Facility record report · CMS certification number 366290

FAIRLAWN HAVEN

ARCHBOLD, Ohio · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 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
Figure	As filed	Where it comes from
Total patient revenue	$13,757,201	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,878,895	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,878,306	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,256,441	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$378,135	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$404,872	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$26,737	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $26,737 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	36,234	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,649	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	13,985	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	16,633	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	33,267	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	71	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	15	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	111	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	197	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	932.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	168.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435162, 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 13 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$12,328,327	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,050,758	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,277,569	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,845,117	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,567,548	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,261,765	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$305,783	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$305,783 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,582	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	187	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	581.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	163.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392032, 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 14 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$10,735,189	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,009,080	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,726,109	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,641,391	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,915,282	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,326,797	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,588,485	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,588,485 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,695	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	223	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,143.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	128.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358877, 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 12 October 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$10,076,770	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,855,293	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,221,477	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,730,601	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,509,124	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$585,898	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,923,226	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,923,226 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,879	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	187	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,994.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	154.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366634, 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
Figure	As filed	Where it comes from
Total patient revenue	$11,653,732	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,479,299	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,174,433	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,074,424	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,899,991	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,940,339	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,040,348	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,040,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,659	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	198	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.41	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	3,836.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	164.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302512, 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 22 October 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$12,455,177	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,676,701	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,778,476	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,693,401	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$914,925	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$316,911	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$598,014	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$598,014 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,416	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	271	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	683.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1272184, 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 20 June 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$12,409,575	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,631,001	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,778,574	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,371,663	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$593,089	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$201,841	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$391,248	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$391,248 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,193	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	201	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,161.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	175.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1230860, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$12,575,764	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,559,380	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,016,384	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,130,721	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$114,337	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$193,488	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$79,151	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $79,151 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,203	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	254	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	953.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	138.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1218477, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled with audit, processed by CMS on 24 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$11,554,494	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,298,116	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,256,378	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,857,557	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$601,179	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$90,055	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$511,124	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$511,124 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,795	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	207	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	637.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	177.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174741, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 June 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$11,028,359	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,045,004	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,983,355	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,006,623	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$23,268	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,444	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,824	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,824 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,460	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	252	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	289.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	148.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1133642, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$10,196,148	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,852,146	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,344,002	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,480,486	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$136,484	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$525,230	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$388,746	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $388,746 (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 2014
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,664	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	241	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	218.22	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	156.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1144749, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 June 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$9,763,049	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,078,700	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,684,349	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,815,390	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$131,041	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$661,434	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$530,393	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $530,393 (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 2013
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,706	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	155	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	739.21	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	243.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1062130, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$8,020,831	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$382,323	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,638,508	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,735,511	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$97,003	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,019,501	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$922,498	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $922,498 (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 2012
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,535	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	143	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	543.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	255.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1050025, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$7,797,871	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$34,994	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,762,877	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,897,186	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$134,309	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$97,452	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$36,857	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$36,857 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,502	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	141	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	682.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	251.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1017932, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$7,616,943	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,690,671	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$73,728	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$173,669	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $99,941 (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 2010
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,242	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	173	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.27	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	476.77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	203.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 423294, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 June 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$7,549,671	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,699,033	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$149,362	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$285,769	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$422	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $135,985 (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 2009
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,564	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	102	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	85.1	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	519.86	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	348.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 406721, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$7,354,437	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,405,134	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$50,697	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$120,113	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$170,810 (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 2008
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,933	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	122	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	62.03	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	559.89	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	294.53	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 358254, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 November 2008.

None of these figures is carried on this report.

CMS report record 328585, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 October 2007.

None of these figures is carried on this report.

CMS report record 295200, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 December 2006.

None of these figures is carried on this report.

CMS report record 269475, read from the public cost report file SNFFY2005.zip.

Cost report for 1 September 2004 to 31 December 2004 — a reporting period of 121 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 27 October 2005.

None of these figures is carried on this report.

CMS report record 235478, read from the public cost report file SNFFY2004.zip.

Five facilities of a similar size in Ohio, 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.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
FAIRLAWN HAVEN	99	33,267	$11,878,306	$12,256,441	−$378,135	31 December 2024
HIGHLAND OAKS HEALTH CENTER	99	31,799	$9,086,477	$9,400,407	−$313,930	31 December 2024
HOSPITALITY HEALTHCARE	99	18,277	$4,264,757	$5,560,896	−$1,296,139	31 December 2024
IVY WOODS HEALTHCARE	100	31,047	$8,182,330	$9,219,242	−$1,036,912	29 February 2024
LEGACY RIVERVIEW	100	31,680	$7,852,856	$9,097,407	−$1,244,551	30 November 2024
WEXNER HERITAGE VILLAGE	99	32,798	$13,595,545	$14,389,287	−$793,742	31 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 manager	Role	Type	Ownership percentage	Association
ALLISON, TAMMY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/21/2024
DOMINIQUE, KARI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/12/2021
HATTON, REBECCA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/11/2022
MOORE, TODD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/21/2024
NAFZIGER, JACOB	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/28/2025
EMCH, ANDREW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2025
FREY, LORI	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2021
KAUZLICK, JOY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2023
KRUEGER, DEXTER	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2025
MOORE, TODD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/21/2024
RINGENBERG, BRENT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
ROSE, CYNTHIA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2024
RUFENACHT, LONNIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/19/2019
WAGLER, TIM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/21/2017
WALKER, KAREN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/21/2017
WARNER, TOM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2020
ALLISON, TAMMY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/21/2024
ALLEN, SEAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/09/2023
ALLISON, TAMMY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/21/2024
BRATTON, LISA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/28/2022
DOMINIQUE, KARI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/12/2021
HATTON, REBECCA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/11/2022
MOORE, TODD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/21/2024
NAFZIGER, JACOB	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FAIRLAWN HAVEN (enrollment ID O20040317000820).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
JACOB LLOYD NAFZIGER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/28/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KARI DOMINIQUE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/12/2021	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.
REBECCA HATTON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/11/2022	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.
TAMMY ALLISON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/21/2024	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.
TODD MOORE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/21/2024	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.
ANDREW EMCH	Individual	CORPORATE DIRECTOR	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.	4/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRENT RINGENBERG	Individual	CORPORATE DIRECTOR	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.	4/1/2024	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.
CYNTHIA ROSE	Individual	CORPORATE DIRECTOR	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.	4/1/2024	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.
DEXTER KRUEGER	Individual	CORPORATE DIRECTOR	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.	4/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOY KAUZLICK	Individual	CORPORATE DIRECTOR	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.	4/1/2023	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.
KAREN WALKER	Individual	CORPORATE DIRECTOR	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.	3/21/2017	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.
LONNIE RUFENACHT	Individual	CORPORATE DIRECTOR	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.	3/19/2019	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.
LORI FREY	Individual	CORPORATE DIRECTOR	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.	4/1/2021	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.
TIM WAGLER	Individual	CORPORATE DIRECTOR	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.	3/21/2017	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.
TODD MOORE	Individual	CORPORATE DIRECTOR	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.	8/21/2024	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.
TOM WARNER	Individual	CORPORATE DIRECTOR	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.	4/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TAMMY ALLISON	Individual	CORPORATE OFFICER	100	8/21/2024	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.
JACOB LLOYD NAFZIGER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2022	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.
KARI DOMINIQUE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/12/2021	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.
LISA BRATTON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/28/2022	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.
REBECCA HATTON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/11/2022	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.
SEAN ALLEN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/9/2023	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.
TAMMY ALLISON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/21/2024	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.
TODD MOORE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/21/2024	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

1 July 2026: TODD MOORE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD MOORE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD MOORE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD MOORE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD MOORE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD MOORE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 January 2026: SHELIA M SANTIAGO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KEVIN MORTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KEVIN MORTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RUTH KAUFFMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DOUG KAUFFMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEBORAH S ANDRE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: BONNIE HEATWOLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: BONNIE HEATWOLE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NANCY A ROYNON BECK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NANCY A ROYNON BECK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANDREW EMCH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TAMMY ALLISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TAMMY ALLISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TAMMY ALLISON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CYNTHIA ROSE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEXTER KRUEGER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JOY KAUZLICK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TOM WARNER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KARI DOMINIQUE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KARI DOMINIQUE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JACOB LLOYD NAFZIGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JACOB LLOYD NAFZIGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LISA BRATTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: BRENT RINGENBERG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SEAN ALLEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LORI FREY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: REBECCA HATTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: REBECCA HATTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TODD MOORE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TODD MOORE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TODD MOORE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	10 April 2025	10 April 2025	6	2
2	12 August 2022	12 August 2022	10	6
3	15 August 2019	15 August 2019	7	3

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

Deficiencies cited

23 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
10 April 2025	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	5 May 2025
10 April 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	5 May 2025
10 April 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	5 May 2025
10 April 2025	Health	F 0744	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.	D	No	Deficient, Provider has date of correction	5 May 2025
10 April 2025	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	No	Deficient, Provider has date of correction	5 May 2025
10 April 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	5 May 2025
12 August 2022	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	12 September 2022
12 August 2022	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	12 September 2022
12 August 2022	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	12 September 2022
12 August 2022	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	12 September 2022
12 August 2022	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	12 September 2022
12 August 2022	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	12 September 2022
12 August 2022	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	12 September 2022
12 August 2022	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	12 September 2022
12 August 2022	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	12 September 2022
12 August 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	12 September 2022
15 August 2019	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	4 October 2019
15 August 2019	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	4 October 2019
15 August 2019	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	4 October 2019
15 August 2019	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	4 October 2019
15 August 2019	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	4 October 2019
15 August 2019	Health	F 0800	Nutrition and Dietary Deficiencies	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.	D	No	Deficient, Provider has date of correction	4 October 2019
15 August 2019	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	F	No	Deficient, Provider has date of correction	4 October 2019

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Church related
Legal Business Name	FAIRLAWN HAVEN
Date First Approved to Provide Medicare and Medicaid Services	2004-09-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Fulton
Telephone Number	4194453075
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	99
Average Number of Residents per Day	93.1
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	4
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: TODD MOORE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD MOORE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD MOORE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD MOORE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD MOORE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TODD MOORE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 January 2026: SHELIA M SANTIAGO no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KEVIN MORTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KEVIN MORTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RUTH KAUFFMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DOUG KAUFFMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEBORAH S ANDRE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: BONNIE HEATWOLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: BONNIE HEATWOLE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NANCY A ROYNON BECK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NANCY A ROYNON BECK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANDREW EMCH appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TAMMY ALLISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TAMMY ALLISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TAMMY ALLISON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CYNTHIA ROSE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEXTER KRUEGER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JOY KAUZLICK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TOM WARNER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KARI DOMINIQUE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KARI DOMINIQUE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JACOB LLOYD NAFZIGER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JACOB LLOYD NAFZIGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LISA BRATTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: BRENT RINGENBERG appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SEAN ALLEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LORI FREY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: REBECCA HATTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: REBECCA HATTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TODD MOORE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TODD MOORE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: TODD MOORE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
13 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
12 October 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
14 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
20 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
22 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
20 June 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
24 January 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
24 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
19 October 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
30 June 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
5 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
5 November 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
31 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
18 January 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
21 June 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
26 October 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
19 November 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
25 October 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
21 December 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
27 October 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, FAIRLAWN HAVEN — facility record report, CMS certification number 366290. https://velarionrecords.com/facility/366290/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.zip.
Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
Care Compare ownership: CMS file dated 1 August 2026.
Medicare enrollment ownership: CMS file dated 1 August 2026.
Nurse staffing: CMS Payroll-Based Journal, quarters 2017Q1 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 366290. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	8,665	3,882.5	9,153.25	17,701.69	30,737.44
2017Q2	30 June 2017	91	8,806	3,599.25	9,473.75	14,771.75	27,844.75
2017Q3	30 September 2017	92	8,893	3,710.5	9,541.5	10,554.75	23,806.75
2017Q4	31 December 2017	92	8,821	4,541.75	8,354.25	11,609.75	24,505.75
2018Q1	31 March 2018	90	8,730	4,517.25	9,034.16	20,073	33,624.41
2018Q2	30 June 2018	91	8,978	3,714.5	9,827.25	23,874.5	37,416.25
2018Q3	30 September 2018	92	8,782	3,483.75	9,942.75	22,901.5	36,328
2018Q4	31 December 2018	92	8,718	3,462.75	11,313.25	23,165.5	37,941.5
2019Q1	31 March 2019	90	9,059	3,794.75	11,259.25	22,122.75	37,176.75
2019Q2	30 June 2019	91	8,966	4,618.75	11,285.75	24,789.75	40,694.25
2019Q3	30 September 2019	92	8,848	4,083	10,433.25	24,004.5	38,520.75
2019Q4	31 December 2019	92	8,520	4,055.5	11,322.25	22,633	38,010.75
2020Q1	31 March 2020	91	8,435	4,048.75	10,567	23,530	38,145.75
2020Q2	30 June 2020	91	8,153	4,050	10,629	23,559.25	38,238.25
2020Q3	30 September 2020	92	8,102	4,660.25	10,678.25	22,463.25	37,801.75
2020Q4	31 December 2020	92	7,979	4,343	10,578.75	20,391.25	35,313
2021Q1	31 March 2021	90	7,558	4,832.25	10,716.01	19,801.15	35,349.41
2021Q2	30 June 2021	91	7,307	4,789.75	10,188.45	18,754.27	33,732.47
2021Q3	30 September 2021	92	7,203	3,584.75	8,465.25	15,516.5	27,566.5
2021Q4	31 December 2021	92	6,786	2,464.7	7,807.05	14,563.6	24,835.35
2022Q1	31 March 2022	90	7,123	2,830.49	9,568.35	15,645.11	28,043.95
2022Q2	30 June 2022	91	7,289	2,945.31	10,592.94	16,846.56	30,384.81
2022Q3	30 September 2022	92	7,116	3,159.95	10,536.42	18,796.64	32,493.01
2022Q4	31 December 2022	92	7,009	2,795.56	10,696.74	17,228.16	30,720.46
2023Q1	31 March 2023	90	7,493	3,334.65	9,693.71	16,693.21	29,721.57
2023Q2	30 June 2023	91	7,073	2,686.56	9,018.4	16,906.35	28,611.31
2023Q3	30 September 2023	92	7,831	2,472.09	10,307.18	18,053.88	30,833.15
2023Q4	31 December 2023	92	8,478	2,482.54	11,289.67	19,520.45	33,292.66
2024Q1	31 March 2024	91	7,972	2,606.53	10,794.6	19,544.37	32,945.5
2024Q2	30 June 2024	91	8,139	2,127.38	10,396.63	21,207.43	33,731.44
2024Q3	30 September 2024	92	8,459	2,402.2	10,634.01	22,132.07	35,168.28
2024Q4	31 December 2024	92	8,499	2,168.09	9,783.86	23,757.08	35,709.03
2025Q1	31 March 2025	90	8,399	2,013.48	10,134.83	22,061.44	34,209.75
2025Q2	30 June 2025	91	7,939	2,927.32	9,376.81	23,153.16	35,457.29
2025Q3	30 September 2025	92	8,511	2,507.5	9,937.86	22,965.98	35,411.34
2025Q4	31 December 2025	92	8,517	2,623.5	9,565.35	24,399.21	36,588.06
2026Q1	31 March 2026	90	8,377	2,540	8,570.37	22,756.08	33,866.45

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.448067	1.056347	2.042896	3.54731
2017Q2	0.408727	1.075829	1.677464	3.16202
2017Q3	0.417238	1.072923	1.18686	2.677021
2017Q4	0.514879	0.947086	1.316149	2.778115
2018Q1	0.51744	1.034841	2.299313	3.851593
2018Q2	0.413734	1.094592	2.659223	4.167548
2018Q3	0.396692	1.132174	2.607777	4.136643
2018Q4	0.397195	1.297689	2.657203	4.352088
2019Q1	0.418893	1.24288	2.442074	4.103847
2019Q2	0.515141	1.258727	2.764862	4.53873
2019Q3	0.46146	1.179165	2.712986	4.353611
2019Q4	0.475998	1.328903	2.656455	4.461356
2020Q1	0.479994	1.252756	2.789567	4.522318
2020Q2	0.49675	1.303692	2.889642	4.690083
2020Q3	0.575197	1.317977	2.772556	4.665731
2020Q4	0.544304	1.325824	2.555615	4.425743
2021Q1	0.639356	1.417837	2.619893	4.677085
2021Q2	0.655502	1.394341	2.566617	4.61646
2021Q3	0.497675	1.175239	2.154172	3.827086
2021Q4	0.363204	1.150464	2.146124	3.659792
2022Q1	0.397373	1.343303	2.196421	3.937098
2022Q2	0.404076	1.453278	2.311231	4.168584
2022Q3	0.444063	1.480666	2.641461	4.56619
2022Q4	0.398853	1.526144	2.458005	4.383002
2023Q1	0.445035	1.293702	2.227841	3.966578
2023Q2	0.379833	1.275046	2.390266	4.045145
2023Q3	0.31568	1.316202	2.305437	3.93732
2023Q4	0.292821	1.331643	2.302483	3.926947
2024Q1	0.326961	1.354064	2.451627	4.132652
2024Q2	0.261381	1.277384	2.605655	4.144421
2024Q3	0.283982	1.257124	2.616393	4.157499
2024Q4	0.255099	1.151178	2.795279	4.201557
2025Q1	0.239729	1.206671	2.626675	4.073074
2025Q2	0.368727	1.181107	2.916382	4.466216
2025Q3	0.294619	1.167649	2.698388	4.160656
2025Q4	0.308031	1.123089	2.864766	4.295886
2026Q1	0.303211	1.023083	2.716495	4.04279

How each quarter is derived, and its file

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

← the facility’s full record