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Facility record report · CMS certification number 265352

MANCHESTER REHAB AND HEALTHCARE CENTER

BALLWIN, 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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,133,043CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$276,423CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,409,466CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,677,221CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$732,245CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,387CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$743,632CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $743,632 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components137CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components50,142CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,133CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days10,047CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days4,880CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components18,060CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges44CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges83CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges108CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components235CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days71.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days121.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days76.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434525, read from the public cost report file SNF10FY2024.zip.

Cost report for 24 May 2023 to 31 December 2023 — a reporting period of 221 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$2,488,215CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$41,260CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,529,475CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,786,868CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,257,393CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,257,385CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,257,385 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components8,567CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components104CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days62.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days131.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days82.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395183, 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 28 May 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,965,740CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$208,255CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,757,485CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,123,480CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,365,995CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$374CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,365,621CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,365,621 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,300CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components152CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days71.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days134.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days107.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1379288, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 March 2021 to 31 December 2021 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 17 October 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$2,611,495CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$81,976CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,529,519CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,041,281CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,511,762CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,669CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,505,093CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,505,093 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,322CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components129CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days114.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days95.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335244, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 June 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,954,419CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,223,412CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,731,007CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,178,602CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,447,595CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$49,278CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,398,317CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,398,317 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,476CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components159CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days68.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days221.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days128.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1285126, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$19,274,552CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$15,421,330CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,853,222CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,043,664CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,190,442CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$51,733CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,138,709CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,138,709 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,892CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components117CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days79.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days224.49CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days187.11CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254004, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 April 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$22,066,519CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$17,698,168CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,368,351CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,690,001CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,321,650CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$81,186CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,240,464CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,240,464 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,814CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components272CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days179.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days91.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1223430, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 May 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$25,594,243CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$20,111,467CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,482,776CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,750,420CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$267,644CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$79,713CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$187,931CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$187,931 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,718CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components382CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days181.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days75.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1189568, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$25,239,123CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$19,808,829CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,430,294CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,499,743CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$69,449CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$76,518CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$7,069CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $7,069 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,639CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components318CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days292.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days90.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156522, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 March 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$26,562,011CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$21,103,108CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,458,903CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,591,369CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$132,466CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$87,458CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$45,008CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$45,008 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,022CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components372CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.91CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days248.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days80.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1120540, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$27,733,811CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$22,302,884CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,430,927CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,750,350CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$319,423CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$86,393CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$233,030CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$233,030 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,450CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components342CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days208.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days91.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1088318, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$27,404,765CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$22,081,066CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,323,699CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,010,752CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$687,053CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$102,056CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$584,997CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$584,997 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,864CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components340CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days332.04CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days90.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1056876, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 March 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$27,205,464CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$21,979,136CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,226,328CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,938,611CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$712,283CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$89,949CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$622,334CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$622,334 (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 components137CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,574CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components389CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days221.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days78.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1026407, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 March 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$5,107,231CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,725,910CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$618,679CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$128,778CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$489,901 (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 2011
FigureAs filedWhere it comes from
Total facility beds, all components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,659CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components413CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26.51CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days300.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days79.08CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 426235, read from the public cost report file SNFFY2011.zip.

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 April 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,379,086CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,903,680CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$524,594CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$98,358CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$426,236 (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 components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,638CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components204CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days323.03CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days169.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 396885, read from the public cost report file SNFFY2010.zip.

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 February 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$5,774,001CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,859,064CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$85,063CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$87,252CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $2,189 (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 components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,278CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components420CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.11CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days260.77CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days84CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 364379, read from the public cost report file SNFFY2009.zip.

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 March 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$5,593,036CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,802,269CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$209,233CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$81,501CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$127,732 (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 components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components36,838CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components372CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.77CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days287.28CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days99.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 335352, read from the public cost report file SNFFY2008.zip.

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$5,217,898CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,533,491CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$315,593CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$103,324CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$212,269 (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 components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,226CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components205CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days311.29CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days191.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 307352, read from the public cost report file SNFFY2007.zip.

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 December 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$5,443,160CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,565,229CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$122,069CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$95,867CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$26,202 (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 components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,317CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components298CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days86.86CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days246.75CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days142CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 298765, read from the public cost report file SNFFY2006.zip.

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 April 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$5,279,601CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,420,834CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$141,233CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$80,169CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$61,064 (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 components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,886CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components233CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days55CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days412.08CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days175.48CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 247112, read from the public cost report file SNFFY2005.zip.

Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 April 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,806,071CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,138,139CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$332,068CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$76,090CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$255,978 (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 components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,223CMS-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 days62.84CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days387.1CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days187.08CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 247095, read from the public cost report file SNFFY2004.zip.

Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 April 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$4,583,963CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,985,649CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$401,686CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$108,666CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$293,020 (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 components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components41,056CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components63CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days68.18CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,582CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days651.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 214095, read from the public cost report file SNFFY2003.zip.

Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 April 2005.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$4,831,431CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,952,906CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$121,475CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$103,251CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$18,224 (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 components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,858CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components301CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days87.95CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days171.1CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days135.74CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 213460, read from the public cost report file SNFFY2002.zip.

Cost report for 1 October 2000 to 30 September 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 December 2004.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$4,621,941CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,744,132CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$122,191CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$93,959CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$28,232 (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 components137CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,402CMS-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 days69.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days343.44CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days205.09CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 203290, read from the public cost report file SNFFY2001.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
AVALON VIEW HEALTH AND WELLNESS14035,868$12,132,552$9,170,881$2,961,67131 December 2024
BAPTIST HOMES OF INDEPENDENCE13824,883$4,871,274$6,222,346−$1,351,07231 December 2024
FRENE VALLEY OF HERMANN - A STONEBRI13626,616$5,672,282$5,308,330$363,95231 December 2024
MANCHESTER REHAB AND HEALTHCARE CENT13718,060$6,409,466$5,677,221$732,24531 December 2024
MONTICELLO HOUSE13715,880$3,478,343$4,235,275−$756,93231 December 2024
PACIFIC CARE CENTER13623,848$5,085,845$5,636,514−$550,66931 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
MANCHESTER HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 05/24/2023
AMA HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 05/24/2023
ANDREW CAPITAL LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 05/24/2023
ANDREW, DAVID5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 05/24/2023
DEF HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 05/24/2023
MANCHESTER PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 05/24/2023
MARX, ASHER5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 05/24/2023
MO OPERATION EQUITIES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 05/24/2023
WOLF, JACQUES5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 05/24/2023
MARX, ASHERCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/24/2023
WOLF, JACQUESCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/24/2023
MARX, ASHEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/24/2023
WOLF, JACQUESOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/24/2023
ANDREW, DAVIDW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 05/24/2023
CAROSONE, RACHELW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 08/14/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MANCHESTER OPERATOR LLC (enrollment ID O20230527000323).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
MANCHESTER HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1005/24/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
AMA HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST42.55/24/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
ANDREW CAPITAL LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST155/24/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
ASHER MARXIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST405/24/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID ANDREWIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST14.255/24/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEF HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST42.55/24/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
JACQUES WOLFIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST405/24/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MANCHESTER PARTNERS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1005/24/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
MO OPERATION EQUITIES LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST855/24/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
ASHER MARXIndividualCORPORATE DIRECTOR405/24/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACQUES WOLFIndividualCORPORATE DIRECTOR405/24/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ASHER MARXIndividualOPERATIONAL/MANAGERIAL CONTROL405/24/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACQUES WOLFIndividualOPERATIONAL/MANAGERIAL CONTROL405/24/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID ANDREWIndividualW-2 MANAGING EMPLOYEE14.255/24/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RACHEL CAROSONEIndividualW-2 MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/14/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
123 May 202523 May 20251111
25 December 20235 December 20231612
325 February 202025 February 2020267

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

Deficiencies cited

53 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
23 May 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.EYesDeficient, Provider has date of correction30 May 2025
23 May 2025HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.ENoDeficient, Provider has date of correction30 May 2025
23 May 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction30 May 2025
23 May 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correction30 May 2025
23 May 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction10 July 2025
23 May 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JNoDeficient, Provider has date of correction30 May 2025
23 May 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction10 July 2025
23 May 2025HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction30 May 2025
23 May 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction30 May 2025
23 May 2025HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DNoDeficient, Provider has date of correction30 May 2025
23 May 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correction30 May 2025
7 November 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesPast Non-Compliance25 October 2024
20 September 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction10 October 2024
8 July 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction31 July 2024
23 May 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correction19 June 2024
23 May 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DYesDeficient, Provider has date of correction19 June 2024
23 May 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction19 June 2024
16 January 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DYesDeficient, Provider has date of correction18 January 2024
16 January 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 correction18 January 2024
5 December 2023HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0569Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.ENoDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.CNoDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DYesDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CNoDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.EYesDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 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 correction18 January 2024
5 December 2023HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.EYesDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.ENoDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correction18 January 2024
5 December 2023HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction6 February 2024
25 February 2020HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.ENoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 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.DNoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 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 correction5 June 2020
25 February 2020HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 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.ENoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 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 correction5 June 2020
25 February 2020HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.ENoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.FNoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.ENoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.ENoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 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 correction5 June 2020
25 February 2020HealthF 0838Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FNoDeficient, Provider has date of correction5 June 2020
25 February 2020HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction5 June 2020

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
23 May 2025Fine$197,132134927
23 May 2025Payment Denial28 June 202512

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 - Corporation
Legal Business NameMANCHESTER OPERATOR LLC
Date First Approved to Provide Medicare and Medicaid Services1989-01-18
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSt. Louis
Telephone Number6363910666
Chain NameAMA HOLDINGS
Chain ID27
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds137
Average Number of Residents per Day86.9
Overall Rating1
Health Inspection Rating2
QM Rating1
Long-Stay QM Rating3
Short-Stay QM Rating1
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, MANCHESTER REHAB AND HEALTHCARE CENTER — facility record report, CMS certification number 265352. https://velarionrecords.com/facility/265352/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 265352. 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 2017907,1723,468.386,435.9419,900.4729,804.79
2017Q230 June 2017917,3132,466.226,073.5720,852.7829,392.57
2017Q330 September 2017927,5742,852.155,174.8518,975.7127,002.71
2017Q431 December 2017926,8352,381.67,074.2623,255.0432,710.9
2018Q131 March 2018906,1092,284.867,200.2119,172.4428,657.51
2018Q230 June 2018916,0492,867.085,417.4118,089.6826,374.17
2018Q330 September 2018926,0532,991.856,391.1317,89627,278.98
2018Q431 December 2018925,6703,507.725,641.8816,925.326,074.9
2019Q131 March 2019905,5373,924.764,732.1716,172.224,829.13
2019Q230 June 2019915,4313,681.54,175.7513,565.2521,422.5
2019Q330 September 2019925,3633,011.253,891.512,960.2519,863
2019Q431 December 2019924,9432,6874,698.2512,002.519,387.75
2020Q131 March 2020915,3463,009.54,248.2512,280.7519,538.5
2020Q230 June 2020915,0442,2146,315.7514,70323,232.75
2020Q330 September 2020925,0012,211.55,693.513,760.2521,665.25
2020Q431 December 2020924,5131,365.755,220.7511,436.518,023
2021Q131 March 2021904,8201,383.324,884.2312,434.1318,701.68
2021Q230 June 2021913,7181,635.072,516.687,606.2611,758.01
2021Q330 September 2021923,186791.653,166.86,396.5110,354.96
2021Q431 December 2021923,844700.634,549.458,440.9313,691.01
2022Q131 March 2022903,8121,492.933,848.139,559.2514,900.31
2022Q230 June 2022914,1681,426.213,530.168,653.4313,609.8
2022Q330 September 2022924,3041,176.053,224.456,806.5911,207.09
2022Q431 December 2022924,0961,507.563,729.45,455.8610,692.82
2023Q131 March 2023904,1681,287.454,684.286,870.8712,842.6
2023Q230 June 2023912,6221,348.464,397.227,255.1213,000.8
2023Q330 September 2023923,6581,425.33,739.928,457.3913,622.61
2023Q431 December 2023924,0511,731.563,410.18,625.2313,766.89
2024Q131 March 2024914,2342,259.792,957.548,656.6213,873.95
2024Q230 June 2024914,4011,852.763,861.569,101.9614,816.28
2024Q330 September 2024924,4652,544.64,353.1610,263.3717,161.13
2024Q431 December 2024925,2771,879.544,645.2311,907.4518,432.22
2025Q131 March 2025906,1151,700.064,640.3112,969.2919,309.66
2025Q230 June 2025916,8482,1925,436.7516,799.3624,428.11
2025Q330 September 2025927,2283,414.293,775.3817,730.5924,920.26
2025Q431 December 2025927,2832,639.433,815.8718,07324,528.3
2026Q131 March 2026907,8253,124.653,708.6918,459.4425,292.78
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
2017Q10.48360.897372.7747454.155715
2017Q20.3372380.8305172.8514674.019222
2017Q30.3765710.6832392.5053753.565185
2017Q40.3484421.0350053.4023474.785794
2018Q10.3740151.1786233.1383934.691031
2018Q20.4739760.8955882.9905244.360088
2018Q30.4942761.0558622.956554.506688
2018Q40.6186460.9950412.9850624.598748
2019Q10.7088240.8546452.9207514.484221
2019Q20.6778680.7688732.4977443.944485
2019Q30.5614860.725622.4166053.703711
2019Q40.5435970.9504862.4281813.922264
2020Q10.5629440.794662.2971853.654789
2020Q20.4389371.2521312.9149484.606017
2020Q30.4422121.1384722.75154.332184
2020Q40.3026261.1568252.5341243.993574
2021Q10.2869961.0133262.5796953.880017
2021Q20.4397710.6768912.0457933.162456
2021Q30.2484780.9939742.0076933.250144
2021Q40.1822661.183522.1958713.561657
2022Q10.391641.0094782.5076733.908791
2022Q20.3421810.8469672.0761593.265307
2022Q30.2732460.7491751.5814572.603878
2022Q40.3680570.9104981.3319972.610552
2023Q10.3088891.1238681.6484813.081238
2023Q20.5142871.6770482.7670184.958352
2023Q30.3896391.0223952.3120263.72406
2023Q40.427440.8417922.1291613.398393
2024Q10.5337250.6985212.0445493.276795
2024Q20.4209860.8774282.0681573.366571
2024Q30.5698990.9749522.2986273.843478
2024Q40.3561760.8802792.2564813.492935
2025Q10.2780150.7588412.1208983.157753
2025Q20.3200930.7939182.4531783.567189
2025Q30.472370.5223272.4530423.447739
2025Q40.362410.5239422.4815323.367884
2026Q10.3993160.4739542.3590343.232304

How each quarter is derived, and its file

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

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