Facility record report · CMS certification number 265431

TRUMAN LAKE MANOR INC

LOWRY CITY, 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 18 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,392,264	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$42,345	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,434,609	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,408,375	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$26,234	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$28,273	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$54,507	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $55,600 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,920	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	579	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,322	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,619	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	24,520	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	10	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	120	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	18	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	148	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	136.02	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	165.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439786, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$3,789,682	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$59,856	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,729,826	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,871,110	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$141,284	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$41,314	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$99,970	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$99,970 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,294	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	143	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	148.77	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	148.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395389, read from the public cost report file SNF10FY2023.zip.

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

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$3,375,616	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$169,103	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,544,719	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,126,150	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$418,569	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$11,282	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$407,287	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $407,287 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,887	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	113	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	112.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	149.49	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	175.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365470, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$2,799,492	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$203,032	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,596,460	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,771,105	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$174,645	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$635,258	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$460,613	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $460,613 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,053	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	92	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	82.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	148.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	163.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334473, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,051,800	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$87,730	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,964,070	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,589,647	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$374,423	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$933,755	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,308,178	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,308,178 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,917	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	108	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	149.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	156.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1291769, read from the public cost report file SNF10FY2020.zip.

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

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$2,775,626	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$420,037	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,355,589	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,161,321	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$194,268	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,245	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$220,513	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $220,513 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,340	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	92	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	149.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	166.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1276608, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$2,304,037	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$631,160	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,672,877	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,312,851	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$639,974	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$31,312	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$671,286	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$671,286 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,119	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	84	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	149.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	168.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237825, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$2,746,998	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$642,393	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,104,605	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,567,114	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$462,509	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$59,029	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$403,480	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$403,480 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,357	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	131.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	168.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1199517, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 May 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,204,708	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$804,077	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,400,631	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,667,629	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$266,998	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$48,941	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$218,057	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$218,057 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,448	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	140	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	136.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	124.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1157204, read from the public cost report file SNF10FY2016.zip.

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

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,667,727	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$968,379	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,699,348	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,711,411	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$12,063	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,987	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$9,076	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$9,076 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,452	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	91	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	407.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	224.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136728, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 April 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$3,667,035	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$895,813	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,771,222	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,571,154	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$200,068	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,411	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$204,479	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $204,479 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,896	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	114	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	350.32	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	183.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089347, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,450,077	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$797,022	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,653,055	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,608,675	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$44,380	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,316	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$46,696	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $46,696 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,322	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	116	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	388.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	166.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1070236, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,655,783	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,023,426	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,632,357	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,595,184	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$37,173	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,395	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$38,568	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $38,568 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,412	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	43	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	118.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,223.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	451.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1042117, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$3,061,333	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$511,505	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,549,828	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,451,766	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$98,062	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,561	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$99,623	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $99,623 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,383	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	93	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	402.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	208.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013938, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 May 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,445,981	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,488,144	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$42,163	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,708	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$39,455 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,172	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	154	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.18	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	214.09	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	130.99	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398817, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 June 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,648,559	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,462,650	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$185,909	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,027	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $196,936 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,001	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	156	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.05	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	217.02	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	128.21	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 377935, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 30 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,485,053	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,337,881	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$147,172	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,939	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $160,111 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,931	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	132	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.66	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	266.41	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	150.99	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 353246, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 April 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,251,830	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,274,246	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$22,416	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,218	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$14,198 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,108	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	122	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	249.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	156.62	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 307599, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 December 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,363,356	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,463,860	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$100,504	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,247	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$91,258 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,169	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	78	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	426.84	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	284.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 299078, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 March 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,618,375	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,651,040	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$32,665	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,384	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$26,281 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,767	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	160	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	70.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	194.75	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	154.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 273683, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 April 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,799,720	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,894,328	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$94,608	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,958	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$89,650 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,150	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	89.87	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,146	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	348.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 247116, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 May 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,777,050	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,814,978	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$37,928	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,249	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$24,679 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,987	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	145	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	286.98	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	199.91	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 217128, read from the public cost report file SNFFY2003.zip.

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 May 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$3,063,248	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,747,856	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$315,392	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,330	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $325,722 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,841	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	126	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.39	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	643.3	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	244.77	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 216691, read from the public cost report file SNFFY2002.zip.

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 January 2005.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$2,894,809	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,739,973	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$154,836	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,095	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $164,931 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,561	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	110	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	43.13	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	441.45	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	259.65	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 204145, read from the public cost report file SNFFY2001.zip.

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 December 2004.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$2,505,677	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,362,298	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$143,379	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$14,414	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$4,614	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $153,179 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,860	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	140	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.12	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	240.29	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	184.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 203048, read from the public cost report file SNFFY2000.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.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
BELLEVIEW VALLEY NURSING HOME	122	32,252	$6,058,775	$6,365,164	−$306,389	31 December 2024
CHARLESTON MANOR	120	4,122	$871,779	$1,555,822	−$684,043	14 June 2024
MACON HEALTH CARE CENTR	120	17,930	$4,380,736	$4,983,095	−$602,359	31 December 2024
NAZARETH LIVING CENTER	121	33,960	$12,272,923	$26,256,983	−$13,984,060	30 June 2024
NHC HEALTHCARE DESLOGE	120	22,060	$5,401,643	$6,552,219	−$1,150,576	31 December 2024
TRUMAN LAKE MANOR	120	24,520	$4,434,609	$4,408,375	$26,234	31 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 manager	Role	Type	Ownership percentage	Association
MORTON, WAYNE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	100%	since 03/28/2013
CORBIN, TIMOTHY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2020
FORVIS MAZARS LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/02/2016
MORTON, WAYNE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/28/2013
SNELL, MARK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2024
WOOD, NICOLE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2022
CORBIN, TIMOTHY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2020
MORTON, WAYNE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/28/2013
CORBIN, TIMOTHY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2020
SNELL, MARK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2024
WOOD, NICOLE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of TRUMAN LAKE MANOR, INC. (enrollment ID O20111201000773).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
WAYNE L MORTON	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	3/28/2013	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.
FORVIS MAZARS LLP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/2/2016	Private equity company: No Real estate investment trust: No Holding company: No
MARK P SNELL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2024	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.
NICOLE WOOD	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY J CORBIN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2020	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.
WAYNE L MORTON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/28/2013	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY J CORBIN	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2020	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.
WAYNE L MORTON	Individual	CORPORATE OFFICER	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.	3/28/2013	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.
MARK P SNELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/1/2024	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.
NICOLE WOOD	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY J CORBIN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 September 2025: TIMOTHY J CORBIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARK P SNELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARK P SNELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WAYNE L MORTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TIMOTHY J CORBIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TIMOTHY J CORBIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: NICOLE WOOD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: NICOLE WOOD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
15 March 2023: SHIRLEY EDMUNDS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: MICHAEL HARRIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: MICHAEL HARRIS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: TIMOTHY J CORBIN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: TIMOTHY J CORBIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	22 May 2026	22 May 2026	12	1
2	21 March 2024	21 March 2024	10	14
3	27 January 2022	27 January 2022	14	8

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

Deficiencies cited

36 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
22 May 2026	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E	No	Deficient, Provider has date of correction	6 July 2026
22 May 2026	Health	F 0678	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	D	No	Deficient, Provider has date of correction	6 July 2026
22 May 2026	Health	F 0728	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	E	No	Deficient, Provider has date of correction	6 July 2026
22 May 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	6 July 2026
22 May 2026	Health	F 0909	Environmental Deficiencies	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.	E	No	Deficient, Provider has date of correction	6 July 2026
9 March 2026	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Deficient, Provider has date of correction	6 April 2026
9 March 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	E	Yes	Deficient, Provider has date of correction	6 April 2026
9 March 2026	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	6 April 2026
7 January 2026	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Deficient, Provider has date of correction	6 April 2026
7 January 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	E	Yes	Deficient, Provider has date of correction	6 April 2026
7 January 2026	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	6 April 2026
7 January 2026	Health	F 0728	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	D	Yes	Deficient, Provider has date of correction	6 April 2026
6 November 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	10 December 2024
6 November 2024	Health	F 0841	Nursing and Physician Services Deficiencies	Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.	F	Yes	Deficient, Provider has date of correction	10 December 2024
21 March 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	5 May 2024
21 March 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	5 May 2024
21 March 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	5 May 2024
21 March 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	5 May 2024
21 March 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	5 May 2024
21 March 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	5 May 2024
21 March 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	5 May 2024
21 March 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	5 May 2024
27 January 2022	Health	F 0570	Resident Rights Deficiencies	Assure the security of all personal funds of residents deposited with the facility.	E	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	E	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	E	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0882	Infection Control Deficiencies	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	F	No	Deficient, Provider has date of correction	17 March 2022
27 January 2022	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	17 March 2022

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	TRUMAN LAKE MANOR, INC.
Date First Approved to Provide Medicare and Medicaid Services	1990-06-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	St. Clair
Telephone Number	4176442248
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	120
Average Number of Residents per Day	65.4
Overall Rating	1
Health Inspection Rating	2
QM Rating	1
Long-Stay QM Rating	1
Short-Stay QM Rating	2
Processing Date	2026-08-01

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

Every change on this record

18 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 September 2025: TIMOTHY J CORBIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARK P SNELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: MARK P SNELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: WAYNE L MORTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TIMOTHY J CORBIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: TIMOTHY J CORBIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: NICOLE WOOD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
1 September 2025: NICOLE WOOD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
20 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
26 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
15 March 2023: SHIRLEY EDMUNDS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: MICHAEL HARRIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: MICHAEL HARRIS no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: TIMOTHY J CORBIN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: TIMOTHY J CORBIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
28 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
4 August 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
17 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
22 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
15 May 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
29 April 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
23 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
23 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
6 May 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
24 June 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
30 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
24 April 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
19 December 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
9 March 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
12 April 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
17 May 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
12 May 2005: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
19 January 2005: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
21 December 2004: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, TRUMAN LAKE MANOR INC — facility record report, CMS certification number 265431. https://velarionrecords.com/facility/265431/report.

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

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 265431. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	4,294	1,540.67	2,703.03	10,136.31	14,380.01
2017Q2	30 June 2017	91	3,824	1,761.95	2,289.98	10,731.5	14,783.43
2017Q3	30 September 2017	92	4,078	1,464.16	2,623.74	10,509.31	14,597.21
2017Q4	31 December 2017	92	4,246	1,456.75	2,258.8	10,908.28	14,623.83
2018Q1	31 March 2018	90	3,583	1,874.34	1,869.17	10,643.61	14,387.12
2018Q2	30 June 2018	91	3,730	1,637.03	1,677.53	9,556.97	12,871.53
2018Q3	30 September 2018	92	3,558	768.61	2,668.69	10,588.53	14,025.83
2018Q4	31 December 2018	92	3,361	859.69	2,531.98	10,746.1	14,137.77
2021Q2	30 June 2021	91	4,310	1,483.57	1,523	7,238.69	10,245.26
2022Q2	30 June 2022	91	5,173	1,861.96	1,681.16	6,883.64	10,426.76
2022Q3	30 September 2022	92	5,001	1,730.12	2,141.83	7,162.52	11,034.47
2022Q4	31 December 2022	92	5,319	1,863.97	2,211.18	8,238.58	12,313.73
2023Q1	31 March 2023	90	5,345	1,366.7	3,136.54	9,488.43	13,991.67
2023Q3	30 September 2023	92	5,321	1,384.26	3,124.64	8,797.92	13,306.82
2023Q4	31 December 2023	92	5,464	1,634.89	3,151.28	9,782.58	14,568.75
2024Q1	31 March 2024	91	5,715	1,807.5	3,364.4	10,654.77	15,826.67
2024Q2	30 June 2024	91	5,998	1,905.77	4,814.44	10,497.41	17,217.62
2024Q3	30 September 2024	92	6,342	1,583.61	3,976.56	10,220.67	15,780.84
2024Q4	31 December 2024	92	6,472	1,488.69	4,509.2	11,908.3	17,906.19
2025Q1	31 March 2025	90	6,505	1,642.24	3,933.28	11,397.03	16,972.55
2025Q2	30 June 2025	91	6,600	2,424.57	3,698.16	11,767.44	17,890.17
2025Q3	30 September 2025	92	6,298	3,269.8	3,267.3	11,386.4	17,923.5
2025Q4	31 December 2025	92	6,191	3,065.9	3,635.4	10,243.3	16,944.6
2026Q1	31 March 2026	90	5,889	2,896.1	3,587.4	9,827.7	16,311.2

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.358796	0.62949	2.360575	3.348861
2017Q2	0.460761	0.598844	2.806355	3.86596
2017Q3	0.359039	0.643389	2.577075	3.579502
2017Q4	0.343088	0.531983	2.569072	3.444143
2018Q1	0.52312	0.521677	2.970586	4.015384
2018Q2	0.438882	0.44974	2.56219	3.450812
2018Q3	0.216023	0.750053	2.975978	3.942055
2018Q4	0.255784	0.753341	3.197292	4.206418
2021Q2	0.344216	0.353364	1.67951	2.37709
2022Q2	0.359938	0.324987	1.330686	2.015612
2022Q3	0.345955	0.42828	1.432218	2.206453
2022Q4	0.350436	0.415713	1.548896	2.315046
2023Q1	0.255697	0.586818	1.775197	2.617712
2023Q3	0.26015	0.587228	1.653434	2.500812
2023Q4	0.299211	0.576735	1.79037	2.666316
2024Q1	0.316273	0.588696	1.864352	2.769321
2024Q2	0.317734	0.802674	1.750152	2.87056
2024Q3	0.249702	0.62702	1.611585	2.488307
2024Q4	0.23002	0.696724	1.839972	2.766717
2025Q1	0.252458	0.604655	1.752042	2.609154
2025Q2	0.367359	0.560327	1.782945	2.710632
2025Q3	0.519181	0.518784	1.807939	2.845903
2025Q4	0.495219	0.587207	1.654547	2.736973
2026Q1	0.491781	0.60917	1.668823	2.769774

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
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
2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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