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Facility record report · CMS certification number 26A293

CLARA MANOR NURSING HOME

KANSAS CITY, Missouri · Medicaid

Finances, as filed

Not yet extracted for this facility.

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
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.Ownership Data Not AvailableCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.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.

Medicare enrollment

Not yet extracted for this facility.

Changes in ownership

No change in ownership appears in the CMS files on record since 20 September 2022.

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
117 October 202517 October 20251110
222 November 202422 November 20244011
328 April 202328 April 20233817

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

Deficiencies cited

89 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
20 November 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correction2 January 2026
20 November 2025HealthF 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 correction2 January 2026
17 October 2025HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.ENoDeficient, Provider has date of correction30 November 2025
17 October 2025HealthF 0574Resident Rights DeficienciesThe resident has the right to receive notices in a format and a language he or she understands.DNoDeficient, Provider has date of correction30 November 2025
17 October 2025HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.DNoDeficient, Provider has date of correction30 November 2025
17 October 2025HealthF 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 correction30 November 2025
17 October 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction30 November 2025
17 October 2025HealthF 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 correction30 November 2025
17 October 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction30 November 2025
17 October 2025HealthF 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 correction30 November 2025
17 October 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction30 November 2025
27 June 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correction14 August 2025
26 February 2025HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correction26 March 2025
14 January 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correction22 February 2025
14 January 2025HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DYesDeficient, Provider has date of correction22 February 2025
14 January 2025HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correction26 March 2025
14 January 2025HealthF 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 correction22 February 2025
22 November 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0570Resident Rights DeficienciesAssure the security of all personal funds of residents deposited with the facility.ENoDeficient, Provider has date of correction22 February 2025
22 November 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correction22 February 2025
22 November 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DYesDeficient, Provider has date of correction22 February 2025
22 November 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correction26 March 2025
22 November 2024HealthF 0626Resident Rights DeficienciesPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DYesDeficient, Provider has date of correction26 March 2025
22 November 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction22 February 2025
22 November 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 correction5 January 2025
22 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.DNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.ENoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction22 February 2025
22 November 2024HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.ENoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0740Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.GYesDeficient, Provider has date of correction22 February 2025
22 November 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction22 February 2025
22 November 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 correction5 January 2025
22 November 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.FNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.DNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DNoDeficient, Provider has date of correction5 January 2025
22 November 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.DNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction5 January 2025
22 November 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 correction5 January 2025
22 November 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.ENoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0887Infection Control DeficienciesEducate 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.ENoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.ENoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.ENoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.FNoDeficient, Provider has date of correction5 January 2025
22 November 2024HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FNoDeficient, Provider has date of correction5 January 2025
31 July 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correction26 September 2024
31 July 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 correction26 September 2024
31 July 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction26 September 2024
31 July 2024HealthF 0742Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DYesDeficient, Provider has date of correction26 September 2024
15 February 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correction29 March 2024
15 February 2024HealthF 0624Resident Rights DeficienciesPrepare residents for a safe transfer or discharge from the nursing home.DYesDeficient, Provider has date of correction29 March 2024
28 April 2023HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.ENoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 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 correction11 June 2023
28 April 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.ENoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 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.ENoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.ENoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0660Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.FNoDeficient, Provider has date of correction12 July 2023
28 April 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction12 July 2023
28 April 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0791Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 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 correction11 June 2023
28 April 2023HealthF 0803Nutrition and Dietary DeficienciesEnsure 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.FNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 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 correction11 June 2023
28 April 2023HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0825Quality of Life and Care DeficienciesProvide or get specialized rehabilitative services as required for a resident.DNoDeficient, Provider has date of correction12 July 2023
28 April 2023HealthF 0835Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.ENoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0836Administration DeficienciesEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.ENoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 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.FNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 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 correction11 June 2023
28 April 2023HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0888Infection Control DeficienciesEnsure staff are vaccinated for COVID-19ENoDeficient, Provider has date of correction11 June 2023
28 April 2023HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FNoDeficient, Provider has date of correction11 June 2023

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
17 October 2025Payment Denial24 December 20259
27 June 2025Payment Denial6 August 20258
22 November 2024Payment Denial13 February 202562
31 July 2024Payment Denial10 September 202416

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

Care Compare provider information

FieldAs filed
Provider TypeMedicaid
Ownership TypeFor profit - Corporation
Legal Business NameLegal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid Services1988-04-07
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishJackson
Telephone Number8167561593
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds90
Average Number of Residents per Day85.6
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating4
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

No change has appeared in the CMS files since this record began.

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, CLARA MANOR NURSING HOME — facility record report, CMS certification number 26A293. https://velarionrecords.com/facility/26A293/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 26A293. 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 2017907,003278.044,374.719,512.3914,165.14
2017Q230 June 2017916,822347.834,434.79,828.3214,610.85
2018Q131 March 2018907,335298.034,027.818,450.5812,776.42
2018Q230 June 2018917,212334.093,999.458,742.6913,076.23
2018Q330 September 2018926,816667.683,667.79,038.9813,374.36
2019Q131 March 2019906,255793.272,799.178,986.2412,578.68
2019Q230 June 2019916,089255.143,502.448,425.0812,182.66
2019Q431 December 2019926,607185.072,878.968,584.9811,649.01
2020Q131 March 2020916,343864.672,1986,935.679,998.34
2020Q230 June 2020916,0751,381.482,130.216,944.8210,456.51
2020Q330 September 2020925,558522.032,453.628,633.2911,608.94
2023Q230 June 2023917,6321,137.322,559.218,892.0912,588.62
2023Q330 September 2023927,5951,0242,876.099,641.3613,541.45
2023Q431 December 2023927,939927.162,808.989,613.9513,350.09
2024Q230 June 2024917,8531,215.872,538.819,107.5912,862.27
2024Q330 September 2024928,045913.122,587.389,261.5612,762.06
2024Q431 December 2024927,964958.132,901.369,943.613,803.09
2025Q131 March 2025907,889887.322,715.329,597.5113,200.15
2025Q230 June 2025917,8019842,738.3810,143.1213,865.5
2025Q330 September 2025928,1091,294.092,785.469,519.1413,598.69
2025Q431 December 2025928,1301,377.362,891.69,513.8513,782.81
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
2017Q10.0397030.6246911.3583312.022725
2017Q20.0509870.6500591.440682.141725
2018Q10.0406310.5491221.152091.741843
2018Q20.0463240.5545551.2122421.813121
2018Q30.0979580.5381021.3261411.962201
2019Q10.1268220.4475091.4366492.01098
2019Q20.0419020.5752081.3836562.000765
2019Q40.0280110.4357441.2993761.763132
2020Q10.1363190.3465241.0934371.576279
2020Q20.2274040.3506521.143181.721236
2020Q30.0939240.4414571.5533092.08869
2023Q20.149020.3353261.1651061.649452
2023Q30.1348260.3786821.2694351.782943
2023Q40.1167850.353821.2109771.681583
2024Q20.1548290.3232921.1597591.63788
2024Q30.1135020.3216131.1512191.586334
2024Q40.1203080.3643091.2485691.733186
2025Q10.1124760.3441911.2165691.673235
2025Q20.1261380.3510291.3002331.7774
2025Q30.1595870.3435021.1738981.676987
2025Q40.1694170.355671.1702151.695303

How each quarter is derived, and its file

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

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