Velarion Records

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Facility record report · CMS certification number 265831

MONARCH SPRINGS WELLNESS & REHABILITATION

UNIVERSITY CITY, Missouri · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 May 2025 to 31 August 2025 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 February 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$945,921CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$35,423CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$910,498CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,857,640CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$947,142CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,732CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$944,410CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$944,410 (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
FigureAs filedWhere it comes from
Total facility beds, all components119CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components14,637CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days157CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days4,166CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components4,326CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges4CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges30CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges5CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components39CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days138.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448091, read from the public cost report file SNF10FY2025.zip.

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 12 September 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,868,170CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,042,060CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,826,110CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,768,358CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$942,248CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,744CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$939,504CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$939,504 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,621CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components75CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days117.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days256.26CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days248.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439479, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$5,012,233CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,837,376CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,174,857CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,107,469CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$932,612CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,811CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$930,801CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$930,801 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,277CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components64CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days276.91CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days238.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396521, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,371,962CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,583,553CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,788,409CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,505,727CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$717,318CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$226,190CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$491,128CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$787,035 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,395CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components75CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days213.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days205.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365636, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$5,005,168CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,682,946CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,322,222CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,833,166CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$510,944CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$449,842CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$61,102CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$61,102 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,808CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components75CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days68.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days264.15CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days250.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339474, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,022,051CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,938,389CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,083,662CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,162,323CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$78,661CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,440CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$75,221CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$75,221 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,807CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components77CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days355.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days296.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329535, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 December 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,517,902CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,234,392CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,283,510CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,207,504CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$76,006CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,831CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$84,837CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $84,837 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,280CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components79CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days332.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days307.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1277823, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$6,244,581CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,977,596CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,266,985CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,969,967CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$297,018CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,343CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$303,361CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $303,361 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,082CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components121CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days224.39CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days199.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242079, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,965,609CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,303,277CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,662,332CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,690,166CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$27,834CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,641CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$24,193CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$24,193 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,040CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components75CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days461.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days280.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1202716, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,865,363CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,732,840CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,132,523CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,347,536CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$215,013CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$855CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$214,158CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$214,158 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,957CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components86CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days70.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days380.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days290.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174186, read from the public cost report file SNF10FY2016.zip.

Cost report for 16 October 2015 to 31 December 2015 — a reporting period of 76 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$1,120,439CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$83,925CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,036,514CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$767,336CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$269,178CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,197CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$287,375CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $287,375 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,574CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components25CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days93.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days298CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days222.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1143165, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$4,838,123CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$304,451CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,142,574CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,123,602CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$18,972CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,230CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$20,202CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $20,202 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,962CMS-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 days46.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days181.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105736, read from the public cost report file SNF10FY2014.zip.

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

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,826,700CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$238,722CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,065,422CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,998,985CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$66,437CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,082CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$67,519CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $67,519 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,326CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components210CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days211.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days125.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1073122, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 June 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,349,387CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$514,434CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,834,953CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,714,001CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$120,952CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,492CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$122,444CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $122,444 (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 components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,669CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components221CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.42CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days154.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1065154, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$4,025,600CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$139,440CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,886,160CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,513,494CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$372,666CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,107CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$374,773CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $374,773 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components130CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,997CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components228CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days112.15CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days92.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027302, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 August 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$2,770,797CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,701,348CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$69,449CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,227CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $70,676 (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 components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,890CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components206CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.97CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days77CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days62.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 416529, read from the public cost report file SNFFY2010.zip.

Cost report for 20 July 2009 to 31 December 2009 — a reporting period of 164 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 28 June 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$173,968CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$513,961CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$339,993CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$207,985CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$132,008 (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 components130CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components927CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components17CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.7CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days92.14CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days54.53CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 378594, read from the public cost report file SNFFY2009.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.

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
AMBERWOOD ESTATES NURSING AND REHAB1152,352$652,520$811,311−$158,79131 January 2025
CITIZENS MEMORIAL HEALTH CARE FACILI11134,583$77,355,840$70,394,532$6,961,30831 May 2025
GARDEN VIEW CARE CENTER OF OFALLON12027,124$7,685,120$8,075,222−$390,10231 May 2025
MANOR GROVE INC11729,236$10,816,672$12,405,620−$1,588,94830 June 2025
MONARCH SPRINGS WELLNESS & REHABILIT1194,326$910,498$1,857,640−$947,14231 August 2025
TWIN PINES ADULT CARE CENTER12026,006$7,304,237$7,777,010−$472,77331 August 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 managerRoleTypeOwnership percentageAssociation
ARCHES HEALTHCARE LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 05/01/2025
BANKWELL BANK5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 05/01/2025
894 LELAND AVE MO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2025
CAMPBELL, KEVINADP OF THE SNFIndividualNOT APPLICABLEsince 08/05/2025
FORVIS MAZARS LLPADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2023
GAO, SHAWNADP OF THE SNFIndividualNOT APPLICABLEsince 08/05/2025
HERALD ADVISORS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/05/2025
OPCO CA SKILLED MGMT INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 03/01/2024
PEASE BELL CPAS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/14/2018
ARCHES HEALTHCARE LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/01/2025
AMBER HC TRUSTINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/01/2025
FIRST SWEETZER HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/01/2025
GARETZ, DAVIDINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 05/01/2025
KAPLAN, ESTHERINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 05/01/2025
LUCENT ADVISORS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/01/2025
RIMPAU HOLDINGS TRUSTINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/01/2025
SASEM INVESTMENTS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/01/2025
HAGINS, ELIZABETHINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 08/05/2025
MINDLE, ADAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 08/05/2025
CAMPBELL, KEVINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
FORVIS MAZARS LLPOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2023
GAO, SHAWNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
GARETZ, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
GURWITZ, SOLOMONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
KAPLAN, ESTHEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
OPCO CA SKILLED MGMT INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/2024
PEASE BELL CPAS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/14/2018
POTTER SPENCE, ALLENCIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
UNGER, JEFFREYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2025
DAVIDOVICH, NIVTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025
STERNSHEIN, JENNIFERTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 05/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MONARCH SPRINGS WELLNESS & REHABILITATION LLC (enrollment ID O20250805002403).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ARCHES HEALTHCARE LLCOrganization5% OR GREATER SECURITY INTEREST205/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
BANKWELL BANKOrganization5% OR GREATER SECURITY INTEREST805/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
894 LELAND AVE MO 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.5/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
FORVIS MAZARS LLPOrganizationADP 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.6/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
HERALD ADVISORS 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.8/5/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
KEVIN CAMPBELLIndividualADP 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.8/5/2025
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.
OPCO CA SKILLED MGMT INC.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
PEASE BELL CPAS 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.6/14/2018
Private equity company: No
Real estate investment trust: No
Holding company: No
SHAWN MICHAEL GAOIndividualADP 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.8/5/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/14/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2023
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.
ARCHES HEALTHCARE LLCOrganizationDIRECT OWNERSHIP INTEREST1005/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
AMBER HC TRUSTOrganizationINDIRECT OWNERSHIP INTEREST61.315/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
DAVID GARETZIndividualINDIRECT OWNERSHIP INTEREST15/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ESTHER KAPLANIndividualINDIRECT OWNERSHIP INTEREST3.25/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FIRST SWEETZER HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST15/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
LUCENT ADVISORS LLCOrganizationINDIRECT OWNERSHIP INTEREST995/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
RIMPAU HOLDINGS TRUSTOrganizationINDIRECT OWNERSHIP INTEREST34.495/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SASEM INVESTMENTS LLCOrganizationINDIRECT OWNERSHIP INTEREST3.25/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ALLENCIA POTTER SPENCEIndividualOPERATIONAL/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.5/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID GARETZIndividualOPERATIONAL/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.5/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ESTHER KAPLANIndividualOPERATIONAL/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.5/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FORVIS MAZARS LLPOrganizationOPERATIONAL/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
JEFFREY UNGERIndividualOPERATIONAL/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.5/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN CAMPBELLIndividualOPERATIONAL/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.5/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
OPCO CA SKILLED MGMT INC.OrganizationOPERATIONAL/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.3/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
PEASE BELL CPAS 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.6/14/2018
Private equity company: No
Real estate investment trust: No
Holding company: No
SHAWN MICHAEL GAOIndividualOPERATIONAL/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.5/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOLOMON L GURWITZIndividualOPERATIONAL/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.5/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JENNIFER STERNSHEINIndividualTRUSTEE 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.5/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NIV DAVIDOVICHIndividualTRUSTEE 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.5/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
17 May 20267 May 20261316
212 July 202412 July 20241212
39 December 20229 December 20221319

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

Deficiencies cited

38 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
7 May 2026HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction8 May 2026
7 May 2026HealthF 0574Resident Rights DeficienciesThe resident has the right to receive notices in a format and a language he or she understands.CNoDeficient, Provider has date of correction8 May 2026
7 May 2026HealthF 0627Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DYesDeficient, Provider has date of correction8 May 2026
7 May 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction8 May 2026
7 May 2026HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DNoDeficient, Provider has date of correction8 May 2026
7 May 2026HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correction8 May 2026
7 May 2026HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction8 May 2026
7 May 2026HealthF 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 correction8 May 2026
7 May 2026HealthF 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 correction8 May 2026
7 May 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction8 May 2026
7 May 2026HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.ENoDeficient, Provider has date of correction8 May 2026
20 March 2026HealthF 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 correction26 March 2026
31 December 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction5 January 2026
31 January 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesPast Non-Compliance20 January 2025
12 July 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correction16 August 2024
12 July 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correction16 August 2024
12 July 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction16 August 2024
12 July 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction16 August 2024
12 July 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correction16 August 2024
12 July 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.ENoDeficient, Provider has date of correction16 August 2024
12 July 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DNoDeficient, Provider has date of correction16 August 2024
12 July 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 correction16 August 2024
12 July 2024HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.ENoDeficient, Provider has date of correction16 August 2024
12 July 2024HealthF 0850Administration DeficienciesHire a qualified full-time social worker in a facility with more than 120 beds.FNoDeficient, Provider has date of correction9 August 2024
12 July 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction9 August 2024
2 May 2024HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DYesDeficient, Provider has date of correction29 May 2024
2 May 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.DYesDeficient, Provider has date of correction29 May 2024
2 May 2024HealthF 0742Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DYesDeficient, Provider has date of correction29 May 2024
9 December 2022HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correction6 January 2023
9 December 2022HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction5 January 2023
9 December 2022HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DNoDeficient, Provider has date of correction6 January 2023
9 December 2022HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction6 January 2023
9 December 2022HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction6 January 2023
9 December 2022HealthF 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 correction6 January 2023
9 December 2022HealthF 0850Administration DeficienciesHire a qualified full-time social worker in a facility with more than 120 beds.ENoDeficient, Provider has date of correction23 January 2023
9 December 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction6 January 2023
9 December 2022HealthF 0888Infection Control DeficienciesEnsure staff are vaccinated for COVID-19CNoDeficient, Provider has date of correction6 January 2023
9 December 2022HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DNoDeficient, Provider has date of correction6 January 2023

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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameMONARCH SPRINGS WELLNESS & REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid Services2009-07-20
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSt. Louis
Telephone Number3147264767
Chain NameOPCO SKILLED MANAGEMENT
Chain ID773
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds119
Average Number of Residents per Day54.7
Overall Rating2
Health Inspection Rating3
QM Rating3
Long-Stay QM Rating3
Processing Date2026-08-01

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

Every change on this record

How to read this report

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

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

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

How to cite this report

Velarion Records, MONARCH SPRINGS WELLNESS & REHABILITATION — facility record report, CMS certification number 265831. https://velarionrecords.com/facility/265831/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 265831. 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 2017905,480847.253,852.7514,687.7119,387.71
2017Q230 June 2017914,749822.54,40313,398.9718,624.47
2017Q330 September 2017925,248846.253,679.7512,716.517,242.5
2017Q431 December 2017925,672789.253,669.2514,136.1518,594.65
2018Q131 March 2018905,9001,179.253,751.514,12219,052.75
2018Q230 June 2018916,2361,302.252,95812,05816,318.25
2018Q330 September 2018926,0861,685.53,30913,795.518,790
2018Q431 December 2018926,0001,565.53,704.514,303.519,573.5
2019Q131 March 2019906,0421,563.253,51813,954.2519,035.5
2019Q230 June 2019916,1231,738.53,53914,08219,359.5
2019Q330 September 2019926,0661,752.53,47214,800.7520,025.25
2019Q431 December 2019925,9981,710.253,706.5414,352.5819,769.37
2020Q131 March 2020916,0281,636.253,64213,953.219,231.45
2020Q230 June 2020915,5991,636.53,674.9512,306.7517,618.2
2020Q330 September 2020925,7481,547.253,888.7513,280.7518,716.75
2020Q431 December 2020925,4201,5243,759.513,112.518,396
2021Q131 March 2021904,8731,836.753,363.2512,600.2517,800.25
2021Q230 June 2021914,8171,974.753,119.511,458.7516,553
2021Q330 September 2021924,7841,977.752,918.2710,514.2715,410.29
2021Q431 December 2021924,4511,732.252,560.258,164.7512,457.25
2022Q131 March 2022904,2481,330.752,1817,108.7510,620.5
2022Q230 June 2022913,8181,259.251,7666,378.759,404
2022Q330 September 2022923,6971,1301,8366,590.139,556.13
2022Q431 December 2022923,315996.51,789.856,416.359,202.7
2023Q131 March 2023903,2401,153.52,216.126,421.929,791.54
2023Q230 June 2023913,3761,7212,205.927,120.3811,047.3
2023Q330 September 2023923,8501,418.252,285.298,480.1412,183.68
2023Q431 December 2023924,8121,2993,093.2511,001.515,393.75
2024Q131 March 2024914,7199753,13610,59714,708
2024Q230 June 2024914,5441,176.753,268.9511,473.7815,919.48
2024Q330 September 2024924,8541,2652,75211,923.7515,940.75
2024Q431 December 2024924,505911.752,825.2511,051.714,788.7
2025Q131 March 2025903,863819.252,1209,504.0512,443.3
2025Q230 June 2025913,198817.691,246.95,675.497,740.08
2025Q330 September 2025923,6641,671.781,474.9410,050.6413,197.36
2025Q431 December 2025924,2721,5863,906.1311,603.0917,095.22
2026Q131 March 2026904,9211,567.312,932.039,645.9614,145.3
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
2017Q10.1546080.7030572.6802393.537903
2017Q20.1731940.9271432.821433.921767
2017Q30.1612520.7011722.4231143.285537
2017Q40.1391480.6469062.4922693.278323
2018Q10.1998730.6358472.3935593.22928
2018Q20.2088280.4743431.9336112.616782
2018Q30.2769470.5437072.266763.087414
2018Q40.2609170.6174172.3839173.26225
2019Q10.2587310.5822582.3095423.15053
2019Q20.2839290.5779852.2998533.161767
2019Q30.2889050.5723712.4399523.301228
2019Q40.2851370.6179632.3928943.295994
2020Q10.2714420.604182.3147313.190353
2020Q20.2922840.6563582.1980263.146669
2020Q30.2691810.676542.3104993.25622
2020Q40.2811810.6936352.419283.394096
2021Q10.3769240.6901812.5857273.652832
2021Q20.4099540.6476022.3788153.436371
2021Q30.4134090.6100062.1977993.221214
2021Q40.3891820.5752081.8343632.798753
2022Q10.3132650.5134181.6734352.500118
2022Q20.3298190.4625461.6707052.46307
2022Q30.3056530.4966191.7825622.584834
2022Q40.3006030.5399251.9355512.776078
2023Q10.3560190.6839881.9820743.02208
2023Q20.5097750.6534122.1091173.272305
2023Q30.3683770.5935822.2026343.164592
2023Q40.269950.642822.2862643.199034
2024Q10.2066120.6645482.2456033.116762
2024Q20.2589680.7193992.525043.503407
2024Q30.260610.5669552.4564793.284044
2024Q40.2023860.6271372.4532083.28273
2025Q10.2120760.5487962.4602773.221149
2025Q20.2556880.38991.77472.420288
2025Q30.4562720.4025492.7430793.6019
2025Q40.3712550.9143562.7160794.00169
2026Q10.3184940.595821.9601632.874477

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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