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Facility record report · CMS certification number 295102

ADVANCED HEALTH CARE OF HENDERSON

LAS VEGAS, Nevada · Medicare

Finances, as filed

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

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

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$13,462,082CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,966,095CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,495,987CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,666,181CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,829,806CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,581CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,836,387CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,836,387 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components38CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components13,870CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days7,166CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days6,102CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components13,268CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges330CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges363CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components693CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days19.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434696, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$11,912,339CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,766,349CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,145,990CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,561,342CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,584,648CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$97,412CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,682,060CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,682,060 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components38CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,986CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components707CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days18.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390853, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$12,227,961CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,357,084CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,870,877CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,873,205CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,997,672CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$97,498CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,095,170CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,095,170 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components38CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,313CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components694CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.54CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days19.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390330, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 8 August 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$12,755,870CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,060,298CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,695,572CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,748,948CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,946,624CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$113,725CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,060,349CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,060,349 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components38CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,222CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components729CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days18.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days18.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361331, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$12,129,805CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,646,171CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,483,634CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,035,529CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$448,105CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,588CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$474,693CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $474,693 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components38CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,401CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components703CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days17.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days17.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1291777, read from the public cost report file SNF10FY2020.zip.

Cost report for 22 January 2019 to 31 December 2019 — a reporting period of 343 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$11,195,998CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,872,456CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,323,542CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,267,868CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,055,674CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,346CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,074,020CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,074,020 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components38CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,124CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components678CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days17.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days17.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253876, read from the public cost report file SNF10FY2019.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
ADVANCED HEALTH CARE OF HENDERSON3813,268$10,495,987$8,666,181$1,829,80631 December 2024
ADVANCED HEALTH CARE OF PARADISE388,770$10,962,686$9,785,936$1,176,75031 December 2024
AHC OF LAS VEGAS3813,314$11,016,006$8,783,723$2,232,28331 December 2024
AHC OF RENO4215,308$10,070,991$9,086,617$984,37431 December 2024
AHC OF SUMMERLIN3813,674$10,668,607$9,570,762$1,097,84531 December 2024
SKYE CANYON POST ACUTE458,141$5,642,173$5,078,975$563,19831 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
NEW AHC HOLDINGS, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization80%since 01/01/2021
THE GAIL MILLER GST TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization70%since 07/01/2023
THE MILLER UTAH TRUST, DATED AUGUST 22, 20195% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization5%since 01/01/2023
THE RNC OPPORTUNITY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization5%since 01/01/2023
GONZALEZ SANCHEZ, MIGUELCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/01/2024
OXNAM, NATHANCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
TUCK, MICHAELW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 02/05/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of AHC OF HENDERSON, LLC (enrollment ID O20170914002011).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
NEW AHC HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST801/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
ADVANCED HEALTH CARE - LARRY H MILLER CORPORATIONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1001/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
KAREN GAIL MILLER IRREV TR FBO ZANE MILLEROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST57/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST51/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST51/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
THE GAIL MILLER GST TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST707/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
THE KAREN GAIL MILLER IRREVOCABLE TRUST FOR THE BENEFIT OF KAREN R. WIOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST51/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
THE MILLER UTAH TRUST, DATED AUGUST 22, 2019Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST51/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
THE RNC OPPORTUNITY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST51/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
MIGUEL A GONZALEZ SANCHEZIndividualCONTRACTED MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATHAN C OXNAMIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL TUCKIndividualW-2 MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/5/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
118 July 202518 July 202514
223 July 202423 July 2024210
321 July 202321 July 2023617

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

Deficiencies cited

9 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
18 July 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.CNoDeficient, Provider has no plan of correction
23 July 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GNoDeficient, Provider has date of correction28 August 2024
23 July 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction28 August 2024
21 July 2023HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correction21 August 2023
21 July 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction21 August 2023
21 July 2023HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction21 August 2023
21 July 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction21 August 2023
21 July 2023HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction21 August 2023
21 July 2023HealthF 0847Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DNoDeficient, Provider has date of correction21 August 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
23 July 2024Fine$8,018133776

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare
Ownership TypeFor profit - Limited Liability company
Legal Business NameAHC OF HENDERSON, LLC
Date First Approved to Provide Medicare and Medicaid Services2019-01-22
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishClark
Telephone Number7027906300
Chain NameADVANCED HEALTH CARE
Chain ID11
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds38
Average Number of Residents per Day36.9
Overall Rating5
Health Inspection Rating5
QM Rating5
Short-Stay QM Rating5
Processing Date2026-08-01

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

Every change on this record

How to read this report

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

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

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

How to cite this report

Velarion Records, ADVANCED HEALTH CARE OF HENDERSON — facility record report, CMS certification number 295102. https://velarionrecords.com/facility/295102/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 295102. 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
2019Q131 March 2019901,9875,429.751,308.656,714.0113,452.41
2019Q230 June 2019913,3906,618.261,240.5211,463.2319,322.01
2019Q330 September 2019923,4597,069.251,129.6311,732.9219,931.8
2019Q431 December 2019923,4097,018.56744.5811,874.7119,637.85
2020Q131 March 2020913,2637,277.21,344.3611,731.1120,352.67
2020Q230 June 2020913,1387,363.221,087.211,258.719,709.12
2020Q330 September 2020922,9607,549.51,238.8710,846.3319,634.7
2020Q431 December 2020922,9816,778.781,760.5811,061.1519,600.51
2021Q131 March 2021903,1106,084.922,207.1110,767.1819,059.21
2021Q230 June 2021913,2186,480.122,000.5611,175.2419,655.92
2021Q330 September 2021923,2936,348.841,949.7911,395.3219,693.95
2021Q431 December 2021923,2986,405.662,115.0811,013.9919,534.73
2022Q131 March 2022903,1916,200.392,097.3710,058.218,355.96
2022Q230 June 2022913,2086,934.181,744.229,879.7918,558.19
2022Q330 September 2022923,3166,618.941,798.419,843.1418,260.49
2022Q431 December 2022923,3636,175.631,951.299,710.1317,837.05
2023Q131 March 2023903,5636,379.71,761.359,096.8717,237.92
2023Q230 June 2023913,3406,875.71,900.199,779.218,555.09
2023Q330 September 2023923,1686,851.121,234.349,831.3417,916.8
2023Q431 December 2023923,2776,968.821,569.129,757.7318,295.67
2024Q131 March 2024913,3016,638.711,759.129,744.9118,142.74
2024Q230 June 2024913,1876,169.282,203.439,886.1318,258.84
2024Q330 September 2024923,3726,995.221,987.910,069.5119,052.63
2024Q431 December 2024923,4037,850.311,545.610,246.3719,642.28
2025Q131 March 2025903,2807,398.281,522.5210,371.0619,291.86
2025Q230 June 2025913,3517,717.881,429.1111,105.420,252.39
2025Q330 September 2025923,3318,140.661,319.3310,732.420,192.39
2025Q431 December 2025923,3477,817.771,122.6910,675.8119,616.27
2026Q131 March 2026903,3187,728.691,183.7310,824.1419,736.56
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
2019Q12.7326370.6586063.3789686.770211
2019Q21.9522890.3659353.3814845.699708
2019Q32.0437270.3265773.3919985.762301
2019Q42.0588330.2184163.4833415.76059
2020Q12.2302180.4120013.5951926.23741
2020Q22.3464690.3464633.5878596.28079
2020Q32.5505070.4185373.6643016.633345
2020Q42.2739950.59063.710556.575146
2021Q11.9565660.7096823.4621166.128363
2021Q22.013710.6216783.4727286.108117
2021Q31.9279810.5921013.4604685.98055
2021Q41.9422860.6413223.3395975.923205
2022Q11.9430870.6572773.1520535.752416
2022Q22.1615270.5437093.0797355.784972
2022Q31.9960620.5423432.9683785.506782
2022Q41.8363460.5802232.8873425.30391
2023Q11.7905420.4943452.5531494.838035
2023Q22.0585930.5689192.9279045.555416
2023Q32.1626010.3896283.1033275.655556
2023Q42.1265850.4788282.9776415.583055
2024Q12.0111210.5329052.9521085.496135
2024Q21.9357640.6913813.1020185.729162
2024Q32.0745020.5895312.9862135.650246
2024Q42.3068790.4541873.0109815.772048
2025Q12.2555730.4641833.1619095.881665
2025Q22.3031570.4264733.3140566.043685
2025Q32.4439090.3960763.2219756.06196
2025Q42.3357540.3354323.1896655.860852
2026Q12.3293220.356763.2622485.94833

How each quarter is derived, and its file

  • 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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