Facility record report · CMS certification number 265885

SALEM CARE CENTER

SALEM, 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 26 April 2024 to 31 December 2024 — a reporting period of 249 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$3,451,377	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$46,373	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,405,004	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,148,715	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$256,289	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,895	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$270,184	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $270,184 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	21,960	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	71	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	14,740	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	1,262	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	16,073	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	1	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	21	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	7	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	29	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	554.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434647, read from the public cost report file SNF10FY2024.zip.

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

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
BELLEVIEW VALLEY NURSING HOME	122	32,252	$6,058,775	$6,365,164	−$306,389	31 December 2024
CHARLESTON MANOR	120	4,122	$871,779	$1,555,822	−$684,043	14 June 2024
MACON HEALTH CARE CENTR	120	17,930	$4,380,736	$4,983,095	−$602,359	31 December 2024
NAZARETH LIVING CENTER	121	33,960	$12,272,923	$26,256,983	−$13,984,060	30 June 2024
NHC HEALTHCARE DESLOGE	120	22,060	$5,401,643	$6,552,219	−$1,150,576	31 December 2024
SALEM CARE CENTER	120	16,073	$3,405,004	$3,148,715	$256,289	31 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
ELM INVESTMENT GROUP LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 02/01/2024
KRISLEY PROPERTIES LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	23%	since 02/01/2023
MJZ INVESTMENT LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	23%	since 02/01/2024
NORTH STAR EQUITY GROUP LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	10%	since 02/01/2024
SILVER MAPLE PROPERTIES LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	23%	since 02/01/2024
WILLIZA PROPERTIES	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	23%	since 02/01/2024
BIGHAM, BROOKE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/01/2023
SCHUMACHER, JEREMY	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 06/22/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ELM INVESTMENT GROUP LLC (enrollment ID O20240402002281).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ELM INVESTMENT GROUP LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	2/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
KRISLEY PROPERTIES LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	22.5	2/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
MJZ INVESTMENT LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	22.5	2/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
NORTH STAR EQUITY GROUP LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10	2/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
SILVER MAPLE PROPERTIES LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	22.5	2/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
WILLIZA PROPERTIES	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	22.5	2/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
BROOKE BIGHAM	Individual	CORPORATE DIRECTOR	100	2/1/2023	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.
JEREMY SCHUMACHER	Individual	W-2 MANAGING EMPLOYEE	100	6/22/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: KRISLEY PROPERTIES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KRISLEY PROPERTIES LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2024: JEREMY SCHUMACHER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: ELM INVESTMENT GROUP LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: BROOKE BIGHAM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: MJZ INVESTMENT LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: NORTH STAR EQUITY GROUP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: WILLIZA PROPERTIES appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: SILVER MAPLE PROPERTIES LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: KRISLEY PROPERTIES LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	27 March 2026	27 March 2026	6	6
2	9 August 2024	9 August 2024	8	12
3	5 October 2023	5 October 2023	13	19

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

Deficiencies cited

27 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
16 June 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Past Non-Compliance
27 March 2026	Health	F 0570	Resident Rights Deficiencies	Assure the security of all personal funds of residents deposited with the facility.	F	No	Deficient, Provider has date of correction	30 April 2026
27 March 2026	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	30 April 2026
27 March 2026	Health	F 0728	Nursing and Physician Services Deficiencies	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	F	No	Deficient, Provider has date of correction	30 April 2026
27 March 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	30 April 2026
27 March 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	30 April 2026
9 August 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	20 September 2024
9 August 2024	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	20 September 2024
9 August 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	No	Deficient, Provider has date of correction	20 September 2024
9 August 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	20 September 2024
9 August 2024	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	20 September 2024
9 August 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	20 September 2024
9 August 2024	Health	F 0851	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	D	No	Deficient, Provider has date of correction	20 September 2024
9 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	20 September 2024
5 October 2023	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	E	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0568	Resident Rights Deficiencies	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	B	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0838	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	E	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0851	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	E	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	15 November 2023
5 October 2023	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	E	No	Deficient, Provider has date of correction	15 November 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

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	ELM INVESTMENT GROUP LLC
Date First Approved to Provide Medicare and Medicaid Services	2024-04-26
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Dent
Telephone Number	5737296649
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	60
Average Number of Residents per Day	43.4
Overall Rating	2
Health Inspection Rating	3
QM Rating	1
Long-Stay QM Rating	1
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: KRISLEY PROPERTIES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KRISLEY PROPERTIES LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 July 2024: JEREMY SCHUMACHER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: ELM INVESTMENT GROUP LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: BROOKE BIGHAM appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: MJZ INVESTMENT LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: NORTH STAR EQUITY GROUP LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: WILLIZA PROPERTIES appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: SILVER MAPLE PROPERTIES LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv
1 July 2024: KRISLEY PROPERTIES LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-07-01.csv

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, SALEM CARE CENTER — facility record report, CMS certification number 265885. https://velarionrecords.com/facility/265885/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.zip.
Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
Care Compare ownership: CMS file dated 1 August 2026.
Medicare enrollment ownership: CMS file dated 1 August 2026.
Nurse staffing: CMS Payroll-Based Journal, quarters 2024Q3 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 265885. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2024Q3	30 September 2024	92	4,026	2,891.3	1,912.6	8,424	13,227.9
2024Q4	31 December 2024	92	4,204	2,719.9	1,874.7	7,237.6	11,832.2
2025Q1	31 March 2025	90	4,013	3,093.3	1,351.3	7,784.4	12,229
2025Q2	30 June 2025	91	4,143	3,231.7	1,201.2	8,899.8	13,332.7
2025Q3	30 September 2025	92	4,140	3,472.7	1,156.2	9,113.4	13,742.3
2025Q4	31 December 2025	92	3,834	2,346.5	2,048.1	9,152.1	13,546.7
2026Q1	31 March 2026	90	3,903	1,661.1	2,575.8	8,465.1	12,702

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2024Q3	0.718157	0.475062	2.092399	3.285618
2024Q4	0.646979	0.445932	1.721598	2.81451
2025Q1	0.77082	0.336731	1.939796	3.047346
2025Q2	0.780039	0.289935	2.148154	3.218127
2025Q3	0.838816	0.279275	2.201304	3.319396
2025Q4	0.612024	0.534194	2.387089	3.533307
2026Q1	0.425596	0.659954	2.16887	3.25442

How each quarter is derived, and its file

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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