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Facility record report · CMS certification number 345572

The Cardinal at North Hills

Raleigh, North Carolina · 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$5,525,449CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$987,239CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,538,210CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$49,610,205CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$45,071,995CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$43,081,394CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,990,601CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,990,601 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components25,620CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,213CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days18,576CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components19,789CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges36CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges64CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components100CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days197.89CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434966, 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 19 July 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,020,788CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$995,822CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,024,966CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$24,732,635CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$21,707,669CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,035,684CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$671,985CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$671,985 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,621CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components113CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days173.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389541, 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 10 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,523,115CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$811,440CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,711,675CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,659,893CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$19,948,218CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20,841,217CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$892,999CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $892,999 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,505CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components85CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days241.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361770, 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 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$2,784,652CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$467,892CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,316,760CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$26,130,951CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$23,814,191CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$19,790,345CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$4,023,846CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,023,846 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,298CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components63CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days322.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329187, 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 20 October 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,597,317CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$709,437CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,887,880CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,791,554CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$13,903,674CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,020,745CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$117,071CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $117,071 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,839CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components75CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days251.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302775, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,941,521CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$482,375CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,459,146CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$20,013,403CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$14,554,257CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,993,978CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,439,721CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,439,721 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,830CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components134CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days140.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1262583, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$4,625,738CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$398,280CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,227,458CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,095,933CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$14,868,475CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,299,020CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,569,455CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,569,455 (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
FigureAs filedWhere it comes from
Total facility beds, all components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,578CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components68CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days243.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237086, read from the public cost report file SNF10FY2018.zip.

Cost report for 28 June 2017 to 31 December 2017 — a reporting period of 186 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

None of these figures is carried on this report.

CMS report record 1208259, read from the public cost report file SNF10FY2017.zip.

Five facilities of a similar size in North Carolina, 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
AHSNF - JESSE HELMS7022,932$6,407,961$9,971,422−$3,563,46131 December 2024
BAYVIEW NURSING & REHABILITATION CTR7223,839$9,030,477$9,218,641−$188,16430 September 2024
COMPASS HEALTHCARE AND REHAB ROWAN7022,642$9,928,818$9,503,666$425,15230 September 2024
GIVENS ESTATES INC7020,717$66,314,797$56,215,764$10,099,03331 December 2024
GLENFLORA7221,131$6,604,810$6,731,071−$126,26130 September 2024
THE CARDINAL AT NORTH HILLS7019,789$4,538,210$49,610,205−$45,071,99531 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
KOHLBERG, SCOTT5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualNO PERCENTAGE PROVIDEDsince 01/01/2013
AUSTIN, BRECKCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2013
RITSCHEL, MITCHELLCORPORATE OFFICERIndividualNOT APPLICABLEsince 12/01/2012
AUSTIN, BRECKW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/01/2013
PACHECO, JAIMEW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 11/24/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE CARDINAL AT NORTH HILLS HEALTHCARE, LLC (enrollment ID O20161215000184).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
SCOTT KOHLBERGIndividual5% OR GREATER DIRECT OWNERSHIP INTERESTCMS 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.1/1/2013
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.
BRECK AUSTINIndividualCORPORATE 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.1/1/2013
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.
MITCHELL RITSCHELIndividualCORPORATE 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.12/1/2012
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.
BRECK AUSTINIndividualW-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.1/1/2013
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.
JAIME PACHECOIndividualW-2 MANAGING EMPLOYEE10011/24/2022
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
110 September 202519 September 202422
219 September 202421 September 202306
321 September 202327 July 202220

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

Deficiencies cited

4 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
10 September 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction8 October 2025
10 September 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction8 October 2025
21 September 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correction16 October 2023
21 September 2023HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FNoDeficient, Provider has date of correction13 October 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
21 September 2023Fine$7,90141904

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 NameTHE CARDINAL AT NORTH HILLS HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid Services2017-06-28
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishWake
Telephone Number9842048444
Chain NameKISCO SENIOR LIVING
Chain ID585
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds15
Average Number of Residents per Day9.5
Overall Rating3
Health Inspection Rating4
QM Rating1
Short-Stay QM Rating1
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, The Cardinal at North Hills — facility record report, CMS certification number 345572. https://velarionrecords.com/facility/345572/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 345572. 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
2018Q431 December 2018921,028816.472,104.933,734.726,656.12
2019Q131 March 2019901,0551,195.821,943.093,525.796,664.7
2019Q230 June 2019918221,807.911,369.453,482.936,660.29
2019Q330 September 2019929371,873.011,210.783,549.766,633.55
2019Q431 December 2019921,1852,076.411,063.753,177.636,317.79
2020Q131 March 2020911,0951,515.441,530.543,568.376,614.35
2020Q230 June 2020919551,897.791,299.683,711.096,908.56
2020Q330 September 2020929562,108.051,158.863,493.536,760.44
2020Q431 December 2020928751,984.071,367.83,422.826,774.69
2021Q131 March 2021909932,011.041,305.693,292.46,609.13
2021Q230 June 2021919851,901.681,405.093,550.396,857.16
2021Q330 September 2021921,2211,951.621,325.753,312.876,590.24
2021Q431 December 2021921,2212,008.371,122.863,734.646,865.87
2022Q131 March 2022901,1581,604.981,624.533,534.236,763.74
2022Q230 June 2022911,3301,782.641,337.893,800.426,920.95
2022Q330 September 2022921,3361,914.21,320.294,214.257,448.74
2023Q330 September 2023921,0331,715.871,630.644,173.857,520.36
2023Q431 December 2023921,1301,546.72,010.673,599.517,156.88
2024Q131 March 2024911,1341,579.251,996.723,484.557,060.52
2024Q230 June 2024911,1541,499.421,761.823,966.087,227.32
2024Q330 September 2024921,0861,209.91,473.513,763.576,446.98
2024Q431 December 2024921,2391,222.541,561.073,936.226,719.83
2025Q131 March 2025901,231821.581,525.843,403.985,751.4
2025Q230 June 2025911,0521,291.711,544.383,711.456,547.54
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
2018Q40.7942322.0475973.6329966.474825
2019Q11.1334791.8417913.3419816.317251
2019Q22.1994041.6659984.2371418.102543
2019Q31.9989431.2921883.7884317.079562
2019Q41.7522450.8976792.6815445.331468
2020Q11.3839631.3977533.2587856.040502
2020Q21.9872151.3609213.8859587.234094
2020Q32.2050731.2121973.654327.07159
2020Q42.2675091.56323.9117947.742503
2021Q12.0252171.3148943.3156096.65572
2021Q21.930641.4264873.6044576.961584
2021Q31.5983781.085792.7132435.397412
2021Q41.6448570.9196233.0586735.623153
2022Q11.3859931.4028763.0520125.840881
2022Q21.3403311.0059322.8574595.203722
2022Q31.4327840.9882413.1543795.575404
2023Q31.6610551.5785484.0405137.280116
2023Q41.3687611.7793543.1854076.333522
2024Q11.3926371.7607763.0727956.226208
2024Q21.2993241.5267073.4368116.262842
2024Q31.1140881.3568233.4655345.936446
2024Q40.9867151.2599443.1769335.423592
2025Q10.6674091.2395132.7652154.672136
2025Q21.2278611.4680423.5279946.223897

How each quarter is derived, and its file

  • 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
  • 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

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