Velarion Records

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Facility record report · CMS certification number 265236

AVENIR AT MARK TWAIN

BRIDGETON, 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 June 2024 to 31 December 2024 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,139,649CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,005,815CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,133,834CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,219,932CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$86,098CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$849CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$85,249CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$85,249 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components25,680CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days589CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days14,393CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days1,362CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components16,344CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges10CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges5CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges4CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components19CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.9CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,878.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days860.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434516, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 August 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$7,583,767CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$66,877CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,650,644CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,405,477CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,245,167CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,467CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,253,634CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,253,634 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,296CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components233CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days161.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days104.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391353, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,805,058CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,251,375CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,553,683CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,974,731CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$421,048CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,390CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$411,658CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$411,658 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,181CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components190CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days254.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359927, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,264,246CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,537,808CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,726,438CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,736,925CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,010,487CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,600,914CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$590,427CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $590,427 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,071CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components156CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days236.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days135.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332766, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,317,459CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,255,495CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,061,964CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,583,217CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$521,253CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$213,189CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$308,064CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$308,064 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,149CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components135CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days90.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days269.68CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days178.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300009, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 September 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$27,137,506CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$21,060,202CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,077,304CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,211,592CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$134,288CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,901CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$120,387CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$120,387 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,463CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components148CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days63.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days278.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days205.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1268340, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$28,158,932CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$22,015,942CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,142,990CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,593,697CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$450,707CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,934CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$439,773CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$439,773 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,384CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components227CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days296.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days138.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241239, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$30,281,351CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$23,797,087CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,484,264CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,544,869CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$60,605CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$19,732CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$40,873CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$40,873 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,179CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components155CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days409.68CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days220.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1207958, read from the public cost report file SNF10FY2017.zip.

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

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$30,454,316CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$23,813,841CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,640,475CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,566,060CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$74,415CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,373CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$95,788CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $95,788 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,149CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components253CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days279.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days134.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171461, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$29,352,003CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$23,057,804CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,294,199CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,576,078CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$281,879CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$63,306CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$218,573CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$218,573 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,735CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components231CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days209.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136229, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 April 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$31,129,886CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$24,508,035CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,621,851CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,561,566CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$60,285CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$43,754CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$104,039CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $104,039 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,832CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components169CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days744.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days206.11CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089532, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 August 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$30,447,737CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$24,122,211CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,325,526CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,703,266CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$377,740CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$36,295CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$341,445CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$341,445 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,234CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components165CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days443.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days207.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075059, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$33,010,782CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$26,151,276CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,859,506CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,788,596CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$70,910CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$27,906CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$98,816CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $98,816 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,797CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components242CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days286.85CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days152.05CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043783, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 November 2011 to 31 December 2011 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$5,592,772CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,437,272CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,155,500CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,156,066CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$566CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,080CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$6,514CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $6,514 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components6,246CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components43CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days206.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013829, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 July 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$6,124,787CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,503,559CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$378,772CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$399,517CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $20,745 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components36,225CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components253CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days299.62CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days143.18CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 413205, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 May 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$5,965,835CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,548,152CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$582,317CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$388,533CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$10CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$193,794 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,839CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components251CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.89CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days411CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days142.78CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 370427, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 29 June 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$5,929,951CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,484,585CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$554,634CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$374,113CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$180,521 (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 2008
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components36,675CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components239CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days367.95CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days153.45CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 348062, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$6,096,152CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,470,584CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$374,432CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$331,618CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$42,814 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,209CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components242CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days278.88CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days157.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323737, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 March 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$5,755,359CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,102,488CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$347,129CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$401,528CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $54,399 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,243CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components245CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.83CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days347.13CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days156.09CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 303906, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 February 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$5,594,004CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,841,927CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$247,923CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$207,924CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$39,999 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,018CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components255CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days338.37CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days153.01CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 272696, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 8 March 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$5,593,122CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,715,161CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$122,039CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$253,392CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $131,353 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,634CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components252CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.94CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days508.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days157.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 244594, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 February 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$5,028,150CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,471,044CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$442,894CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$269,295CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$173,599 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,115CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components198CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.18CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days734.09CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days197.55CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 208302, read from the public cost report file SNFFY2003.zip.

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 March 2005.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$5,142,296CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,275,843CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$133,547CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$40,322CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$93,225 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,527CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components215CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.77CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days426.97CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days174.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 209569, read from the public cost report file SNFFY2002.zip.

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 12 February 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$5,148,784CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,945,691CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$203,093CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$85,223CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $288,316 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,900CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components209CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days460.65CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days186.12CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 122083, read from the public cost report file SNFFY2001.zip.

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 18 August 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$4,633,030CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,498,089CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$134,941CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$60,432CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $195,373 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components36,894CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components227CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days418.53CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days162.53CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 156916, read from the public cost report file SNFFY2000.zip.

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2003.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$4,557,115CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,356,734CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$200,381CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$44,513CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $244,894 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,958CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components222CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days55.46CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days291.47CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days179.99CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 156026, read from the public cost report file SNFFY1999.zip.

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 September 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$4,940,441CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,657,345CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$283,096CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$22,217CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $305,313 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,096CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components197CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.35CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days375.4CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days193.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 31128, read from the public cost report file SNFFY1998.zip.

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 October 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$4,796,812CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,389,615CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$407,197CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$35,572CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $442,769 (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 1997
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,179CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components148CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days67.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days384.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days264.72CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 31126, read from the public cost report file SNFFY1997.zip.

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 23 January 2001.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$4,298,557CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,973,752CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$324,805CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$52,779CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $377,584 (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 1996
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,684CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components166CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.55CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days470.97CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days245.08CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 31123, read from the public cost report file SNFFY1996.zip.

Five facilities of a similar size in Missouri, fiscal year 2024

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
BEL OAK OF MARK TWAIN LLC12016,344$4,133,834$4,219,932−$86,09831 December 2024
BELLEVIEW VALLEY NURSING HOME12232,252$6,058,775$6,365,164−$306,38931 December 2024
CHARLESTON MANOR1204,122$871,779$1,555,822−$684,04314 June 2024
MACON HEALTH CARE CENTR12017,930$4,380,736$4,983,095−$602,35931 December 2024
NAZARETH LIVING CENTER12133,960$12,272,923$26,256,983−$13,984,06030 June 2024
NHC HEALTHCARE DESLOGE12022,060$5,401,643$6,552,219−$1,150,57631 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
BICKNELL, JACQUELINEADP OF THE SNFIndividualNOT APPLICABLEsince 10/06/2025
DELTA EDGE STRATEGIC ADVISORSADP OF THE SNFOrganizationNOT APPLICABLEsince 10/01/2025
HHHH VENTURES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/01/2025
KRPSS PARTNERSADP OF THE SNFOrganizationNOT APPLICABLEsince 10/01/2025
NBH1 MTPROPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/01/2025
SAN, MANUELADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2025
STERLING, CORYADP OF THE SNFIndividualNOT APPLICABLEsince 10/06/2025
MARK TWAIN HOLDCO LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2025
DELTA EDGE STRATEGIC ADVISORSINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2025
FELHEIM, YITCHOKINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 10/01/2025
HHHH VENTURES LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2025
JACOBOVITCH, YOSSIINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 10/01/2025
KRPSS PARTNERSINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2025
LAPCIUC, AVRAHAMINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 10/01/2025
JACOBOVITCH, YOSSIMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2025
LAPCIUC, AVRAHAMMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2025
BICKNELL, JACQUELINEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/06/2025
JACOBOVITCH, YOSSIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2025
LAPCIUC, AVRAHAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2025
SAN, MANUELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2025
STERLING, CORYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/06/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NBH1 MTOPCO LLC (enrollment ID O20251203000450).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CORY STERLINGIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/6/2025
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.
DELTA EDGE STRATEGIC ADVISORSOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
HHHH VENTURES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
JACQUELINE BICKNELLIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/6/2025
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.
KRPSS PARTNERSOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
MANUEL L SANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
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.
NBH1 MTPROPCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/26/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/26/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
MARK TWAIN HOLDCO LLCOrganizationDIRECT OWNERSHIP INTEREST10010/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
AVRAHAM LAPCIUCIndividualINDIRECT OWNERSHIP INTEREST17.2110/1/2025
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.
DELTA EDGE STRATEGIC ADVISORSOrganizationINDIRECT OWNERSHIP INTEREST25.8110/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
HHHH VENTURES LLCOrganizationINDIRECT OWNERSHIP INTEREST26.3410/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
KRPSS PARTNERSOrganizationINDIRECT OWNERSHIP INTEREST57.3510/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
YITCHOK FELHEIMIndividualINDIRECT OWNERSHIP INTEREST28.6510/1/2025
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.
YOSSI JACOBOVITCHIndividualINDIRECT OWNERSHIP INTEREST25.8110/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualINDIRECT OWNERSHIP INTEREST110/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualINDIRECT OWNERSHIP INTEREST110/1/2025
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.
AVRAHAM LAPCIUCIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
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.
YOSSI JACOBOVITCHIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
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.
AVRAHAM LAPCIUCIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
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.
CORY STERLINGIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/6/2025
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.
JACQUELINE BICKNELLIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/6/2025
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.
MANUEL L SANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
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.
YOSSI JACOBOVITCHIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
120 August 202520 August 20253011
219 January 202419 January 2024167
38 November 20198 November 2019173

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

Deficiencies cited

63 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
22 June 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correction27 July 2026
19 December 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction15 January 2026
19 December 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction15 January 2026
19 December 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction15 January 2026
7 October 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction14 November 2025
20 August 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0569Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DNoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0584Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DNoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0620Resident Rights DeficienciesNot require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.ENoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.EYesDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0687Quality of Life and Care DeficienciesProvide appropriate foot care.DNoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0700Quality of Life and Care DeficienciesTry 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.ENoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DNoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EYesDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0808Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DNoDeficient, Provider has date of correction19 November 2025
20 August 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0865Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.ENoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyDNoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DNoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.DNoDeficient, Provider has date of correction3 October 2025
20 August 2025HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EYesDeficient, Provider has date of correction3 October 2025
21 January 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction19 February 2025
21 January 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction11 March 2025
21 January 2025HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JYesDeficient, Provider has date of correction17 January 2025
25 September 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction25 October 2024
5 April 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction26 April 2024
5 April 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction26 April 2024
19 January 2024HealthF 0568Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.ENoDeficient, Provider has date of correction19 January 2024
19 January 2024HealthF 0569Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DNoDeficient, Provider has date of correction19 January 2024
19 January 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.ENoDeficient, Provider has date of correction9 February 2024
19 January 2024HealthF 0661Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DNoDeficient, Provider has date of correction6 February 2024
19 January 2024HealthF 0687Quality of Life and Care DeficienciesProvide appropriate foot care.DYesDeficient, Provider has date of correction12 February 2024
19 January 2024HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction9 February 2024
19 January 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KYesDeficient, Provider has date of correction19 January 2024
19 January 2024HealthF 0712Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.DNoDeficient, Provider has date of correction6 February 2024
19 January 2024HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.ENoDeficient, Provider has date of correction30 January 2024
19 January 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correction19 January 2024
19 January 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correction7 March 2024
19 January 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction9 February 2024
7 September 2023HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DYesDeficient, Provider has date of correction7 September 2023
8 November 2019HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BNoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0625Resident Rights DeficienciesNotify 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.BNoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.ENoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.ENoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction20 December 2019
8 November 2019HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction20 December 2019

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
21 January 2025Fine$134,04390697
21 January 2025Payment Denial25 February 202514
19 January 2024Fine$26,68790502
19 January 2024Payment Denial17 February 202419
25 September 2023Fine$4,58790018
18 September 2023Fine$4,58790006
11 September 2023Fine$4,58789985
5 September 2023Fine$4,58789960
28 August 2023Fine$4,58789939

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameNBH1 MTOPCO LLC
Date First Approved to Provide Medicare and Medicaid Services1984-04-15
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSt. Louis
Telephone Number3142918240
Provider Changed Ownership in Last 12 MonthsY
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day77.1
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating3
Processing Date2026-08-01

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

Every change on this record

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, AVENIR AT MARK TWAIN — facility record report, CMS certification number 265236. https://velarionrecords.com/facility/265236/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 265236. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 2017908,5823,677.84,523.4418,257.4226,458.66
2017Q230 June 2017918,4903,102.985,184.9620,068.4428,356.38
2017Q330 September 2017928,6703,746.964,564.1520,428.9128,740.02
2017Q431 December 2017928,4733,960.614,843.3521,270.9730,074.93
2018Q131 March 2018908,1043,259.254,693.4917,940.8425,893.58
2018Q230 June 2018917,8493,030.434,647.8918,684.5126,362.83
2018Q330 September 2018927,9393,310.724,733.2919,352.1127,396.12
2018Q431 December 2018927,4853,113.824,628.9418,149.3325,892.09
2019Q131 March 2019907,4473,195.353,999.7818,630.4525,825.58
2019Q230 June 2019917,3342,570.54,447.516,859.2523,877.25
2019Q330 September 2019928,0062,4213,68416,799.2522,904.25
2019Q431 December 2019927,8102,3124,734.516,043.523,090
2020Q131 March 2020917,3212,131.754,804.7514,543.7521,480.25
2020Q230 June 2020916,7361,9564,339.2515,260.2521,555.5
2020Q330 September 2020925,6292,261.253,558.512,269.2518,089
2020Q431 December 2020924,4951,9123,03910,611.7515,562.75
2021Q131 March 2021904,8682,3253,933.2511,354.2517,612.5
2021Q230 June 2021915,1872,191.54,082.7510,775.7517,050
2021Q330 September 2021925,6722,2463,069.258,727.2514,042.5
2022Q131 March 2022905,5541,307.024,000.6712,139.8117,447.5
2022Q230 June 2022915,8892,994.163,06013,348.1519,402.31
2022Q330 September 2022925,8322,1313,336.2712,309.7517,777.02
2022Q431 December 2022925,8671,238.253,569.3111,905.1216,712.68
2023Q131 March 2023905,5451,7323,702.089,997.8215,431.9
2023Q330 September 2023926,7532,0825,081.2512,084.519,247.75
2023Q431 December 2023926,6081,173.255,267.2812,922.7519,363.28
2024Q131 March 2024916,836623.255,045.3314,295.7519,964.33
2024Q230 June 2024917,0551,443.455,103.3116,745.0923,291.85
2024Q330 September 2024927,3032,956.253,098.4315,253.8321,308.51
2024Q431 December 2024926,7113,329.263,522.0217,718.8124,570.09
2025Q131 March 2025906,2183,405.023,540.9614,352.6621,298.64
2025Q230 June 2025916,1142,540.953,895.6415,698.0722,134.66
2025Q330 September 2025926,4254,142.022,881.6117,715.424,739.03
2025Q431 December 2025926,9952,707.933,831.0118,378.9224,917.86
2026Q131 March 2026906,9403,404.863,236.6217,452.6624,094.14
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q10.4285480.5270852.1274093.083041
2017Q20.3654860.6107142.3637743.339974
2017Q30.4321750.526432.3562763.314881
2017Q40.4674390.5716222.5104413.549502
2018Q10.4021780.5791572.2138253.19516
2018Q20.3860910.5921632.3804963.35875
2018Q30.417020.5962072.43763.450828
2018Q40.4160080.6184292.424763.459197
2019Q10.4290790.53712.5017393.467917
2019Q20.3504910.6064222.298783.255693
2019Q30.3023980.4601552.0983332.860886
2019Q40.2960310.606212.0542252.956466
2020Q10.2911830.6562971.986582.93406
2020Q20.290380.6441882.2654773.200045
2020Q30.4017140.6321732.179653.213537
2020Q40.4253620.6760852.360793.462236
2021Q10.4776090.8079812.3324263.618016
2021Q20.4224990.7871122.0774533.287064
2021Q30.395980.5411231.5386552.475758
2022Q10.2353290.7203222.1857783.14143
2022Q20.5084330.5196132.2666243.29467
2022Q30.3653980.5720632.1107253.048186
2022Q40.2110530.6083712.0291672.84859
2023Q10.3123530.6676431.8030332.78303
2023Q30.3083070.7524431.7895012.850252
2023Q40.177550.7971071.9556222.930278
2024Q10.0911720.7380532.0912452.92047
2024Q20.20460.7233612.3735073.301467
2024Q30.4047990.4242682.0887072.917775
2024Q40.496090.5248132.6402643.661167
2025Q10.5476070.5694692.3082443.42532
2025Q20.4155950.6371672.5675613.620324
2025Q30.6446720.44852.7572613.850433
2025Q40.3871240.5476782.6274373.562239
2026Q10.4906140.4663722.5147933.471778

How each quarter is derived, and its file

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

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