Velarion Records

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Facility record report · CMS certification number 275130

BIG HORN SENIOR LIVING

HARDIN, Montana

This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026. Its Medicare enrollment, BIG HORN HOSPITAL ASSOCIATION (enrollment ID O20061116000243), is not listed in the CMS enrollment file dated 1 August 2026.

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 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 March 2023.

None of these figures is carried on this report.

CMS report record 1344511, read from the public cost report file SNF10FY2021.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 23 March 2021.

None of these figures is carried on this report.

CMS report record 1281535, 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.

None of these figures is carried on this report.

CMS report record 1252092, 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 24 January 2019.

None of these figures is carried on this report.

CMS report record 1218456, 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.

None of these figures is carried on this report.

CMS report record 1182674, 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.

None of these figures is carried on this report.

CMS report record 1153208, 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.

None of these figures is carried on this report.

CMS report record 1117898, 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 11 February 2015.

None of these figures is carried on this report.

CMS report record 1085702, 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 29 September 2017.

None of these figures is carried on this report.

CMS report record 1176617, 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 1025194, 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 425901, 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 23 January 2011.

None of these figures is carried on this report.

CMS report record 392997, 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 362860, 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 332440, 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.

None of these figures is carried on this report.

CMS report record 301573, 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 28 November 2006.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$1,925,457CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,107,238CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$181,781CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$630,095CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $448,314 (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
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,871CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components23CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days14.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days726.38CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days516.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 267242, 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 240974, 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 23 March 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$1,576,762CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,784,415CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$207,653CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$330,900CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $123,247 (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 2004
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,331CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components42CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days299.36CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days269.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 212116, 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 22 July 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$1,410,603CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,605,889CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$195,286CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$229,784CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $34,498 (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 2003
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components10,824CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components48CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.4CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days454.29CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days225.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 188471, read from the public cost report file SNFFY2002.zip.

Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$1,233,068CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,532,973CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$299,905CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$175,346CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$124,559 (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 2002
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components9,764CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components29CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.57CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days520.9CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days336.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 154451, read from the public cost report file SNFFY2001.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 7 May 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$1,047,562CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,281,137CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$233,575CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$55,090CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$178,485 (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 2001
FigureAs filedWhere it comes from
Total facility beds, all components30CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components8,944CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components35CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days37.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days677.25CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days255.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 144079, 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 12 December 2000.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$1,028,964CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,171,217CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$142,253CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$122,712CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$19,541 (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 2000
FigureAs filedWhere it comes from
Total facility beds, all components26CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components9,141CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components35CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days17.6CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days320.22CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days261.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 32478, 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 2 May 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$896,518CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,118,354CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$221,836CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$105,452CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$116,384 (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 1999
FigureAs filedWhere it comes from
Total facility beds, all components26CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components9,235CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components33CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days14.89CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days612.64CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days279.85CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 32476, 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 3 July 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$1,130,394CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,263,806CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$133,412CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$200,548CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $67,136 (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 1998
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,430CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components88CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.78CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days155.95CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days141.25CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 32474, 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 3 May 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$1,060,947CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,170,382CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$109,435CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$57,965CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$51,470 (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 1997
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,609CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components48CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.78CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days550.22CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days262.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 32473, 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.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$1,036,232CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,137,741CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$101,509CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$59,774CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$41,735 (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 1996
FigureAs filedWhere it comes from
Total facility beds, all components36CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,754CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components26CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.95CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,869.8CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days490.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 32471, read from the public cost report file SNFFY1995.zip.

Five facilities of a similar size in Montana, fiscal year 2022

No other facility in Montana has a cost report on file for fiscal year 2022 with a bed count to set beside this one.

Ownership, as filed with CMS

Care Compare

Not yet extracted for this facility.

Medicare enrollment

Not yet extracted for this facility.

Changes in ownership

Inspections

Not yet extracted for this facility.

Deficiencies cited

Not yet extracted for this facility.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Not yet extracted for this facility.

Every change on this record

How to read this report

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

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

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

How to cite this report

Velarion Records, BIG HORN SENIOR LIVING — facility record report, CMS certification number 275130. https://velarionrecords.com/facility/275130/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 275130. 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 2017903,4202,0461,454.57,599.511,100
2017Q230 June 2017913,4891,2121,4967,368.510,076.5
2017Q330 September 2017923,412994.751,288.758,086.2510,369.75
2017Q431 December 2017923,2241,820.751,412.58,287.2511,520.5
2018Q131 March 2018903,2091,844.751,3478,33611,527.75
2018Q230 June 2018913,2391,814.251,346.758,471.7511,632.75
2018Q330 September 2018923,2232,1721,069.759,340.2512,582
2018Q431 December 2018923,2012,236900.59,266.512,403
2019Q131 March 2019903,3292,317.5734.258,554.7511,606.5
2019Q230 June 2019913,0522,370.75910.58,46611,747.25
2019Q330 September 2019923,2172,513.75689.258,451.7511,654.75
2019Q431 December 2019922,9702,499659.758,682.2511,841
2020Q131 March 2020912,9082,461.75705.258,329.2511,496.25
2020Q230 June 2020913,0312,380.25737.257,629.510,747
2020Q330 September 2020922,7932,278602.57,541.7510,422.25
2020Q431 December 2020922,2342,033.254557,78510,273.25
2021Q131 March 2021902,1382,484.25266.57,60610,356.75
2021Q230 June 2021911,9982,729494.757,228.510,452.25
2021Q330 September 2021922,1942,437.5264.256,745.759,447.5
2021Q431 December 2021922,1251,893.25368.7502,262
2022Q131 March 2022902,2532,460.55977,15410,211.5
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
2017Q10.5982460.4252922.2220763.245614
2017Q20.3473770.4287762.1119232.888077
2017Q30.2915450.3777112.3699443.0392
2017Q40.5647490.438122.5704873.573356
2018Q10.5748680.4197572.5976943.592318
2018Q20.5601270.4157922.6155453.591463
2018Q30.6739060.3319112.8979993.903816
2018Q40.6985320.2813182.8948773.874727
2019Q10.6961550.2205622.5697663.486482
2019Q20.7767860.2983292.7739193.849033
2019Q30.7813960.2142522.6272153.622863
2019Q40.8414140.2221382.9233163.986869
2020Q10.8465440.2425212.8642543.953318
2020Q20.7853020.2432372.5171563.545694
2020Q30.815610.2157182.7002333.731561
2020Q40.9101390.2036713.4847814.59859
2021Q11.161950.1246493.557534.84413
2021Q21.3658660.2476233.6178685.231356
2021Q31.1109850.1204423.0746354.306062
2021Q40.8909410.17352901.064471
2022Q11.0920990.264983.1753224.532401

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

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