Velarion Records

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Facility record report · CMS certification number 265843

APPLETON CITY MANOR

APPLETON CITY, Missouri · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$2,518,675CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$12,488CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,531,163CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,179,092CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$647,929CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$197,663CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$450,266CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$450,266 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components30,744CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days104CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days6,131CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days11,530CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components17,765CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges2CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges16CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges48CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components66CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days383.19CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days269.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434634, 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 30 July 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$2,604,673CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$4,142CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,608,815CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,791,770CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$182,955CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$41,105CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$141,850CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$141,850 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,362CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components72CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days238.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days268.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390563, 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 18 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$2,057,916CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,486CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,059,402CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,248,700CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$189,298CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$40,933CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$148,365CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$148,365 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,337CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components49CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days12CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,053.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days333.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359089, 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 26 July 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$1,713,382CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$24,416CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,737,798CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,865,789CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$127,991CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$243,984CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$115,993CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $115,993 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,660CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components53CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days16.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days429.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days238.87CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327940, 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 25 June 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$1,609,892CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,071CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,607,821CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,869,601CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$261,780CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$409,109CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$147,329CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $147,329 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,845CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days16.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days781.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days305.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1287481, 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 29 May 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$1,854,643CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$42,234CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,812,409CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,795,583CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$16,826CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$36,289CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$53,115CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $53,115 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,950CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components48CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days692CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days332.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1256423, 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 13 June 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$2,003,282CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$67,570CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,935,712CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,809,055CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$126,657CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$35,238CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$161,895CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $161,895 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,808CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.92CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days720.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days424CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1228468, 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 5 June 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$1,916,641CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$87,087CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,829,554CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,647,139CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$182,415CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$31,673CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$214,088CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $214,088 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,809CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components44CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days18.92CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days644.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days404.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1191605, 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 10 May 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$1,970,830CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$92,308CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,878,522CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,792,604CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$85,918CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$32,468CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$118,386CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $118,386 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,625CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components55CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days397.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days302.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156967, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$2,065,032CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$81,262CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,983,770CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,881,022CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$102,748CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$27,510CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$130,258CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $130,258 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,888CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components61CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days422.91CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days309.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138890, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$2,060,058CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$23,145CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,036,913CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,892,075CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$144,838CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$27,646CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$172,484CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $172,484 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,441CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components66CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days213.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days294.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1104122, 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 4 August 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$1,784,343CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$20,910CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,805,253CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,706,207CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$99,046CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$25,995CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$125,041CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $125,041 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,042CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components49CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days582.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days368.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074928, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 October 2012 to 31 December 2012 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 June 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$429,210CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$591CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$428,619CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$450,863CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$22,244CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,003CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$16,241CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$16,241 (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 components84CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components4,724CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components7CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days11.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,297CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days674.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1032158, read from the public cost report file SNF10FY2013.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
APPLETON CITY MANOR8417,765$2,531,163$3,179,092−$647,92931 December 2024
CAMDENTON WINDSOR ESTATES8218,305$3,450,124$3,640,164−$190,04031 December 2024
GOLDEN AGE NURSING HOME8316,887$2,963,392$3,027,536−$64,14431 March 2024
PARKDALE MANOR CARE CENTER868,486$2,303,059$3,025,948−$722,88931 December 2024
QUAIL RUN HEALTHCARE CENTER8419,878$4,202,650$4,007,797$194,85331 December 2024
ROCK POINT NURSING CENTER LLC8625,503$5,262,502$4,825,630$436,87231 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
SCOTT, JANETCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2024
MORTON, WAYNELIMITED PARTNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/25/1994
REED, GLENLIMITED PARTNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/25/1994
REED, MARCUSLIMITED PARTNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/25/1994
SCOTT, JANETW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 07/08/2009

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of APPLETON CITY MANOR LLC (enrollment ID O20120702000308).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
JANET L SCOTTIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GLEN H REEDIndividualLIMITED PARTNERSHIP INTEREST33.331/25/1994
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.
MARCUS G REEDIndividualLIMITED PARTNERSHIP INTEREST33.331/25/1994
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WAYNE L MORTONIndividualLIMITED PARTNERSHIP INTEREST33.331/25/1994
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JANET L SCOTTIndividualW-2 MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/8/2009
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
127 June 202527 June 202563
29 September 20249 September 20243715
322 August 202222 August 2022207

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

Deficiencies cited

63 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
27 February 2026HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JYesDeficient, Provider has date of correction28 February 2026
18 November 2025HealthF 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 correction9 December 2025
27 June 2025HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DNoDeficient, Provider has date of correction10 August 2025
27 June 2025HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction10 August 2025
27 June 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction10 August 2025
27 June 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction10 August 2025
20 November 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction27 December 2024
20 November 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction27 December 2024
20 November 2024HealthF 0740Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.DYesDeficient, Provider has date of correction27 December 2024
20 November 2024HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.DYesDeficient, Provider has date of correction27 December 2024
13 November 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correction27 December 2024
13 November 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correction7 February 2025
17 October 2024HealthF 0567Resident Rights DeficienciesHonor the resident's right to manage his or her financial affairs.EYesDeficient, Provider has date of correction9 December 2024
17 October 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction9 December 2024
17 October 2024HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FYesDeficient, Provider has date of correction9 December 2024
9 September 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.EYesDeficient, Provider has date of correction23 October 2024
9 September 2024HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EYesDeficient, Provider has date of correction7 February 2025
9 September 2024HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DNoDeficient, Provider has date of correction7 February 2025
9 September 2024HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.ENoDeficient, Provider has date of correction7 February 2025
9 September 2024HealthF 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 correction7 February 2025
9 September 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDYesDeficient, Provider has date of correction10 December 2024
9 September 2024HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.ENoDeficient, Provider has date of correction10 December 2024
9 September 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction23 October 2024
9 September 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction27 December 2024
9 September 2024HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DYesDeficient, Provider has date of correction23 October 2024
9 September 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correction23 October 2024
9 September 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction23 October 2024
9 September 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction23 October 2024
9 September 2024HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FYesDeficient, Provider has date of correction10 December 2024
9 September 2024HealthF 0728Nursing and Physician Services DeficienciesEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.FYesDeficient, Provider has date of correction10 December 2024
9 September 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correction23 October 2024
9 September 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EYesDeficient, Provider has date of correction23 October 2024
9 September 2024HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.ENoDeficient, Provider has date of correction7 February 2025
9 September 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction10 December 2024
9 September 2024HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FNoDeficient, Provider has date of correction10 December 2024
9 September 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 correction7 February 2025
9 September 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction7 February 2025
9 September 2024HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FNoDeficient, Provider has date of correction10 December 2024
9 September 2024HealthF 0865Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.FNoDeficient, Provider has date of correction10 December 2024
9 September 2024HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyFNoDeficient, Provider has date of correction10 December 2024
9 September 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correction7 February 2025
9 September 2024HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.FNoDeficient, Provider has date of correction23 October 2024
9 September 2024HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FNoDeficient, Provider has date of correction23 October 2024
12 April 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction24 May 2024
12 April 2024HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DYesDeficient, Provider has date of correction24 May 2024
12 April 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DYesDeficient, Provider has date of correction24 May 2024
28 February 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction24 May 2024
28 February 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction5 April 2024
28 February 2024HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DYesDeficient, Provider has date of correction24 May 2024
28 February 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DYesDeficient, Provider has date of correction24 May 2024
9 November 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FYesDeficient, Provider has date of correction22 December 2023
9 November 2023HealthF 0728Nursing and Physician Services DeficienciesEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.FYesDeficient, Provider has date of correction22 December 2023
9 November 2023HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.FYesDeficient, Provider has date of correction22 December 2023
22 August 2022HealthF 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 correction4 October 2022
22 August 2022HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.ENoDeficient, Provider has date of correction4 October 2022
22 August 2022HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DNoDeficient, Provider has date of correction4 October 2022
22 August 2022HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FNoDeficient, Provider has date of correction4 October 2022
22 August 2022HealthF 0728Nursing and Physician Services DeficienciesEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.ENoDeficient, Provider has date of correction4 October 2022
22 August 2022HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction4 October 2022
22 August 2022HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction4 October 2022
22 August 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 correction4 October 2022
22 August 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction4 October 2022
22 August 2022HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.ENoDeficient, Provider has date of correction4 October 2022

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
27 February 2026Fine$26,685139401
9 September 2024Fine$65,33590508
9 September 2024Payment Denial16 November 202483

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameAPPLETON CITY MANOR LLC
Date First Approved to Provide Medicare and Medicaid Services2012-10-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishSt. Clair
Telephone Number6604762128
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day36.7
Overall Rating1
Health Inspection Rating1
QM Rating1
Long-Stay QM Rating1
Processing Date2026-08-01

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

Every change on this record

How to read this report

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

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

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

How to cite this report

Velarion Records, APPLETON CITY MANOR — facility record report, CMS certification number 265843. https://velarionrecords.com/facility/265843/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 265843. 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 2017902,818732.952,538.466,771.7810,043.19
2017Q431 December 2017922,906713.462,542.087,465.6810,721.22
2018Q131 March 2018903,058667.452,612.037,165.8610,445.34
2018Q230 June 2018913,078665.862,134.127,013.699,813.67
2018Q330 September 2018923,123264.371,964.963,999.266,228.59
2018Q431 December 2018922,9934962,275.987,577.8210,349.8
2019Q131 March 2019902,708303.282,233.516,493.59,030.29
2021Q131 March 2021902,100689.921,652.413,484.595,826.92
2021Q230 June 2021912,248870.511,963.336,537.449,371.28
2021Q330 September 2021922,4071,063.932,086.697,396.0410,546.66
2021Q431 December 2021922,389155.752,456.365,651.718,263.82
2022Q131 March 2022902,637821.522,1546,591.049,566.56
2022Q230 June 2022913,0321,087.32,086.926,172.919,347.13
2022Q330 September 2022922,868704.052,246.676,869.119,819.83
2024Q330 September 2024923,436764.332,741.9510,068.413,574.68
2024Q431 December 2024922,782843.952,883.8410,707.3114,435.1
2025Q230 June 2025912,2891,434.442,360.428,310.7512,105.61
2025Q330 September 2025922,6071,537.812,607.539,293.9113,439.25
2025Q431 December 2025922,7371,911.92,906.099,763.1314,581.12
2026Q131 March 2026903,3026647883,0884,540
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
2017Q10.2600960.9008022.4030453.563943
2017Q40.2455130.8747692.5690573.689339
2018Q10.2182640.8541632.3433163.415742
2018Q20.2163290.6933462.2786523.188327
2018Q30.0846530.629191.2805831.994425
2018Q40.165720.7604342.5318483.458002
2019Q10.1119940.8247822.3978953.334671
2021Q10.3285330.7868621.6593292.774724
2021Q20.3872380.8733672.9081144.168719
2021Q30.4420150.8669263.0727214.381662
2021Q40.0651951.0281962.3657223.459113
2022Q10.3115360.8168372.4994463.627819
2022Q20.3586080.6882982.035923.082827
2022Q30.2454850.7833582.3950873.42393
2024Q30.2224480.7980062.9302683.950722
2024Q40.3033611.0366073.8487815.188749
2025Q20.6266671.0312013.6307345.288602
2025Q30.5898771.0002033.5649835.155063
2025Q40.6985391.0617793.5670925.32741
2026Q10.201090.2386430.9351911.374924

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
  • 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
  • 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
  • 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
  • 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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