Facility record report · CMS certification number 375479

ELK CITY NURSING AND REHABILITATION CENTER

ELK CITY, Oklahoma · 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 27 June 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,589,031	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,589,031	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,015,324	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$573,707	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$30,739	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$604,446	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $604,446 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,188	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	603	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	14,746	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	3,954	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	19,303	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	17	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	23	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	17	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	57	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	641.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	338.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1431677, 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 21 March 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,878,889	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,878,889	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,162,456	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$716,433	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$414,365	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,130,798	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,130,798 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,622	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	50	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	695.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	412.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405668, 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 19 April 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,452,057	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$7,367	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,459,424	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,819,115	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$640,309	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$401,534	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,041,843	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,041,843 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,534	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	55	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	86.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	679.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	336.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376588, 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 21 August 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,372,859	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$24,646	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,348,213	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,222,824	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$125,389	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$93,892	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$219,281	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $219,281 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,100	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	61	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	453.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	231.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362705, 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 30 December 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,808,199	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$137,589	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,670,610	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,691,316	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$20,706	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,287,459	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,266,753	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,266,753 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,075	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	83	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.84	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	330.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	229.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339336, 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 4 March 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,572,723	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$234,129	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,338,594	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,050,988	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$287,606	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,549	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$309,155	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $309,155 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,854	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	111	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.66	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	277.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	178.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311384, 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 3 March 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,555,915	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$91,269	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,464,646	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,869,501	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$595,145	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,326	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$607,471	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $607,471 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,906	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	112	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	203.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	186.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1251789, 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 10 May 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,429,391	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$162,740	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,266,651	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,873,460	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$393,191	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$2,628	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$390,563	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $390,563 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,959	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	111	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	267.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	179.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1224118, 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, processed by CMS on 21 June 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,142,660	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$585,302	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,557,358	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,122,066	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$435,292	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,167	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$445,459	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $445,459 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,843	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	128	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	271.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	170.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1163985, 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 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,382,846	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$239,863	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,142,983	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,864,070	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$278,913	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$39,672	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$318,585	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $318,585 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,000	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	134	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	269.04	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	149.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136195, 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 7 December 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$3,420,500	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$402,537	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,017,963	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,856,573	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$161,390	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$27,429	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$188,819	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $188,819 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,719	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	80	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	728.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	233.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1147671, 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 11 December 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$2,510,796	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$179,552	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,331,244	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,458,705	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$127,461	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$33,833	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$93,628	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$93,628 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,994	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	49	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.95	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,116.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	326.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1114686, 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 15 December 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$2,426,127	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,545	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,420,582	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,295,423	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$125,159	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,934	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$137,093	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $137,093 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,374	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	70	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	297.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	233.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1082659, 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 27 January 2014.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$2,516,876	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$10,661	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,506,215	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,390,430	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$115,785	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,263	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$131,048	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $131,048 (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	118	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,033	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	53	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	947.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	321.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1053677, 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 19 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,531,494	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,333,558	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$197,936	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$7,501	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $190,435 (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	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,685	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	106	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.15	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	409.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	157.41	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417935, read from the public cost report file SNFFY2010.zip.

Cost report for 1 August 2009 to 31 December 2009 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 30 June 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$966,543	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$937,889	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$28,654	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$226	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $28,880 (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	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	6,576	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	50	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	436.22	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	131.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 379549, 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 14 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,026,155	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,130,993	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$104,838	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,553	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$96,285 (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	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,934	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	34	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	622.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	468.65	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 349702, 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 5 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,099,873	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,858,297	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$241,576	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,565	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $243,141 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,476	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	58	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.1	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	604.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	284.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322857, 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 8 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$1,787,262	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,717,604	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$69,658	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,449	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $72,107 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,734	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	52	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	543.88	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	302.58	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 291446, 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 1 September 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$1,542,181	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,533,230	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$8,951	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,670	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $18,621 (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 2005
Figure	As filed	Where it comes from
Total facility beds, all components	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,763	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	24	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	732.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	615.13	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 262353, read from the public cost report file SNFFY2005.zip.

Cost report for 14 November 2004 to 31 December 2004 — a reporting period of 47 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 22 August 2006.

None of these figures is carried on this report.

CMS report record 261609, read from the public cost report file SNFFY2005.zip.

Five facilities of a similar size in Oklahoma, 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
BARTLESVILLE HEALTH & REHAB COMMUNIT	119	24,359	$6,131,480	$6,820,268	−$688,788	31 December 2024
ELK CITY NURSING & REHAB CTR	118	19,303	$4,589,031	$4,015,324	$573,707	31 December 2024
EMERALD CARE CENTER TULSA	118	20,486	$5,834,843	$7,601,187	−$1,766,344	31 December 2024
GLENWOOD SKILLED NURSING & THERAPY	119	24,337	$6,356,935	$5,958,694	$398,241	31 December 2024
HERITAGE AT BRANDON PLACE	118	27,829	$8,837,454	$8,334,191	$503,263	31 December 2024
MEMORIAL HEIGHTS HEALTH CENTER	118	22,221	$5,681,819	$4,525,891	$1,155,928	30 June 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
ELK 421, LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	25%	since 09/12/2014
DAVID BRALY REV TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	50%	since 09/12/2014
MARIA TRAPP-BRALY REV TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	50%	since 09/12/2014
BANK, DAVID	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/06/2017
FORVIS MAZARS LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/1996
HENNIGH, CATHY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/14/2025
DOUT, ALEXANDER	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/30/2023
FOGLE, KIMBERLY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/30/2023
BRALY, DAVID	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/14/2025
TRAPP, MARIA	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/14/2025
BANK, DAVID	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2017
BRIMER, ARMELDIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
GLOSSER, PATRICIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2022
HENNIGH, CATHY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2012
HOPPER, DELANEE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/29/2023
JERNIGAN, ZINA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/29/2023
LEAPER, ROCKY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2022
WHITE, CORRISA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2012

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ELK CITY NURSING HOME LLC (enrollment ID O20091026000086).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ELK 421, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	25	9/12/2014	Private equity company: No Real estate investment trust: No Holding company: No
JAMES OREN BROWN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	75	9/12/2014	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.
DAVID BRALY REV TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	9/12/2014	Private equity company: No Real estate investment trust: No Holding company: No
MARIA TRAPP-BRALY REV TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	9/12/2014	Private equity company: No Real estate investment trust: No Holding company: No
CATHY A HENNIGH	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.	10/14/2025	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.
DAVID BANK	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.	4/6/2017	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.
FORVIS MAZARS LLP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/1996	Private equity company: No Real estate investment trust: No Holding company: No
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.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/11/2025	Private equity company: No Real estate investment trust: No Holding company: No
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.	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.	7/1/2016	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.
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.	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.	12/3/2019	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.
ALEXANDER DOUT	Individual	CORPORATE OFFICER	0	4/30/2023	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.
KIMBERLY SUE FOGLE	Individual	CORPORATE OFFICER	0	4/30/2023	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.
ARMELDIA BRIMER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	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.
CATHY A HENNIGH	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.	8/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CORRISA D WHITE	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.	8/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID BANK	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2017	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.
DELANEE HOPPER	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.	9/29/2023	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.
PATRICIA GLOSSER	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.	3/1/2022	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.
ROCKY LEAPER	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.	3/1/2022	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.
ZINA JERNIGAN	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.	9/29/2023	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.

Changes in ownership

1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAVID BRALY REV TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAVID BRALY REV TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: MARIA C TRAPP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CATHY A HENNIGH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CORRISA D WHITE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAVID E BRALY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CATHY A HENNIGH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CATHY A HENNIGH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DELANEE HOPPER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAVID BANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAVID BANK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CORRISA D WHITE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: ROCKY LEAPER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: ZINA JERNIGAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: ARMELDIA BRIMER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: PATRICIA GLOSSER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARIA TRAPP-BRALY REV TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAVID BRALY REV TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 August 2023: MARIA C TRAPP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: DAVID E BRALY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: MARIA C TRAPP appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: ELK 421, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: KIMBERLY SUE FOGLE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: ALEXANDER DOUT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: DAVID E BRALY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	1 August 2025	1 August 2025	2	2
2	20 March 2024	20 March 2024	9	0
3	2 February 2023	2 February 2023	0	0

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

Deficiencies cited

11 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
1 August 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.	D	No	Deficient, Provider has date of correction	15 September 2025
1 August 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	15 September 2025
20 March 2024	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	E	No	Deficient, Provider has date of correction	6 May 2024
20 March 2024	Health	F 0637	Resident Assessment and Care Planning Deficiencies	Assess the resident when there is a significant change in condition	D	No	Deficient, Provider has date of correction	6 May 2024
20 March 2024	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	6 May 2024
20 March 2024	Health	F 0642	Resident Assessment and Care Planning Deficiencies	Ensure a qualified health professional conducts resident assessments.	F	No	Deficient, Provider has date of correction	6 May 2024
20 March 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	6 May 2024
20 March 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	6 May 2024
20 March 2024	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	6 May 2024
20 March 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	6 May 2024
20 March 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	6 May 2024

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	For profit - Partnership
Legal Business Name	ELK CITY NURSING HOME LLC
Date First Approved to Provide Medicare and Medicaid Services	2004-11-14
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Beckham
Telephone Number	5802252811
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	118
Average Number of Residents per Day	43.8
Overall Rating	4
Health Inspection Rating	4
QM Rating	2
Long-Stay QM Rating	1
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: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAVID BRALY REV TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DAVID BRALY REV TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 February 2026: MARIA C TRAPP no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CATHY A HENNIGH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CORRISA D WHITE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAVID E BRALY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CATHY A HENNIGH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CATHY A HENNIGH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DELANEE HOPPER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAVID BANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAVID BANK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CORRISA D WHITE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: ROCKY LEAPER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: ZINA JERNIGAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: ARMELDIA BRIMER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: PATRICIA GLOSSER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MARIA TRAPP-BRALY REV TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DAVID BRALY REV TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
27 June 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
21 March 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
19 April 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
21 August 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
1 August 2023: MARIA C TRAPP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: DAVID E BRALY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: MARIA C TRAPP appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: ELK 421, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: KIMBERLY SUE FOGLE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: ALEXANDER DOUT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
1 August 2023: DAVID E BRALY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
30 December 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
4 March 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
3 March 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
10 May 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
21 June 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
7 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
11 December 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
15 December 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
27 January 2014: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
19 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
30 June 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
12 April 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
14 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
5 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
8 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
1 September 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
22 August 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2005.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, ELK CITY NURSING AND REHABILITATION CENTER — facility record report, CMS certification number 375479. https://velarionrecords.com/facility/375479/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 375479. 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	5,121	702.83	3,200.38	12,594.77	16,497.98
2017Q2	30 June 2017	91	4,569	718.83	3,430.99	11,558.58	15,708.4
2017Q3	30 September 2017	92	4,921	715.19	3,582.45	11,442.96	15,740.6
2017Q4	31 December 2017	92	5,277	772.28	4,073.59	11,602.65	16,448.52
2018Q1	31 March 2018	90	5,345	685.29	3,958.4	11,784.18	16,427.87
2018Q2	30 June 2018	91	5,120	693.06	3,932.34	11,733.92	16,359.32
2018Q3	30 September 2018	92	5,240	726.94	3,884.83	11,280.47	15,892.24
2018Q4	31 December 2018	92	5,203	860.96	4,312.52	10,912.45	16,085.93
2019Q1	31 March 2019	90	5,099	927.13	3,761.65	10,867.66	15,556.44
2019Q2	30 June 2019	91	4,985	957.5	3,946.75	10,719.68	15,623.93
2019Q3	30 September 2019	92	4,899	1,149.75	3,550	11,800.95	16,500.7
2019Q4	31 December 2019	92	4,944	1,078	3,579.25	11,939.25	16,596.5
2020Q1	31 March 2020	91	4,907	979.5	3,879.5	12,329.75	17,188.75
2020Q2	30 June 2020	91	4,756	735.25	3,917.75	13,103.75	17,756.75
2020Q3	30 September 2020	92	4,834	913	4,000.5	14,256.5	19,170
2020Q4	31 December 2020	92	4,580	924	4,437	14,263	19,624
2021Q1	31 March 2021	90	3,261	831.25	3,882.5	11,446.25	16,160
2021Q2	30 June 2021	91	3,240	873.75	3,810.25	9,964.75	14,648.75
2021Q3	30 September 2021	92	3,485	868.25	3,665.5	10,458.5	14,992.25
2021Q4	31 December 2021	92	4,185	907.75	3,955.25	11,270.25	16,133.25
2022Q1	31 March 2022	90	4,237	880.25	3,790.5	11,576.25	16,247
2022Q2	30 June 2022	91	4,726	760.75	3,611.25	12,142.25	16,514.25
2022Q3	30 September 2022	92	5,038	991.5	4,200	12,541.75	17,733.25
2022Q4	31 December 2022	92	4,658	926.75	3,942.25	12,260.5	17,129.5
2023Q1	31 March 2023	90	4,892	968	3,936.5	12,082.25	16,986.75
2023Q2	30 June 2023	91	5,053	949.25	4,054	13,525.75	18,529
2023Q3	30 September 2023	92	5,234	912	4,091.75	14,483.75	19,487.5
2023Q4	31 December 2023	92	5,529	958.75	3,861.25	14,783	19,603
2024Q1	31 March 2024	91	5,016	1,068.5	3,743.75	15,733.25	20,545.5
2024Q2	30 June 2024	91	4,774	1,144	3,539.25	15,170.75	19,854
2024Q3	30 September 2024	92	4,638	1,090.25	3,689.75	14,019.25	18,799.25
2024Q4	31 December 2024	92	5,011	1,207.25	3,577.5	14,392.5	19,177.25
2025Q1	31 March 2025	90	4,311	1,116.75	3,530.75	13,663.5	18,311
2025Q2	30 June 2025	91	4,218	1,127	3,618.5	13,659.5	18,405
2025Q3	30 September 2025	92	4,231	1,050.75	3,670	13,033	17,753.75
2025Q4	31 December 2025	92	4,101	1,103.75	3,512.5	12,595.5	17,211.75
2026Q1	31 March 2026	90	3,941	1,069.5	3,508	12,261.5	16,839

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	0.137245	0.624952	2.459436	3.221632
2017Q2	0.157328	0.750928	2.529783	3.438039
2017Q3	0.145334	0.727992	2.325332	3.198659
2017Q4	0.146348	0.771952	2.198721	3.117021
2018Q1	0.128211	0.74058	2.204711	3.073502
2018Q2	0.135363	0.768035	2.291781	3.19518
2018Q3	0.138729	0.74138	2.152761	3.03287
2018Q4	0.165474	0.828853	2.097338	3.091664
2019Q1	0.181826	0.737723	2.131332	3.050881
2019Q2	0.192076	0.791725	2.150387	3.134189
2019Q3	0.234691	0.724638	2.408849	3.368177
2019Q4	0.218042	0.723958	2.414897	3.356897
2020Q1	0.199613	0.790605	2.512686	3.502904
2020Q2	0.154594	0.823749	2.755204	3.733547
2020Q3	0.188871	0.827576	2.949214	3.96566
2020Q4	0.201747	0.968777	3.114192	4.284716
2021Q1	0.254906	1.190586	3.510043	4.955535
2021Q2	0.269676	1.176003	3.07554	4.521219
2021Q3	0.249139	1.051793	3.001004	4.301937
2021Q4	0.216906	0.945102	2.693011	3.855018
2022Q1	0.207753	0.894619	2.732181	3.834553
2022Q2	0.160971	0.764124	2.569245	3.49434
2022Q3	0.196804	0.833664	2.48943	3.519899
2022Q4	0.198959	0.84634	2.632138	3.677437
2023Q1	0.197874	0.804681	2.469798	3.472353
2023Q2	0.187859	0.802296	2.676776	3.666931
2023Q3	0.174245	0.781763	2.767243	3.723252
2023Q4	0.173404	0.698363	2.67372	3.545487
2024Q1	0.213018	0.746362	3.136613	4.095993
2024Q2	0.239631	0.741359	3.177786	4.158777
2024Q3	0.235069	0.795548	3.022693	4.05331
2024Q4	0.24092	0.713929	2.872181	3.827031
2025Q1	0.259047	0.81901	3.16945	4.247506
2025Q2	0.267188	0.857871	3.238383	4.363442
2025Q3	0.248346	0.867407	3.080359	4.196112
2025Q4	0.269142	0.856498	3.071324	4.196964
2026Q1	0.271378	0.890129	3.111266	4.272773

How each quarter is derived, and its file

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

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