Facility record report · CMS certification number 275087

POWDER RIVER MANOR

BROADUS, Montana · 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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 January 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$1,851,687	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$1,851,687	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,582,821	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,731,134	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,014,941	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$283,807	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $283,807 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	14,965	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	126	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	2,330	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	5,668	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	8,124	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	2	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	3	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	3	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	8	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	776.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,015.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446929, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 January 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$1,616,444	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$1,616,444	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,093,501	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,477,057	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,260,458	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$216,599	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$216,599 (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	41	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,678	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	13	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	813.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	590.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1402907, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$1,483,043	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$1,483,043	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,764,041	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,280,998	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,295,027	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$14,029	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $14,029 (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
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,167	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	12	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	669.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	597.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1373983, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$1,987,704	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$1,987,704	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,697,241	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,709,537	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,708,018	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,519	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,519 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,684	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	19	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	979.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	509.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343750, read from the public cost report file SNF10FY2021.zip.

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

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$1,927,896	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$1,927,896	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,410,057	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,482,161	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,019,228	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$537,067	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $537,067 (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
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,747	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	24	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	139.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	993	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	364.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313104, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 September 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$1,675,745	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$1,675,745	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,441,180	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,765,435	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,941,077	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$175,642	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $175,642 (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
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,575	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	14	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	84.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	3,086	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	541.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1301266, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 March 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$1,797,060	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$1,797,060	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,453,910	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,656,850	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,025,724	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$368,874	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $368,874 (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
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,883	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	23	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	852.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	386.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252091, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 February 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$1,814,961	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$1,814,961	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,624,977	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,810,016	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,901,083	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$91,067	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $91,067 (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
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,369	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	31	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,757	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	302.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1219408, read from the public cost report file SNF10FY2017.zip.

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

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$1,723,757	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$1,723,757	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,171,584	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,447,827	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,619,257	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,171,430	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $891,913 (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
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,235	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	17	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	811.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	543.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1182673, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 February 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$2,181,344	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$2,181,344	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,320,468	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,139,124	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,461,843	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$322,719	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $107,759 (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
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,902	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	18	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	119	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,025.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	605.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1153207, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 January 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$2,213,408	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$2,213,408	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,255,582	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,042,174	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$856,036	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$186,138	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$186,138 (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
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,693	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	24	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,465.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	487.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1117907, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 February 2015.

None of these figures is carried on this report.

CMS report record 1085624, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 March 2014.

None of these figures is carried on this report.

CMS report record 1057743, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 February 2013.

None of these figures is carried on this report.

CMS report record 1025180, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 March 2012.

None of these figures is carried on this report.

CMS report record 425900, read from the public cost report file SNFFY2010.zip.

Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 February 2011.

None of these figures is carried on this report.

CMS report record 394247, read from the public cost report file SNFFY2009.zip.

Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 January 2010.

None of these figures is carried on this report.

CMS report record 362858, read from the public cost report file SNFFY2008.zip.

Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 January 2009.

None of these figures is carried on this report.

CMS report record 332437, read from the public cost report file SNFFY2007.zip.

Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 February 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$1,229,673	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,914,844	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$685,171	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$529,012	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$156,159 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	8,478	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	7	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	7.6	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	5,332	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,211.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 301572, read from the public cost report file SNFFY2006.zip.

Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 May 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$1,423,694	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,137,008	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$713,314	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$540,117	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$173,197 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	41	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,439	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	15	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	14.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	6,588	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	695.93	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 277907, read from the public cost report file SNFFY2005.zip.

Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2006.

None of these figures is carried on this report.

CMS report record 240972, read from the public cost report file SNFFY2004.zip.

Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 December 2004.

None of these figures is carried on this report.

CMS report record 202847, read from the public cost report file SNFFY2003.zip.

Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 May 2004.

None of these figures is carried on this report.

CMS report record 176567, read from the public cost report file SNFFY2002.zip.

Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 June 2003.

Net income, stated at moderate confidence: −$129,661 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 147727, read from the public cost report file SNFFY2000.zip.

Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 29 May 2001.

Net income, stated at moderate confidence: −$7,116 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 32334, read from the public cost report file SNFFY1999.zip.

Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 March 2001.

Net income, stated at moderate confidence: $58,251 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 32333, read from the public cost report file SNFFY1998.zip.

Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 October 2000.

Net income, stated at moderate confidence: −$52,119 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 32331, read from the public cost report file SNFFY1997.zip.

Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 June 1999.

None of these figures is carried on this report.

CMS report record 32330, read from the public cost report file SNFFY1996.zip.

Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 1 April 1998.

Net income, stated at moderate confidence: −$52,330 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 32328, read from the public cost report file SNFFY1995.zip.

Five facilities of a similar size in Montana, fiscal year 2025

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
GALLATIN COUNTY REST HOME	69	18,011	$6,099,345	$9,858,590	−$3,759,245	30 June 2025
IMMANUEL LIVING	155	39,229	$15,450,769	$34,347,035	−$18,896,266	30 June 2025
NORTHERN MONTANA CARE CENTER	135	44,668	$7,250,548	$10,829,562	−$3,579,014	30 June 2025
POWDER RIVER MANOR	41	8,124	$1,851,687	$4,582,821	−$2,731,134	30 June 2025
THE LIVING CENTRE LIMITED	50	13,171	$6,863,732	$7,627,209	−$763,477	31 August 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
POWDER RIVER COUNTY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 08/01/1977
HOSTETTER, JEFFREY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2015
POWDER RIVER COUNTY	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/20/2013
RANDALL, KYLIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2020
RANDALL, LEE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/17/2025
RANDALL, LEE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/01/2012
HOSTETTER, JEFFREY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2015
POWDER RIVER COUNTY	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/20/2013
RANDALL, KYLIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2020

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of POWDER RIVER COUNTY (enrollment ID O20110616000092).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
POWDER RIVER COUNTY	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	8/1/1977	Private equity company: No Real estate investment trust: No Holding company: No
JEFFREY E HOSTETTER	Individual	ADP OF THE SNF	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.	1/1/2015	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.
KYLIE GAGNON RANDALL	Individual	ADP OF THE SNF	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.	1/1/2020	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.
LEE RANDALL	Individual	ADP OF THE SNF	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.	1/17/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
POWDER RIVER COUNTY	Organization	ADP OF THE SNF	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.	11/20/2013	Private equity company: No Real estate investment trust: No Holding company: No
LEE RANDALL	Individual	MANAGING CONTROL - GOVERNING BODY	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.	11/1/2012	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.
JEFFREY E HOSTETTER	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	1/1/2015	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.
KYLIE GAGNON RANDALL	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	1/1/2020	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.
POWDER RIVER COUNTY	Organization	OPERATIONAL/MANAGERIAL CONTROL	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.	11/20/2013	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: KESA COPPS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESA COPPS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KYLIE GAGNON RANDALL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KYLIE GAGNON RANDALL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEE RANDALL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEE RANDALL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFFREY E HOSTETTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFFREY E HOSTETTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: POWDER RIVER COUNTY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	22 April 2026	22 April 2026	6	5
2	13 March 2025	13 March 2025	13	0
3	14 March 2024	14 March 2024	6	10

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

Deficiencies cited

25 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
22 April 2026	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	28 May 2026
22 April 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	28 May 2026
22 April 2026	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.	D	No	Deficient, Provider has date of correction	28 May 2026
22 April 2026	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.	E	No	Deficient, Provider has date of correction	28 May 2026
10 September 2025	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	D	Yes	Deficient, Provider has date of correction	15 October 2025
10 September 2025	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	Yes	Deficient, Provider has date of correction	15 October 2025
13 March 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	25 April 2025
13 March 2025	Health	F 0621	Resident Rights Deficiencies	Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source	D	No	Deficient, Provider has date of correction	25 April 2025
13 March 2025	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	25 April 2025
13 March 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	25 April 2025
13 March 2025	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	25 April 2025
13 March 2025	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.	D	No	Deficient, Provider has date of correction	25 April 2025
13 March 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	25 April 2025
13 March 2025	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	G	Yes	Deficient, Provider has date of correction	25 April 2025
13 March 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	25 April 2025
13 March 2025	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	25 April 2025
13 March 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	25 April 2025
13 March 2025	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.	D	No	Deficient, Provider has date of correction	25 April 2025
31 December 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	14 February 2025
14 March 2024	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	28 April 2024
14 March 2024	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	28 April 2024
14 March 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	No	Deficient, Provider has date of correction	28 April 2024
14 March 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have 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.	F	No	Deficient, Provider has date of correction	15 April 2024
14 March 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement 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.	D	No	Deficient, Provider has date of correction	28 April 2024
14 March 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	F	No	Deficient, Provider has date of correction	15 April 2024

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
13 March 2025	Fine	$12,438			134876
14 March 2024	Fine	$35,880			117979

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - County
Legal Business Name	POWDER RIVER COUNTY
Date First Approved to Provide Medicare and Medicaid Services	1977-09-12
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Powder River
Telephone Number	4064362646
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	41
Average Number of Residents per Day	23.3
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
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: KESA COPPS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KESA COPPS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KYLIE GAGNON RANDALL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KYLIE GAGNON RANDALL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEE RANDALL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LEE RANDALL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFFREY E HOSTETTER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JEFFREY E HOSTETTER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: POWDER RIVER COUNTY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
23 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
30 January 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
28 February 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
3 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
28 March 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
28 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
9 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
11 February 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
24 January 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
21 February 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
22 January 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
10 February 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
31 March 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
25 February 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
12 March 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
22 February 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
25 January 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
22 January 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
1 February 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
2 May 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
20 January 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
17 December 2004: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
18 May 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
9 June 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
29 May 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
21 March 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
17 October 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
9 June 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
1 April 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1995.zip

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, POWDER RIVER MANOR — facility record report, CMS certification number 275087. https://velarionrecords.com/facility/275087/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 2017Q1 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 275087. 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
2017Q1	31 March 2017	90	2,086	2,509.5	416.25	7,132	10,057.75
2017Q2	30 June 2017	91	2,157	2,698	559.25	7,319	10,576.25
2017Q3	30 September 2017	92	2,215	2,565.5	570.75	7,475.75	10,612
2017Q4	31 December 2017	92	2,426	2,539	516.75	7,621.75	10,677.5
2018Q1	31 March 2018	90	2,400	2,386.5	655.25	7,336.75	10,378.5
2018Q2	30 June 2018	91	2,367	2,139.75	755.75	7,712.5	10,608
2018Q3	30 September 2018	92	2,472	2,192.75	734.75	8,402.5	11,330
2018Q4	31 December 2018	92	2,369	2,101.5	743.25	7,883	10,727.75
2019Q1	31 March 2019	90	2,062	2,122.25	540.75	7,593	10,256
2019Q2	30 June 2019	91	2,044	2,218.25	583.5	7,140.25	9,942
2019Q3	30 September 2019	92	1,994	2,488.5	393	6,857.5	9,739
2019Q4	31 December 2019	92	1,927	2,259.5	426.25	6,767.75	9,453.5
2020Q1	31 March 2020	91	1,877	2,196	583.25	6,415.25	9,194.5
2020Q2	30 June 2020	91	1,822	2,169	533	6,403	9,105
2020Q3	30 September 2020	92	2,031	2,200.5	467.75	5,941.25	8,609.5
2020Q4	31 December 2020	92	1,753	2,619.5	363.75	5,381	8,364.25
2021Q1	31 March 2021	90	2,083	2,372.75	343	5,479.25	8,195
2021Q2	30 June 2021	91	2,724	2,493	377.25	6,771.75	9,642
2021Q3	30 September 2021	92	2,686	2,483.25	366.75	7,252.75	10,102.75
2021Q4	31 December 2021	92	2,569	2,342	350.5	7,061.75	9,754.25
2022Q1	31 March 2022	90	2,324	2,135.25	425.75	6,371.5	8,932.5
2022Q2	30 June 2022	91	2,011	2,108.75	510.75	5,744	8,363.5
2022Q3	30 September 2022	92	1,931	2,106	666.75	4,792	7,564.75
2022Q4	31 December 2022	92	1,853	1,743.75	408.25	4,974	7,126
2023Q1	31 March 2023	90	1,698	1,637.5	744.5	4,699	7,081
2023Q2	30 June 2023	91	1,652	1,819.25	849.25	4,705.54	7,374.04
2023Q3	30 September 2023	92	1,731	1,610.5	1,188.5	4,025.25	6,824.25
2023Q4	31 December 2023	92	1,915	1,544	1,257.5	4,814.3	7,615.8
2024Q1	31 March 2024	91	1,946	1,999.25	830	5,902.5	8,731.75
2024Q2	30 June 2024	91	2,035	1,631	1,211.25	5,893.25	8,735.5
2024Q3	30 September 2024	92	1,894	1,611.5	1,257.77	6,691.52	9,560.79
2024Q4	31 December 2024	92	2,029	2,103.75	811.75	6,865.78	9,781.28
2025Q1	31 March 2025	90	2,134	1,995.25	802.5	6,630.5	9,428.25
2025Q2	30 June 2025	91	2,041	2,160	699.5	6,975	9,834.5
2025Q3	30 September 2025	92	2,003	2,539.7	795.25	6,989.75	10,324.7
2025Q4	31 December 2025	92	2,352	2,598	880.7	7,231.25	10,709.95
2026Q1	31 March 2026	90	2,099	2,869.5	576.25	7,713.75	11,159.5

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
2017Q1	1.20302	0.199545	3.418984	4.821548
2017Q2	1.250811	0.259272	3.393139	4.903222
2017Q3	1.158239	0.257675	3.375056	4.790971
2017Q4	1.046579	0.213005	3.141694	4.401278
2018Q1	0.994375	0.273021	3.056979	4.324375
2018Q2	0.903992	0.319286	3.258344	4.481622
2018Q3	0.887035	0.297229	3.39907	4.583333
2018Q4	0.887083	0.31374	3.327564	4.528388
2019Q1	1.029219	0.262245	3.682347	4.973812
2019Q2	1.08525	0.28547	3.493273	4.863992
2019Q3	1.247994	0.197091	3.439067	4.884152
2019Q4	1.172548	0.221199	3.512065	4.905812
2020Q1	1.169952	0.310735	3.417821	4.898508
2020Q2	1.19045	0.292536	3.51427	4.997256
2020Q3	1.083456	0.230305	2.925283	4.239045
2020Q4	1.494295	0.207501	3.069595	4.771392
2021Q1	1.139102	0.164666	2.630461	3.934229
2021Q2	0.915198	0.138491	2.485958	3.539648
2021Q3	0.924516	0.136541	2.700205	3.761262
2021Q4	0.911639	0.136434	2.748832	3.796905
2022Q1	0.918782	0.183197	2.741609	3.843589
2022Q2	1.048608	0.253978	2.85629	4.158876
2022Q3	1.090627	0.345287	2.481616	3.91753
2022Q4	0.941042	0.220318	2.684296	3.845656
2023Q1	0.96437	0.438457	2.767373	4.1702
2023Q2	1.101241	0.514074	2.84839	4.463705
2023Q3	0.930387	0.686597	2.32539	3.942374
2023Q4	0.806266	0.656658	2.513995	3.976919
2024Q1	1.027364	0.426516	3.033145	4.487025
2024Q2	0.801474	0.595209	2.895946	4.292629
2024Q3	0.850845	0.664081	3.53301	5.047936
2024Q4	1.036841	0.400074	3.383825	4.820739
2025Q1	0.934981	0.376054	3.107076	4.418112
2025Q2	1.058305	0.342724	3.417442	4.818471
2025Q3	1.267948	0.397029	3.489641	5.154618
2025Q4	1.104592	0.374447	3.074511	4.55355
2026Q1	1.36708	0.274535	3.674964	5.316579

How each quarter is derived, and its file

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

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