Facility record report · CMS certification number 265708

SHIRKEY NURSING AND REHABILITATION CENTER

RICHMOND, 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 May 2024 to 30 April 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 October 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$7,521,450	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$411,255	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,932,705	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,767,099	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$834,394	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,684,821	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,850,427	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,850,427 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	197	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	71,905	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	554	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	20,831	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	10,052	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	31,437	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	7	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	56	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	112	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	175	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	79.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	371.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	179.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440719, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 May 2023 to 30 April 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 December 2024.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$7,692,343	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$44,412	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,736,755	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,168,943	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,432,188	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$727,126	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$705,062	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$705,062 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,458	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	269	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	197.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	124.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1399932, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 May 2022 to 30 April 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 November 2023.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$7,144,863	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$140,394	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,285,257	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,493,042	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,207,785	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$739,124	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$468,661	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$468,661 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,995	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	256	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	235.37	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	136.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1368591, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 May 2021 to 30 April 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 October 2022.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$6,664,645	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$367,129	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,031,774	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,578,156	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,546,382	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,013,964	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$532,418	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$532,418 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,841	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	213	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	427.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	163.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335783, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 May 2020 to 30 April 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 December 2021.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,703,632	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$8,063	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,695,569	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,033,382	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,337,813	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,973,839	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$636,026	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $636,026 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,928	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	228	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	291.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	170.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1307536, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 May 2019 to 30 April 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 December 2020.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$9,969,149	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$287,116	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,682,033	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,463,993	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$781,960	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$824,057	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$42,097	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $42,097 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	49,218	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	266	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	340.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	185.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1276817, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 May 2018 to 30 April 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 December 2019.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$10,558,579	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$363,114	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,195,465	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,380,286	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,184,821	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$660,748	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$524,073	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$524,073 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	53,062	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	310	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	286.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	171.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1246601, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 May 2017 to 30 April 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 October 2018.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$11,674,271	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$593,803	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,080,468	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,939,689	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$859,221	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$636,879	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$222,342	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$222,342 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	60,061	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	313	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	295.81	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	191.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1213532, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 May 2016 to 30 April 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 November 2017.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$11,682,155	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$137,927	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,544,228	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,905,466	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$361,238	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$641,634	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$280,396	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $280,396 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	60,849	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	406	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	278.47	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	149.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1177963, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 May 2015 to 30 April 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 November 2016.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$11,691,685	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$368,050	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,323,635	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,071,014	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$747,379	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$606,797	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$140,582	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$140,582 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,309	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	132	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	67.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,191.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	472.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1147071, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 May 2014 to 30 April 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 November 2015.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$11,707,811	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$445,479	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,262,332	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,754,069	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$491,737	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$579,859	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$88,122	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $88,122 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	63,932	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	136	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,399.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	470.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112951, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 May 2013 to 30 April 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 November 2014.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$11,603,236	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$8,979	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,612,215	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,851,840	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$239,625	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$575,056	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$335,431	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $335,431 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	63,798	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	68.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	3,254.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	686	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1080081, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 May 2012 to 30 April 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 November 2013.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$12,320,975	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$193,463	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,514,438	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,104,386	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$410,052	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$569,537	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$979,589	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $979,589 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	64,238	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	259	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	110.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	446.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	248.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1051125, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 May 2011 to 30 April 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 September 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$12,258,600	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$92,050	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,350,650	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,711,089	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$360,439	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$534,152	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$173,713	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $173,713 (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	187	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,274	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	546	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	292.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	114.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1048008, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 May 2010 to 30 April 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 November 2011.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$11,564,150	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,421,682	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$142,468	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$520,717	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $663,185 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	187	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	60,517	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	493	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	220.49	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	122.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 420554, read from the public cost report file SNFFY2010.zip.

Cost report for 1 May 2009 to 30 April 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2010.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$11,409,264	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,833,196	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$576,068	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$492,591	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,068,659 (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	187	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	62,233	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	624	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.46	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	215.73	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	99.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 388956, read from the public cost report file SNFFY2009.zip.

Cost report for 1 May 2008 to 30 April 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 November 2009.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$9,521,272	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,269,024	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$252,248	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$498,324	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $750,572 (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	187	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	59,329	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	602	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26.26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	202.82	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	98.55	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 358912, read from the public cost report file SNFFY2008.zip.

Cost report for 1 May 2007 to 30 April 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 November 2008.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$8,338,780	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,437,935	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$99,155	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$637,487	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $538,332 (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	187	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	58,944	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	601	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	20.79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	154.88	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	98.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 327956, read from the public cost report file SNFFY2007.zip.

Cost report for 1 May 2006 to 30 April 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 November 2007.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$7,970,982	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,998,874	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$27,892	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$556,282	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $528,390 (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	167	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	57,730	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	528	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	211.42	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	109.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 296764, read from the public cost report file SNFFY2006.zip.

Cost report for 1 May 2005 to 30 April 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 November 2006.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$7,770,265	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,487,872	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$282,393	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$544,836	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $827,229 (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	167	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	56,220	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	441	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	267.74	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	127.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 266292, read from the public cost report file SNFFY2005.zip.

Cost report for 1 May 2004 to 30 April 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 November 2005.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$7,670,579	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,591,342	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$79,237	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$495,261	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $574,498 (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	151	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	50,660	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	322	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.1	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	289.24	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	157.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 236479, read from the public cost report file SNFFY2004.zip.

Cost report for 1 May 2003 to 30 April 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 29 December 2004.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$6,896,181	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,924,462	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$28,281	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$488,203	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $459,922 (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	151	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	50,783	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	509	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.21	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	199.21	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	99.77	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 203617, read from the public cost report file SNFFY2003.zip.

Cost report for 1 May 2002 to 30 April 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$5,989,747	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,010,823	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$21,076	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$343,659	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $322,583 (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	151	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,797	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	363	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.72	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	272.12	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	120.65	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 214767, read from the public cost report file SNFFY2002.zip.

Cost report for 1 May 2001 to 30 April 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 March 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$5,710,437	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,493,514	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$216,923	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$338,253	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $555,176 (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	141	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,107	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	289	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.63	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	251.09	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	145.7	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 172089, read from the public cost report file SNFFY2001.zip.

Cost report for 1 October 2000 to 30 April 2001 — a reporting period of 211 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 3 June 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$2,940,218	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,693,796	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$246,422	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$298,625	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $545,047 (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	141	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,847	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	205	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	220.56	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	126.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 147120, read from the public cost report file SNFFY2001.zip.

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

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
BETHESDA SOUTHGATE	210	45,550	$17,146,269	$15,840,821	$1,305,448	30 June 2025
BLUEBIRD WELLNESS AND REHABILITATION	188	59,710	$16,707,603	$16,816,205	−$108,602	31 August 2025
CARMEL HILLS WELLNESS AND REHABILITA	194	56,013	$17,803,941	$15,228,470	$2,575,471	31 August 2025
DELMAR GARDENS OF MERAMEC VALLEY	190	58,479	$18,960,646	$18,165,568	$795,078	31 March 2025
HILLSIDE REHAB AND HEALTHCARE CENTER	208	37,417	$10,233,032	$9,207,959	$1,025,073	14 September 2025
SHIRKEY NURSING AND REHAB CENTER	197	31,437	$7,932,705	$8,767,099	−$834,394	30 April 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
BURNHAM, LOIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/15/2004
ESTES, DENNIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/15/2004
SWAFFORD, RICHARD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2011
BROWN, CHRIS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2000
BROWN, CHRIS	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 04/01/2000

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SENIOR CITIZENS NURSING HOME DISTRICT OF RAY COUNTY (enrollment ID O20041215000148).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
RICHARD SWAFFORD	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2011	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHRIS BROWN	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.	4/1/2000	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.
DENNIS ESTES	Individual	DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/15/2004	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.
LOIS BURNHAM	Individual	DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/15/2004	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.
SENIOR CITIZENS NURSING HOME DISTRICT OF RAY COUNTY	Organization	OTHER	100	1/1/1969	Private equity company: No Real estate investment trust: No Holding company: No
CHRIS BROWN	Individual	W-2 MANAGING EMPLOYEE	100	4/1/2000	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 2024: RICHARD VANDIVER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: DONALD WHEELER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: RICHARD STIGALL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	8 May 2025	8 May 2025	10	5
2	5 April 2024	5 April 2024	14	12
3	20 April 2022	20 April 2022	23	18

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

Deficiencies cited

47 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
8 May 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has plan of correction	22 June 2025
8 May 2025	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 plan of correction	22 June 2025
8 May 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has plan of correction	22 June 2025
8 May 2025	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E	No	Deficient, Provider has plan of correction	22 June 2025
8 May 2025	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 plan of correction	22 June 2025
8 May 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	E	No	Deficient, Provider has plan of correction	22 June 2025
8 May 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has plan of correction	22 June 2025
8 May 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has plan of correction	22 June 2025
8 May 2025	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 plan of correction	22 June 2025
8 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has plan of correction	22 June 2025
5 April 2024	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	No	Deficient, Provider has date of correction	20 May 2024
5 April 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.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	20 May 2024
5 April 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	20 May 2024
5 April 2024	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F	No	Deficient, Provider has date of correction	20 May 2024
5 April 2024	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	E	No	Deficient, Provider has date of correction	20 May 2024
20 April 2022	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0569	Resident Rights Deficiencies	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 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	2 June 2022
20 April 2022	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 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	2 June 2022
20 April 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	2 June 2022
20 April 2022	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	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	2 June 2022
20 April 2022	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 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.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	G	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 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	2 June 2022
20 April 2022	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	E	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0888	Infection Control Deficiencies	Ensure staff are vaccinated for COVID-19	C	No	Deficient, Provider has date of correction	2 June 2022
20 April 2022	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	2 June 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	Government - County
Legal Business Name	SENIOR CITIZENS NURSING HOME DISTRICT OF RAY COUNTY
Date First Approved to Provide Medicare and Medicaid Services	2000-10-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Ray
Telephone Number	8167765403
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	None
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	197
Average Number of Residents per Day	94.5
Overall Rating	3
Health Inspection Rating	3
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	3
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

10 October 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
4 December 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
1 September 2024: RICHARD VANDIVER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: DONALD WHEELER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: RICHARD STIGALL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
23 November 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
27 October 2022: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
17 December 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
18 December 2020: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
2 December 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
31 October 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
6 November 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
29 November 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
18 November 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
11 November 2014: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
25 November 2013: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
12 September 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
23 November 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
26 October 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
9 November 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
4 November 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
21 November 2007: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
14 November 2006: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
9 November 2005: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
21 April 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
29 December 2004: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
26 March 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
3 June 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.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, SHIRKEY NURSING AND REHABILITATION CENTER — facility record report, CMS certification number 265708. https://velarionrecords.com/facility/265708/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 265708. 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	15,050	2,192.89	14,161.76	45,187.98	61,542.63
2017Q2	30 June 2017	91	15,057	2,090.94	14,224.35	44,291.32	60,606.61
2017Q3	30 September 2017	92	15,413	1,847.41	12,897.86	43,247.61	57,992.88
2017Q4	31 December 2017	92	15,117	1,448.97	12,863.64	47,685.71	61,998.32
2018Q1	31 March 2018	90	14,462	1,361.73	14,109.07	42,428.95	57,899.75
2018Q2	30 June 2018	91	13,810	864.21	14,126.19	44,255.68	59,246.08
2018Q3	30 September 2018	92	13,424	637.96	11,254.8	39,215.8	51,108.56
2018Q4	31 December 2018	92	13,174	1,160.78	11,436.84	41,317.78	53,915.4
2019Q1	31 March 2019	90	12,715	1,033.79	10,850.39	37,925	49,809.18
2019Q2	30 June 2019	91	13,391	1,488.57	10,649.52	37,797.59	49,935.68
2019Q3	30 September 2019	92	12,544	1,968.51	10,703.53	34,732.65	47,404.69
2019Q4	31 December 2019	92	12,105	1,658.99	9,860.72	33,337.3	44,857.01
2020Q1	31 March 2020	91	11,562	1,568.07	9,383.31	30,027.82	40,979.2
2020Q2	30 June 2020	91	10,758	1,316.51	9,041.57	29,980.68	40,338.76
2020Q3	30 September 2020	92	10,692	1,749.36	9,837.17	28,401.54	39,988.07
2020Q4	31 December 2020	92	9,600	1,535.41	8,487.19	24,138.46	34,161.06
2021Q1	31 March 2021	90	8,700	1,711.82	7,370.83	20,712.93	29,795.58
2021Q2	30 June 2021	91	8,490	1,469.05	6,734.78	20,385.19	28,589.02
2021Q4	31 December 2021	92	8,969	1,779.42	7,358.76	22,213.46	31,351.64
2022Q2	30 June 2022	91	8,926	2,004.41	6,922.41	21,065.41	29,992.23
2022Q3	30 September 2022	92	8,657	1,897.66	6,832.18	20,208.71	28,938.55
2022Q4	31 December 2022	92	8,610	1,449.51	6,357.15	18,732.19	26,538.85
2023Q1	31 March 2023	90	8,704	1,916.1	5,953.66	18,259.49	26,129.25
2023Q2	30 June 2023	91	8,624	1,678.34	6,144.25	18,438.71	26,261.3
2023Q3	30 September 2023	92	8,613	2,313.51	5,869.61	21,620.33	29,803.45
2023Q4	31 December 2023	92	8,382	2,137.93	5,908.63	20,826	28,872.56
2024Q1	31 March 2024	91	7,983	2,328.66	5,105.68	19,083.63	26,517.97
2024Q2	30 June 2024	91	7,805	1,218.88	5,518.31	17,279.45	24,016.64
2024Q3	30 September 2024	92	7,857	1,257.64	6,477.6	18,494.82	26,230.06
2024Q4	31 December 2024	92	8,036	1,971.41	7,219.06	19,524.02	28,714.49
2025Q1	31 March 2025	90	7,625	2,633.93	5,740.8	19,371.85	27,746.58
2025Q2	30 June 2025	91	7,944	3,521.29	6,083.28	20,374.22	29,978.79
2025Q3	30 September 2025	92	8,307	3,072.21	6,304.29	23,212.18	32,588.68
2025Q4	31 December 2025	92	8,517	2,493.9	8,140.45	23,765.74	34,400.09
2026Q1	31 March 2026	90	8,502	3,025.38	8,000.12	23,699.11	34,724.61

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	0.145707	0.940981	3.002524	4.089211
2017Q2	0.138868	0.9447	2.941577	4.025145
2017Q3	0.119861	0.836817	2.805918	3.762595
2017Q4	0.09585	0.850939	3.154443	4.101232
2018Q1	0.094159	0.975596	2.933823	4.003578
2018Q2	0.062579	1.022896	3.204611	4.290085
2018Q3	0.047524	0.838409	2.92132	3.807253
2018Q4	0.088111	0.868137	3.136312	4.092561
2019Q1	0.081305	0.853354	2.982698	3.917356
2019Q2	0.111162	0.795274	2.822611	3.729048
2019Q3	0.156928	0.853279	2.768866	3.779073
2019Q4	0.13705	0.814599	2.754011	3.70566
2020Q1	0.135623	0.811565	2.597113	3.5443
2020Q2	0.122375	0.840451	2.786827	3.749652
2020Q3	0.163614	0.92005	2.656336	3.739999
2020Q4	0.159939	0.884082	2.514423	3.558444
2021Q1	0.196761	0.847222	2.380797	3.424779
2021Q2	0.173033	0.79326	2.401082	3.367376
2021Q4	0.198397	0.820466	2.476693	3.495556
2022Q2	0.224559	0.775533	2.360006	3.360097
2022Q3	0.219205	0.789209	2.334378	3.342792
2022Q4	0.168352	0.738345	2.175632	3.082329
2023Q1	0.22014	0.684014	2.097827	3.001982
2023Q2	0.194613	0.712459	2.138069	3.045141
2023Q3	0.268607	0.681483	2.510197	3.460287
2023Q4	0.255062	0.704919	2.48461	3.444591
2024Q1	0.291702	0.639569	2.390534	3.321805
2024Q2	0.156167	0.707022	2.213895	3.077084
2024Q3	0.160066	0.824437	2.353929	3.338432
2024Q4	0.245322	0.89834	2.429569	3.573232
2025Q1	0.345433	0.752892	2.54057	3.638896
2025Q2	0.443264	0.76577	2.564731	3.773765
2025Q3	0.369834	0.758913	2.794292	3.923038
2025Q4	0.292814	0.955788	2.790389	4.038991
2026Q1	0.355843	0.940969	2.787475	4.084287

How each quarter is derived, and its file

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

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