Facility record report · CMS certification number 265198

TWIN PINES ADULT CARE CENTER

KIRKSVILLE, Missouri · 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 September 2024 to 31 August 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 March 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$8,749,603	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,445,366	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,304,237	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,777,010	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$472,773	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$650,108	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$177,335	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $177,335 (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 2025
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,800	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	4,444	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	8,672	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	12,890	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	26,006	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	90	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	25	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	45	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	160	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	346.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	162.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448444, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 September 2023 to 31 August 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,053,708	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,440,741	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,612,967	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,810,692	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,197,725	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$687,186	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$510,539	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$510,539 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,965	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	131	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	714.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	182.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405283, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 September 2022 to 31 August 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 April 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$7,961,885	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,598,025	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,363,860	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,223,642	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$859,782	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,939,194	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,079,412	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,079,412 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,642	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	186	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	419.37	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	127.11	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376787, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 September 2021 to 31 August 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,349,171	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,850,705	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,498,466	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,437,126	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$938,660	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$860,932	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$77,728	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$77,728 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,788	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	163	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	243.84	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	121.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344159, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 September 2020 to 31 August 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 March 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,471,521	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,429,104	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,042,417	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,569,603	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,527,186	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,245,020	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$282,166	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$282,166 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,058	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	194	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	316.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	103.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313175, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 September 2019 to 31 August 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 June 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,931,766	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,409,066	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,522,700	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,931,203	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$408,503	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$798,822	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$390,319	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $390,319 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,471	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	194	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	288.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	131.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1285879, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 September 2018 to 31 August 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 March 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$6,161,786	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,472,824	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,688,962	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,690,673	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,001,711	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$509,611	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$492,100	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,458,485 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	132	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,880	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	226	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	236.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	110.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1251923, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 September 2017 to 31 August 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 February 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,391,397	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,412,046	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,979,351	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,629,991	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$650,640	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$480,486	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$170,154	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$170,154 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	152	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,618	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	141	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	820.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	195.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1220176, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 September 2016 to 31 August 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$6,399,118	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,355,668	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,043,450	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,442,962	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$399,512	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$445,944	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$46,432	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $46,432 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	152	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,830	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	181	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	292.53	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	153.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188277, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 September 2015 to 31 August 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 February 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,712,095	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,571,299	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,140,796	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,432,163	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$291,367	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$437,733	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$146,366	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $146,366 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	152	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,185	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	121	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	948.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	216.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1152639, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 September 2014 to 31 August 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 March 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$7,097,171	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,622,148	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,475,023	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,056,571	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$581,548	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$432,301	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$149,247	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$156,997 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	152	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,791	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	213	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	217.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	125.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1120377, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 September 2013 to 31 August 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 March 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$6,582,606	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,224,280	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,358,326	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,055,484	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$697,158	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$463,317	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$233,841	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$233,841 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	152	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,857	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	150	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	309.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	185.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1087498, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 September 2012 to 31 August 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 March 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$6,414,748	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,184,828	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,229,920	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,955,721	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$725,801	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$440,441	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$285,360	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$285,360 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	152	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,110	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	235	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	244.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	119.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1056673, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 September 2011 to 31 August 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$6,334,385	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,102,532	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,231,853	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,519,099	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$287,246	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$452,961	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$165,715	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $165,715 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	152	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,803	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	295	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	217.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	97.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027109, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 September 2010 to 31 August 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 March 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total operating expenses	$5,074,582	CMS-2540-96 worksheet G200002 line 1500 column 200

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	152	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,700	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	261	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	174.91	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	98.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 426648, read from the public cost report file SNFFY2010.zip.

Cost report for 1 September 2009 to 31 August 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 March 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,766,262	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,136,266	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$370,004	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$555,525	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $185,521 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	152	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,353	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	260	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.99	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	193.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	109.05	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 395449, read from the public cost report file SNFFY2009.zip.

Cost report for 1 September 2008 to 31 August 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,566,533	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,180,732	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$614,199	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$415,846	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,932	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$205,285 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	182	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,039	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	251	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.01	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	203.85	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	115.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 365895, read from the public cost report file SNFFY2008.zip.

Cost report for 1 September 2007 to 31 August 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 2 March 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,793,921	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,110,728	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$316,807	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$485,568	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $168,761 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	182	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,426	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	255	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	261.22	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	123.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 334425, read from the public cost report file SNFFY2007.zip.

Cost report for 1 September 2006 to 31 August 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,368,590	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,660,644	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$292,054	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$491,868	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $199,814 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	182	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,645	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	204	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.53	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	255.53	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	155.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306932, read from the public cost report file SNFFY2006.zip.

Cost report for 1 September 2005 to 31 August 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 November 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,368,538	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,606,217	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$237,679	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$373,502	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $135,823 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	182	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,896	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	220	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	184.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	140.44	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 296971, read from the public cost report file SNFFY2005.zip.

Cost report for 1 September 2004 to 31 August 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 May 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$4,594,810	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,839,856	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$245,046	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$394,504	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $149,458 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	182	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,840	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	238	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	259.69	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	146.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 248392, read from the public cost report file SNFFY2004.zip.

Cost report for 1 September 2003 to 31 August 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 8 December 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$4,770,105	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,045,229	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$275,124	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$366,488	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $91,364 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	182	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,299	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	236	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.82	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	324.68	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	162.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 238488, read from the public cost report file SNFFY2003.zip.

Cost report for 1 September 2002 to 31 August 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 April 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$4,316,272	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,194,730	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$878,458	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$387,431	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$491,027 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	182	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,923	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	174	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	43.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	328.86	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	229.44	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 214083, read from the public cost report file SNFFY2002.zip.

Cost report for 1 September 2001 to 31 August 2002 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 3 April 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$4,576,757	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,479,114	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$902,357	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$642,707	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$259,650 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	182	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,676	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	205	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.14	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	298.28	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	213.05	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 133930, read from the public cost report file SNFFY2001.zip.

Cost report for 1 September 2000 to 31 August 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 28 March 2002.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$4,725,545	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,431,549	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$706,004	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$655,993	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,411	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$56,422 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	186	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	48,505	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	199	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	347.22	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	243.74	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 31093, read from the public cost report file SNFFY2000.zip.

Five facilities of a similar size in Missouri, fiscal year 2025

Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
BROOKE HAVEN HEALTHCARE	120	23,869	$6,016,329	$5,693,750	$322,579	30 June 2025
COMMUNITY SPRINGS HEALTHCARE FACILIT	120	25,563	$77,340,187	$70,394,532	$6,945,655	31 May 2025
GARDEN VIEW CARE CENTER OF CHESTERFI	130	31,136	$9,464,429	$9,548,706	−$84,277	31 May 2025
GARDEN VIEW CARE CENTER OF OFALLON	120	27,124	$7,685,120	$8,075,222	−$390,102	31 May 2025
NAZARETH LIVING CENTER	121	34,545	$14,424,854	$28,340,762	−$13,915,908	30 June 2025
TWIN PINES ADULT CARE CENTER	120	26,006	$7,304,237	$7,777,010	−$472,773	31 August 2025

Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
ADAIR COUNTY NURSING HOME DISTRICT	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/15/2018
BELL, AURORA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2023
BESLER, WENDY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2008
RICHARDSON, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2012
RICHARDSON, JAMES	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2012
ADAIR COUNTY NURSING HOME DISTRICT	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/15/2018
BELL, AURORA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2023
BESLER, WENDY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2008
RICHARDSON, JAMES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2012

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ADAIR COUNTY NURSING HOME DISTRICT (enrollment ID O20191113000621).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ADAIR COUNTY NURSING HOME DISTRICT	Organization	ADP OF THE SNF	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.	11/15/2018	Private equity company: No Real estate investment trust: No Holding company: No
AURORA C BELL	Individual	ADP OF THE SNF	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.	10/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES L RICHARDSON	Individual	ADP OF THE SNF	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.	12/1/2012	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.
WENDY BESLER	Individual	ADP OF THE SNF	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.	6/1/2008	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 L RICHARDSON	Individual	CORPORATE DIRECTOR	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.	12/1/2012	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.
ADAIR COUNTY NURSING HOME DISTRICT	Organization	OPERATIONAL/MANAGERIAL CONTROL	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.	11/15/2018	Private equity company: No Real estate investment trust: No Holding company: No
AURORA C BELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	10/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES L RICHARDSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	12/1/2012	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.
WENDY BESLER	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	6/1/2008	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.

Changes in ownership

1 September 2025: JAMES L RICHARDSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: AURORA C BELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: AURORA C BELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ADAIR COUNTY NURSING HOME DISTRICT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ADAIR COUNTY NURSING HOME DISTRICT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WENDY BESLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WENDY BESLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	11 October 2024	11 October 2024	14	2
2	30 January 2023	30 January 2023	10	18
3	7 June 2019	7 June 2019	11	8

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

Deficiencies cited

35 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
24 February 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	Yes	Deficient, Provider has date of correction	3 April 2026
24 February 2026	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	3 April 2026
24 February 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	Yes	Deficient, Provider has date of correction	3 April 2026
11 October 2024	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	19 November 2024
11 October 2024	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	F	No	Deficient, Provider has date of correction	19 November 2024
11 October 2024	Health	F 0606	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Not hire anyone with a finding of abuse, neglect, exploitation, or theft.	E	No	Deficient, Provider has date of correction	19 November 2024
11 October 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E	No	Deficient, Provider has date of correction	19 November 2024
11 October 2024	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	E	No	Deficient, Provider has date of correction	19 November 2024
11 October 2024	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	E	No	Deficient, Provider has date of correction	19 November 2024
11 October 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	19 November 2024
11 October 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	13 December 2024
11 October 2024	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	No	Deficient, Provider has date of correction	19 November 2024
11 October 2024	Health	F 0944	Administration Deficiencies	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	F	No	Deficient, Provider has date of correction	19 November 2024
11 October 2024	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	E	No	Deficient, Provider has date of correction	19 November 2024
30 January 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	16 March 2023
30 January 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	16 March 2023
30 January 2023	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	16 March 2023
30 January 2023	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E	No	Deficient, Provider has date of correction	16 March 2023
30 January 2023	Health	F 0728	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	D	No	Deficient, Provider has date of correction	16 March 2023
30 January 2023	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	B	No	Deficient, Provider has date of correction	16 March 2023
30 January 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	E	No	Deficient, Provider has date of correction	16 March 2023
30 January 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	16 March 2023
30 January 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	16 March 2023
30 January 2023	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	16 March 2023
7 June 2019	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	17 July 2019
7 June 2019	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	17 July 2019
7 June 2019	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	17 July 2019
7 June 2019	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	No	Deficient, Provider has date of correction	17 July 2019
7 June 2019	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	No	Deficient, Provider has date of correction	17 July 2019
7 June 2019	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	17 July 2019
7 June 2019	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	No	Deficient, Provider has date of correction	17 July 2019
7 June 2019	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	17 July 2019
7 June 2019	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	17 July 2019
7 June 2019	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	17 July 2019
7 June 2019	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	17 July 2019

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Other
Legal Business Name	ADAIR COUNTY NURSING HOME DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	1983-09-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Adair
Telephone Number	6606652887
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	120
Average Number of Residents per Day	71.2
Overall Rating	2
Health Inspection Rating	2
QM Rating	2
Long-Stay QM Rating	2
Short-Stay QM Rating	1
Processing Date	2026-08-01

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

Every change on this record

11 March 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 September 2025: JAMES L RICHARDSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: AURORA C BELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: AURORA C BELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ADAIR COUNTY NURSING HOME DISTRICT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: ADAIR COUNTY NURSING HOME DISTRICT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WENDY BESLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WENDY BESLER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
14 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
25 April 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
10 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
29 March 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
10 June 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
5 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
25 February 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
9 February 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
11 March 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
20 March 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
11 March 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
19 April 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
26 March 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
14 March 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
15 March 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
2 March 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
23 April 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
27 November 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
2 May 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
8 December 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
18 April 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
3 April 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
28 March 2002: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, TWIN PINES ADULT CARE CENTER — facility record report, CMS certification number 265198. https://velarionrecords.com/facility/265198/report.

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

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 265198. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	7,050	3,194.75	5,957.25	16,741.25	25,893.25
2017Q2	30 June 2017	91	6,953	2,308	5,371.25	18,033.25	25,712.5
2017Q3	30 September 2017	92	6,938	2,817	5,442.75	16,966.25	25,226
2017Q4	31 December 2017	92	6,755	2,927	5,163.25	18,204.75	26,295
2018Q1	31 March 2018	90	6,671	3,062.75	4,694.5	20,240	27,997.25
2018Q2	30 June 2018	91	7,222	2,786	5,626.75	20,560.75	28,973.5
2018Q3	30 September 2018	92	7,092	2,594	5,325.75	18,776	26,695.75
2018Q4	31 December 2018	92	6,752	2,871.25	5,743.45	19,798.59	28,413.29
2019Q1	31 March 2019	90	6,161	2,962.5	5,904.5	16,613.5	25,480.5
2019Q2	30 June 2019	91	5,988	3,235	5,956	17,576.75	26,767.75
2019Q3	30 September 2019	92	6,074	2,811.5	5,600.5	17,317.5	25,729.5
2019Q4	31 December 2019	92	6,528	2,690	6,225.5	17,009	25,924.5
2020Q1	31 March 2020	91	6,804	2,896.75	5,900.5	18,710.75	27,508
2020Q2	30 June 2020	91	5,948	2,730.25	5,347.72	18,678.12	26,756.09
2020Q3	30 September 2020	92	5,867	2,798.73	5,666.67	18,649.58	27,114.98
2020Q4	31 December 2020	92	5,198	2,463.5	6,154.35	17,396.25	26,014.1
2021Q1	31 March 2021	90	4,919	2,343.75	6,021.05	16,481	24,845.8
2021Q2	30 June 2021	91	4,993	2,335.75	5,791.25	16,563.5	24,690.5
2021Q3	30 September 2021	92	5,090	2,558.5	6,615	15,803.63	24,977.13
2021Q4	31 December 2021	92	4,940	2,056	6,123.25	14,746.25	22,925.5
2022Q1	31 March 2022	90	4,736	1,768.5	5,786.75	14,508.25	22,063.5
2022Q2	30 June 2022	91	4,882	2,213	6,598.88	14,060.29	22,872.17
2022Q3	30 September 2022	92	5,365	2,111.75	7,001.68	14,593.57	23,707
2022Q4	31 December 2022	92	6,031	2,496.25	6,047.23	15,823.55	24,367.03
2023Q1	31 March 2023	90	6,037	2,274.5	5,969.82	16,144.87	24,389.19
2023Q3	30 September 2023	92	6,040	2,395.25	6,738.75	17,631.77	26,765.77
2024Q1	31 March 2024	91	5,993	1,552.21	4,392.15	11,921.15	17,865.51
2024Q2	30 June 2024	91	6,224	2,126.55	6,348.21	16,949.67	25,424.43
2024Q3	30 September 2024	92	6,266	2,419.91	5,927.2	17,215.61	25,562.72
2024Q4	31 December 2024	92	6,489	2,539.66	5,528.53	16,954.92	25,023.11
2025Q1	31 March 2025	90	6,662	2,406.11	5,169.64	17,989.46	25,565.21
2025Q2	30 June 2025	91	6,606	2,346.18	5,488.49	17,857.81	25,692.48
2025Q3	30 September 2025	92	6,664	2,493	5,415.27	17,555.51	25,463.78
2025Q4	31 December 2025	92	6,606	2,573.21	5,069.18	15,952.06	23,594.45
2026Q1	31 March 2026	90	6,404	2,443.93	4,702.77	14,756.11	21,902.81

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.453156	0.845	2.374645	3.672801
2017Q2	0.331943	0.772508	2.593593	3.698044
2017Q3	0.406025	0.784484	2.445409	3.635918
2017Q4	0.433309	0.76436	2.695004	3.892672
2018Q1	0.459114	0.703718	3.034028	4.19686
2018Q2	0.385766	0.779112	2.846961	4.011839
2018Q3	0.365764	0.750952	2.64749	3.764206
2018Q4	0.425244	0.850629	2.932256	4.208129
2019Q1	0.480847	0.958367	2.696559	4.135773
2019Q2	0.540247	0.994656	2.935329	4.470232
2019Q3	0.462875	0.922045	2.851087	4.236006
2019Q4	0.412071	0.953661	2.605545	3.971278
2020Q1	0.425742	0.86721	2.749963	4.042916
2020Q2	0.45902	0.899079	3.140235	4.498334
2020Q3	0.477029	0.965855	3.178725	4.621609
2020Q4	0.473932	1.183984	3.34672	5.004636
2021Q1	0.476469	1.224039	3.350478	5.050986
2021Q2	0.467805	1.159874	3.317344	4.945023
2021Q3	0.502652	1.299607	3.104839	4.907098
2021Q4	0.416194	1.239524	2.985071	4.640789
2022Q1	0.373416	1.221864	3.063397	4.658678
2022Q2	0.453298	1.351676	2.880027	4.685
2022Q3	0.393616	1.305066	2.720144	4.418826
2022Q4	0.413903	1.002691	2.623703	4.040297
2023Q1	0.37676	0.988872	2.67432	4.039952
2023Q3	0.396565	1.115687	2.919167	4.431419
2024Q1	0.259004	0.73288	1.989179	2.981063
2024Q2	0.341669	1.019957	2.723276	4.084902
2024Q3	0.386197	0.94593	2.747464	4.079591
2024Q4	0.391379	0.851985	2.612871	3.856235
2025Q1	0.361169	0.775989	2.700309	3.837468
2025Q2	0.355159	0.830834	2.703271	3.889264
2025Q3	0.3741	0.812616	2.63438	3.821095
2025Q4	0.389526	0.76736	2.414784	3.57167
2026Q1	0.381626	0.734349	2.304202	3.420176

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
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
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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