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Facility record report · CMS certification number 265754

ADVANCED CARE OF ST JOSEPH

SAINT JOSEPH, Missouri · Medicare and Medicaid

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$17,657,266CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,617,038CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,040,228CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,127,166CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,913,062CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$56,655CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,969,717CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,969,717 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components65,880CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,836CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days37,805CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days6,556CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components47,197CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges54CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges181CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges128CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components363CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days208.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days130.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437316, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 June 2023 to 31 December 2023 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 13 May 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$5,504,210CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$329,397CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,174,813CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,499,297CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$675,516CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$46,380CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$721,896CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $721,896 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,023CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components33CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days667.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1422108, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 July 2022 to 30 September 2022 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$2,340,436CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$220,505CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,119,931CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,125,310CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,379CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$690CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$6,069CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,069 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,150CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components81CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days209.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days112.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365745, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 January 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,498,662CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,594,144CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,904,518CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,806,523CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$902,005CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$869,783CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$32,222CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$32,222 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,717CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components288CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days226.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.13CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309603, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 February 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,163,602CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,365,594CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,798,008CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,987,612CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$189,604CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$30,320CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$159,284CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$159,284 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,326CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components281CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days319.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days118.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1279869, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$7,795,275CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,324,222CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,471,053CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,725,000CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$253,947CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$7,153CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$261,100CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$261,100 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,812CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components247CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days227.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249916, read from the public cost report file SNF10FY2018.zip.

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

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$7,047,698CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$943,330CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,104,368CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,921,303CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$816,935CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$136,489CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$680,446CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$680,446 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,364CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components241CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days224.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days142.59CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1218687, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$6,910,251CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$921,259CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,988,992CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,807,635CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$818,643CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$127,718CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$690,925CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$690,925 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,040CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components230CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days224.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days148CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1182693, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 January 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$7,611,168CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,165,264CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,445,904CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,404,582CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$958,678CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$164,285CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$794,393CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$794,393 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,475CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components206CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days66.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days234.24CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days172.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1152152, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 January 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$10,151,245CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,042,578CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,108,667CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,999,252CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$109,415CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$10,643CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$98,772CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $98,772 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components196CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,100CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components233CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days419.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days193.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1117970, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 October 2013 to 30 June 2014 — a reporting period of 272 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 February 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$6,370,181CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$574,192CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,795,989CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,274,987CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$478,998CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$157,635CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$321,363CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$321,363 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,356CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components204CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days242.68CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days143.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1086086, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$8,386,863CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$577,496CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,809,367CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,517,349CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$707,982CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$193,832CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$514,150CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$514,150 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,789CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components317CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days199.54CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1058963, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$9,356,341CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$948,112CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,408,229CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,972,184CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$563,955CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$128,913CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$435,042CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$435,042 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,989CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components386CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days245.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days101.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1054648, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 March 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$8,035,828CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,713,316CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$322,512CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$35,167CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $357,679 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,692CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components414CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.98CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days195.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days91.04CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434268, read from the public cost report file SNFFY2011.zip.

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

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$6,690,527CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,832,303CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$141,776CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$97,558CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$44,218 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,680CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components340CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.66CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days194.42CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days116.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 397249, read from the public cost report file SNFFY2010.zip.

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 April 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$6,822,961CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,204,983CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$382,022CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$168,859CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$213,163 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components219CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components42,495CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components303CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days301.02CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days140.25CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 367031, read from the public cost report file SNFFY2009.zip.

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 April 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$7,456,826CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,629,370CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$172,544CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$36,318CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$136,226 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components240CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,633CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components442CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days214.6CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days112.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 337739, read from the public cost report file SNFFY2008.zip.

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

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$7,036,483CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,967,369CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$69,114CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$73,573CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $142,687 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components240CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components53,204CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components408CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days28CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days273.68CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days130.4CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306453, read from the public cost report file SNFFY2007.zip.

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 9 March 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$6,573,907CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,598,231CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$24,324CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$35,405CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $11,081 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components240CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,345CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components337CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.46CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days397.32CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days167.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 274086, read from the public cost report file SNFFY2006.zip.

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

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$6,290,791CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,545,904CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$255,113CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$34,113CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$221,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components240CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components56,199CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components153CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.57CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,018.47CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days367.31CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 250927, read from the public cost report file SNFFY2005.zip.

Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 June 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$6,593,721CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,355,949CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$237,772CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$27,479CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $265,251 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components240CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components59,961CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components150CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,163.81CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days399.74CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 253246, read from the public cost report file SNFFY2004.zip.

Cost report for 27 March 2003 to 30 September 2003 — a reporting period of 187 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 11 May 2004.

None of these figures is carried on this report.

CMS report record 175819, read from the public cost report file SNFFY2003.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
ADVANCED CARE OF ST JOSEPH18047,197$14,040,228$11,127,166$2,913,06231 December 2024
ASPEN POINT HEALTH AND REHABILITATIO18021,430$7,282,765$8,070,432−$787,66731 December 2024
BLEAURIDGE NURSING & REHAB LLC18112,117$2,708,933$2,487,172$221,76131 December 2024
DELMAR GARDENS ON THE GREEN18036,422$11,730,959$13,735,373−$2,004,41431 March 2024
LEBANON NORTH NURSING & REHAB18022,712$4,545,365$5,822,414−$1,277,04931 December 2024
NORTH VILLAGE PARK18464,253$12,384,670$11,346,655$1,038,01531 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
ABBAS, MARGHOOBADP OF THE SNFIndividualNOT APPLICABLEsince 04/23/2025
GREEN, JANETADP OF THE SNFIndividualNOT APPLICABLEsince 04/23/2025
NORTH 18TH STREET CONSULTING LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/17/2025
ABBAS, MARGHOOBOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/15/2024
GREEN, JANETOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2023
MILLER, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2023
NORTH 18TH STREET CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NORTH 18TH STREET HEALTHCARE LLC (enrollment ID O20230713000845).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
VHS MO OPCO HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
VERTICAL HEALTH SERVICES LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
VHS HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
VHS ULTIMATE PARENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
WILLIAM MILLERIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JANET E GREENIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/23/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARGHOOB ABBASIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/23/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NORTH 18TH STREET CONSULTING LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/17/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
JANET E GREENIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARGHOOB ABBASIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/15/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NORTH 18TH STREET CONSULTING LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
WILLIAM MILLERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
13 July 20253 July 2025192
220 June 202420 June 2024132
328 February 202228 February 20221312

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

Deficiencies cited

45 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
20 November 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EYesDeficient, Provider has date of correction21 November 2025
27 August 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correction17 September 2025
3 July 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.EYesDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EYesDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GNoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DNoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.ENoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correction4 August 2025
3 July 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction4 August 2025
12 December 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction13 December 2024
3 July 2024HealthF 0568Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.BYesDeficient, Provider has date of correction23 July 2024
3 July 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.EYesDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DNoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction23 July 2024
20 June 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.FNoDeficient, Provider has date of correction23 July 2024
6 May 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction20 May 2024
15 February 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction18 March 2024
15 February 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction18 March 2024
11 January 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction18 March 2024
11 January 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correction18 March 2024
11 January 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correction15 January 2024
11 January 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EYesDeficient, Provider has date of correction18 March 2024
11 January 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correction15 January 2024
28 December 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction15 January 2024
28 February 2022HealthF 0569Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.ENoDeficient, Provider has date of correction1 April 2022
28 February 2022HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction1 April 2022

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
3 July 2025Fine$29,803134933

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameNORTH 18TH STREET HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services2003-03-27
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishBuchanan
Telephone Number8163644200
Chain NameVERTICAL HEALTH SERVICES
Chain ID636
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds180
Average Number of Residents per Day155.1
Overall Rating1
Health Inspection Rating2
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-08-01

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

Every change on this record

How to read this report

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

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

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

How to cite this report

Velarion Records, ADVANCED CARE OF ST JOSEPH — facility record report, CMS certification number 265754. https://velarionrecords.com/facility/265754/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 265754. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 2017908,5102,656.953,608.3912,720.9518,986.29
2017Q230 June 2017918,5463,364.774,958.4116,475.724,798.88
2017Q330 September 2017928,9623,279.255,351.6718,811.8227,442.74
2017Q431 December 2017928,5012,815.635,769.7618,029.626,614.99
2018Q131 March 2018908,5773,443.34,943.1716,992.3925,378.86
2018Q230 June 2018918,4183,715.654,549.4815,738.1924,003.32
2018Q330 September 2018928,5944,521.164,008.6413,557.2522,087.05
2018Q431 December 2018928,0813,873.954,382.5113,053.9421,310.4
2019Q131 March 2019908,0523,920.583,971.7514,793.0822,685.41
2019Q230 June 2019918,2263,690.025,040.8616,674.0325,404.91
2019Q330 September 2019928,1573,495.655,220.0916,581.2825,297.02
2019Q431 December 2019928,8403,679.94,69016,913.825,283.7
2020Q131 March 2020918,3954,030.884,752.6415,548.2424,331.76
2020Q230 June 2020918,0104,109.334,253.116,164.4124,526.84
2020Q330 September 2020927,7674,250.43,976.1317,105.3725,331.9
2020Q431 December 2020927,9373,810.74,519.4517,562.2525,892.4
2021Q131 March 2021908,0212,867.024,714.5416,261.3223,842.88
2021Q230 June 2021917,9382,809.14,060.4316,041.1422,910.67
2021Q330 September 2021928,2183,260.884,225.0116,420.2823,906.17
2021Q431 December 2021928,3823,883.533,850.1216,816.7624,550.41
2022Q131 March 2022908,4323,254.94,007.9316,811.4924,074.32
2022Q230 June 2022918,3732,823.033,252.6317,518.8523,594.51
2022Q330 September 2022929,1493,133.574,072.7417,478.9924,685.3
2022Q431 December 2022928,8613,287.533,096.9912,610.8118,995.33
2023Q131 March 2023908,5813,327.473,332.8313,861.3620,521.66
2023Q230 June 2023919,0043,314.543,574.9414,669.5821,559.06
2023Q330 September 2023928,8723,602.422,613.0814,894.8221,110.32
2023Q431 December 20239210,0922,792.682,999.0416,418.222,209.92
2024Q131 March 20249111,1513,172.143,590.4119,150.9925,913.54
2024Q230 June 20249111,2393,520.193,995.1220,559.5328,074.84
2024Q330 September 20249211,8163,661.363,273.3321,790.2928,724.98
2024Q431 December 20249212,5264,469.833,369.9421,946.4829,786.25
2025Q131 March 20259012,5314,253.683,771.0123,424.7631,449.45
2025Q230 June 20259112,8434,624.874,697.5325,749.5235,071.92
2025Q330 September 20259213,6576,283.294,092.8725,906.5736,282.73
2025Q431 December 20259214,3316,345.034,058.7226,993.8937,397.64
2026Q131 March 20269013,9625,521.953,577.8625,537.8834,637.69
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q10.3122150.4240181.4948242.231056
2017Q20.3937250.5802021.9278842.901811
2017Q30.3659060.5971512.0990653.062122
2017Q40.3312120.6787152.120883.130807
2018Q10.4014570.5763291.9811582.958944
2018Q20.4413930.5404471.8695882.851428
2018Q30.5260830.4664461.5775252.570055
2018Q40.479390.5423231.6153872.637099
2019Q10.4869080.4932631.8371932.817363
2019Q20.448580.6127962.0269913.088367
2019Q30.4285460.6399522.0327673.101265
2019Q40.4162780.5305431.9133262.860147
2020Q10.4801520.5661271.8520832.898363
2020Q20.5130250.5309742.0180293.062027
2020Q30.5472380.5119262.2023143.261478
2020Q40.4801180.5694152.2127063.26224
2021Q10.3574390.5877752.0273432.972557
2021Q20.353880.5115182.0208042.886202
2021Q30.3967970.5141171.9980872.909001
2021Q40.4633180.4593322.0062942.928944
2022Q10.3860180.4753241.9937732.855114
2022Q20.3371590.3884662.0923032.817928
2022Q30.3425040.4451571.9104812.698142
2022Q40.3710110.3495081.4231812.1437
2023Q10.3877720.3883961.6153552.391523
2023Q20.3681190.3970391.6292292.394387
2023Q30.4060440.2945311.6788572.379432
2023Q40.2767220.297171.6268532.200745
2024Q10.2844710.3219811.7174242.323876
2024Q20.3132120.3554691.8293022.497984
2024Q30.3098650.2770251.8441342.431024
2024Q40.3568440.2690361.7520742.377954
2025Q10.3394530.3009341.8693452.509732
2025Q20.3601080.3657662.0049462.73082
2025Q30.4600780.299691.8969442.656713
2025Q40.4427490.2832131.8836012.609562
2026Q10.3954980.2562571.8290992.480854

How each quarter is derived, and its file

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

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