The Rivers Health & Rehabilitation Center of Gross

Grosse Pointe Woods, 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$12,870,644CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,900,850CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,969,794CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,674,204CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$295,590CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$329,332CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$624,922CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $624,922 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components31,476CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days4,989CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days13,189CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days7,690CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components25,868CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges211CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges53CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges269CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components533CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.64CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days248.85CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days48.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434402, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$10,731,717CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,306,727CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,424,990CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,669,185CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$244,195CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$277,037CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$32,842CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $32,842 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,777CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components461CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.99CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days301.32CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days51.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395677, 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 25 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$11,768,207CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,122,587CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,645,620CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,819,364CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$173,744CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$617,529CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$443,785CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $443,785 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,614CMS-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 days25.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days179.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days43.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365350, 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 28 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$9,710,780CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,163,097CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,547,683CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,968,135CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,420,452CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,858,023CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,437,571CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,437,571 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,760CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components508CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days275.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days36.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334452, 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 10 November 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$10,438,444CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,355,317CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,083,127CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,906,127CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$823,000CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,204,005CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$381,005CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$94,995 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,523CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components488CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days208.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days42.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304046, 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 22 July 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$13,322,322CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,562,019CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,760,303CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,813,227CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$52,924CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,343CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$39,581CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$208,581 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,198CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components697CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days227.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days31.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1261004, 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$13,579,313CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,465,493CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,113,820CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,671,920CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$558,100CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,109CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$547,991CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$849,991 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,320CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components710CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.28CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days131.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days30.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238086, 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 24 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$12,899,742CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,172,677CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,727,065CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,590,578CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$136,487CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$136,507CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$103,493 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,121CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components629CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.02CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days52.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days31.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1202107, 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$6,098,216CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,822,569CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,275,647CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,102,173CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$826,526CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$25CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$826,501CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$846,501 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,371CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components347CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days27.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1168996, read from the public cost report file SNF10FY2016.zip.

Cost report for 30 October 2015 to 31 December 2015 — a reporting period of 62 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 17 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$234,929CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$82,168CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$152,761CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,067,566CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$914,805CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$914,805CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$914,805 (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 components86CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components364CMS-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 days13.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141580, read from the public cost report file SNF10FY2016.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
EDGEWOOD HEALTH AND REHABILITATION8723,722$7,964,933$8,310,099−$345,16631 December 2024
LANSING OPCO LLC8522,545$7,651,686$8,209,217−$557,53131 December 2024
SCHOOLCRAFT COUNTY MCF8521,640$7,485,735$9,557,905−$2,072,17030 September 2024
TAWAS CITY OPCO LLC8524,255$8,647,979$8,285,624$362,35531 December 2024
THE RIVERS OF GROSSE POINTE8625,868$10,969,794$10,674,204$295,59031 December 2024
THE UPJOHN8729,787$12,235,739$12,852,378−$616,63930 June 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
DRSN ASSOCIATES LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 07/27/2015
DRSN ASSOCIATES LLC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 07/27/2015
KAMEGO, TIMOTHYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/30/2011
LEVIN, RICHARDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2011
KAMEGO, TIMOTHYCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/30/2011
SIMBENI, ANTONIOCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2011
DRSN ASSOCIATES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 07/27/2015
MONTPAS, HEATHERW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 08/25/2015

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CCLA 6 LLC (enrollment ID O20150916000083).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
DRSN ASSOCIATES LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1007/27/2015
Private equity company: No
Real estate investment trust: No
Holding company: No
DRSN ASSOCIATES LLCOrganization5% OR GREATER MORTGAGE INTEREST74.717/27/2015
Private equity company: No
Real estate investment trust: No
Holding company: No
RICHARD LEVINIndividualCORPORATE DIRECTOR1001/1/2011
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.
TIMOTHY KAMEGOIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/30/2011
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.
ANTONIO SIMBENIIndividualCORPORATE OFFICER02/1/2011
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.
TIMOTHY KAMEGOIndividualCORPORATE 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.1/30/2011
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.
DRSN ASSOCIATES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1007/27/2015
Private equity company: No
Real estate investment trust: No
Holding company: No
HEATHER MONTPASIndividualW-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.8/25/2015
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.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
120 August 202520 August 202572
222 August 202422 August 202474
312 July 202312 July 2023623

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

Deficiencies cited

20 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
24 November 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction19 December 2025
20 August 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction22 September 2025
20 August 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction22 September 2025
20 August 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DNoDeficient, Provider has date of correction22 September 2025
20 August 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction22 September 2025
20 August 2025HealthF 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 correction22 September 2025
20 August 2025HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DNoDeficient, Provider has date of correction22 September 2025
4 December 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.DYesDeficient, Provider has date of correction31 December 2024
22 August 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.DYesDeficient, Provider has date of correction20 September 2024
22 August 2024HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DYesDeficient, Provider has date of correction20 September 2024
22 August 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction20 September 2024
22 August 2024HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DYesDeficient, Provider has date of correction20 September 2024
22 August 2024HealthF 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.DYesDeficient, Provider has date of correction20 September 2024
22 August 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correction20 September 2024
12 July 2023HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correction28 July 2023
12 July 2023HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correction28 July 2023
12 July 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 correction28 July 2023
12 July 2023HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction28 July 2023
12 July 2023HealthF 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 correction28 July 2023
12 July 2023HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction28 July 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 NameCCLA 6 LLC
Date First Approved to Provide Medicare and Medicaid Services2015-10-30
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishWayne
Telephone Number3138217095
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds86
Average Number of Residents per Day79.7
Overall Rating4
Health Inspection Rating4
QM Rating3
Long-Stay QM Rating2
Short-Stay QM Rating4
Processing Date2026-08-01

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

Every change on this record

  • 1 July 2026: ANTONIO SIMBENI no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: ANTONIO SIMBENI appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 24 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 25 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • 28 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 10 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 22 July 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 24 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 24 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • 17 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • 17 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2016.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, The Rivers Health & Rehabilitation Center of Gross — facility record report, CMS certification number 235709. https://velarionrecords.com/facility/235709/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 235709. 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 2017905,4955,176.119,956.1910,985.4726,117.77
2017Q230 June 2017915,8215,494.439,968.2811,973.1627,435.87
2017Q330 September 2017925,3704,907.6110,688.0714,312.0429,907.72
2017Q431 December 2017925,8575,176.7612,041.1114,193.1831,411.05
2018Q131 March 2018906,2035,460.5611,259.8514,791.7731,512.18
2018Q230 June 2018915,5314,924.038,583.7315,007.3928,515.15
2018Q330 September 2018925,4735,783.9311,559.2116,440.8333,783.97
2018Q431 December 2018925,8695,113.6513,217.1823,277.7941,608.62
2019Q131 March 2019905,8835,322.310,086.8914,686.6530,095.84
2019Q230 June 2019916,1694,983.7810,266.513,075.6128,325.89
2019Q330 September 2019925,9274,416.3911,585.6112,507.9428,509.94
2019Q431 December 2019925,7534,736.9311,392.3711,888.8128,018.11
2020Q131 March 2020915,6913,599.9111,938.9510,694.8226,233.68
2020Q230 June 2020915,4103,380.4410,738.698,565.322,684.43
2020Q330 September 2020925,3363,873.4910,587.658,104.9622,566.1
2020Q431 December 2020924,9123,473.649,389.178,272.2821,135.09
2021Q131 March 2021903,5792,582.038,404.067,509.6518,495.74
2021Q230 June 2021914,6892,503.268,394.988,057.818,956.04
2021Q330 September 2021925,8572,957.489,376.288,415.7220,749.48
2021Q431 December 2021926,1082,949.8210,295.6414,072.0227,317.48
2022Q131 March 2022905,8712,990.5310,616.4314,265.4327,872.39
2022Q230 June 2022915,9392,839.779,489.1711,336.3823,665.32
2022Q330 September 2022926,2942,407.019,322.211,840.5723,569.78
2022Q431 December 2022926,0842,507.827,132.656,592.2316,232.7
2023Q131 March 2023906,5413,056.948,777.2810,458.4222,292.64
2023Q230 June 2023915,7472,785.48,078.2510,453.1921,316.84
2023Q330 September 2023925,7442,507.048,669.6510,285.4321,462.12
2023Q431 December 2023925,7912,089.189,041.211,041.222,171.58
2024Q131 March 2024916,7662,520.159,479.1610,351.2422,350.55
2024Q230 June 2024916,5943,353.310,102.6710,721.0224,176.99
2024Q330 September 2024926,8513,412.3510,430.2211,29825,140.57
2024Q431 December 2024927,2083,079.0210,334.412,409.5525,822.97
2025Q131 March 2025907,0352,812.410,180.8610,771.3423,764.6
2025Q230 June 2025916,6952,863.4610,463.5712,697.6526,024.68
2025Q330 September 2025927,6352,840.210,956.4815,202.1428,998.82
2025Q431 December 2025927,5962,748.7411,17814,600.1628,526.9
2026Q131 March 2026907,1762,220.1611,966.6215,121.7129,308.49
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
2017Q10.9419671.8118641.9991764.753006
2017Q20.9438981.7124692.0568914.713257
2017Q30.9138941.990332.6651845.569408
2017Q40.8838592.0558492.4232855.362993
2018Q10.880311.8152272.3846165.080152
2018Q20.890261.5519312.7133235.155514
2018Q31.0568122.1120433.0039896.172843
2018Q40.8712982.2520333.9662287.089559
2019Q10.9046911.7145832.4964565.11573
2019Q20.8078751.6642082.1195674.59165
2019Q30.7451311.9547172.1103324.810181
2019Q40.8233841.9802492.0665414.870174
2020Q10.6325622.0978651.8792514.609678
2020Q20.624851.984971.5832354.193055
2020Q30.7259161.9841921.5189214.229029
2020Q40.7071741.9114761.6840964.302746
2021Q10.7214392.3481592.0982545.167851
2021Q20.5338581.7903561.7184474.042662
2021Q30.5049481.6008671.4368653.542681
2021Q40.4829441.6855992.3038674.47241
2022Q10.5093731.8082832.4298134.747469
2022Q20.4781561.5977721.9088033.984731
2022Q30.3824291.4811251.8812473.744801
2022Q40.4121991.1723621.0835362.668097
2023Q10.4673511.3418871.5989023.408139
2023Q20.484671.4056461.8188953.709212
2023Q30.4364621.509341.7906393.736442
2023Q40.3607631.561251.9066143.828627
2024Q10.3724731.4009991.5298913.303362
2024Q20.5085381.53211.6258753.666513
2024Q30.4980811.5224381.6491023.66962
2024Q40.4271671.433741.7216363.582543
2025Q10.3997731.4471731.5311073.378053
2025Q20.4277011.5628931.8965873.887181
2025Q30.3719971.4350331.9911123.798143
2025Q40.3618671.4715641.9220853.755516
2026Q10.3093871.6675892.1072624.084238

How each quarter is derived, and its file

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

← the facility’s full record