Facility record report · CMS certification number 395177

ROSE CITY NURSING AND REHAB AT LANCASTER

LANCASTER, Pennsylvania · 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 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$13,297,375	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,320,006	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,977,369	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,057,941	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,080,572	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$257,194	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$823,378	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$823,378 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	45,384	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	279	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	30,717	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	274	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	31,270	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	3	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	49	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	11	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	63	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	626.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	496.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437869, 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 26 June 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$15,330,382	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,396,314	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,934,068	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,758,974	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$175,094	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$108,624	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$283,718	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $283,718 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,913	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	129.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	595.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	478.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1431735, 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 30 October 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$16,190,977	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,541,534	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,649,443	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,094,529	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,445,086	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,383,848	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,061,238	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,061,238 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,740	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	79	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	609.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	452.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398427, 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 22 November 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$18,772,128	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,243,426	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,528,702	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,914,967	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,386,265	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,427,800	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$41,535	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $41,535 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	41,443	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	77	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	72.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	823.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	538.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1368470, 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 27 February 2023.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$17,762,616	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,617,540	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,145,076	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,909,349	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$235,727	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,696	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$242,423	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $242,423 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,431	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	100	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	87.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	597.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	394.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343284, 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 21 April 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$17,755,895	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,646,788	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,109,107	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,643,194	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,465,913	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,976	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,476,889	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,476,889 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,994	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	309	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	76.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	169.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314546, read from the public cost report file SNF10FY2019.zip.

Cost report for 14 May 2018 to 31 December 2018 — a reporting period of 231 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 October 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$10,029,792	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,339,373	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,690,419	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,484,122	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$206,297	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$145	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$206,442	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $206,442 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,919	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	57	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	103.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	734.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	454.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1272194, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 February 2017 to 31 December 2017 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$9,831,161	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,926,727	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,904,434	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,653,001	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,748,567	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,338	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,747,229	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,747,229 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,245	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	89	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	169.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	30,479	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	373.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209436, 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 2 May 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$11,646,284	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,426,052	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,220,232	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,499,661	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,279,429	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$323,644	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,955,785	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,955,785 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	41,754	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	96	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.07	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	434.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188348, 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 27 December 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$10,809,420	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,378,661	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,430,759	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,544,062	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,113,303	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$279,767	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$833,536	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$833,536 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,092	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	118	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	91.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	356.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1181428, 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 30 November 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$11,451,891	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,210,157	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,241,734	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,546,609	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,304,875	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$210,781	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,094,094	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,094,094 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,717	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	108	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	81.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	395.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1147207, 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 9 September 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$11,714,355	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,887,339	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,827,016	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,634,468	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$807,452	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$131,800	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$675,652	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$675,652 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,034	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	126	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	72.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	341.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1109347, 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 18 November 2016.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$11,806,349	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,396,157	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,410,192	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,711,260	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$301,068	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$110,562	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$190,506	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$190,506 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,934	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	129	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	83.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	340.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146650, 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 28 June 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$12,196,231	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,495,420	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,700,811	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,779,924	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$79,113	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$289,400	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$210,287	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $210,287 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	43,853	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	217	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	202.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1040617, 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 16 May 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$9,672,105	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,266,471	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$405,634	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$189,628	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $595,262 (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	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,685	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	201	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	93.32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	217.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 429157, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$8,497,902	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,763,382	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$265,480	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$129	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$265,351 (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	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,511	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	203	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	81.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	199.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433167, 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, reopened, processed by CMS on 27 January 2012.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$7,774,933	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,047,910	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$272,977	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$256,455	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$16,522 (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	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,981	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	152	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, all patients, in days	276.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424153, 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 24 April 2009.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$8,199,120	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,842,269	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$356,851	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$102,128	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $458,979 (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	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	44,218	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	111	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	118	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	398.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 337791, read from the public cost report file SNFFY2007.zip.

Cost report for 1 April 2006 to 31 December 2006 — a reporting period of 274 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 27 July 2010.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$6,287,748	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,728,007	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$559,741	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	−$136,071	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $423,670 (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	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,311	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	87	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	61.34	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	382.89	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 383750, 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 26 December 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$6,838,189	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,821,533	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$16,656	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,752,263	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,768,919 (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	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,840	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	132	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	332.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 269626, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 11 May 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$7,352,437	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,665,060	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$687,377	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$176,945	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $864,322 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,562	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	130	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	72.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	335.09	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249094, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 26 July 2007.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$6,464,168	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,301,422	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$162,746	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$177,841	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $340,587 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,600	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	125	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	340.8	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 290026, read from the public cost report file SNFFY2003.zip.

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 6 August 2007.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$6,563,435	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,929,907	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$633,528	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$198,414	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $831,942 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,537	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	124	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	67.4	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	343.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 291063, read from the public cost report file SNFFY2002.zip.

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 18 May 2007.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$6,173,835	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,777,645	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$396,190	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$108,568	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $504,758 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,354	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	115	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.58	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	359.6	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 278997, read from the public cost report file SNFFY2001.zip.

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 18 June 2001.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$5,749,189	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,342,880	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$406,309	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$139,822	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $546,131 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,198	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	100	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	106.91	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	411.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 74588, read from the public cost report file SNFFY2000.zip.

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 1 August 2000.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$5,041,407	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,422,137	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$619,270	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$143,829	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $763,099 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,153	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	79	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	127.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	520.92	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 6774, read from the public cost report file SNFFY1999.zip.

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 18 January 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$4,546,205	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,111,276	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$434,929	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$61,184	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $496,113 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,744	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	61	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	141.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	618.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 6773, read from the public cost report file SNFFY1998.zip.

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 16 December 1998.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$3,739,165	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,816,649	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$77,484	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$148,030	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $70,546 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,127	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	76	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	110.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	435.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 6772, read from the public cost report file SNFFY1997.zip.

Five facilities of a similar size in Pennsylvania, 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
EMBASSY OF TUNKHANNOCK	124	15,772	$5,040,425	$5,633,804	−$593,379	31 December 2024
EMBASSY OF WOODLAND PARK	125	41,856	$11,764,326	$13,117,061	−$1,352,735	31 December 2024
FAIRLANE GARDENS NURSING & REHAB	124	35,274	$9,756,632	$10,147,202	−$390,570	31 December 2024
ROSE CITY GARDENS NURSING & REHAB	124	31,270	$7,977,369	$9,057,941	−$1,080,572	31 December 2024
UNIVERSITY CITY REHAB AND HEALTHCARE	124	42,567	$17,589,047	$14,988,151	$2,600,896	31 December 2024
WATSONTOWN NURSING AND REHAB CENTER	125	39,695	$10,164,062	$11,117,734	−$953,672	31 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
UNDERSCORE HOLDINGS LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 05/14/2018
SAMARA HOLDINGS COMPANY LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	32%	since 01/28/2020
STRAWBERRY HILL HOLDINGS LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	32%	since 01/28/2020
GPH LANCASTER LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/14/2018
PEARLSTEIN, ROBERT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2022
SHANK, CHRISTINE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/26/2023
CLINICAL CONSULTING SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2019
PEARLSTEIN, ROBERT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2022
PRIORITY CARE GROUP LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2019
SHANK, CHRISTINE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/26/2023
SUMMATION FINANCIAL SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of KEYSTONE NURSING AND REHAB OF LANCASTER LLC (enrollment ID O20180607001657).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
GABRIEL J SEBBAG	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	5	5/14/2018	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.
UNDERSCORE HOLDINGS LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	5/14/2018	Private equity company: No Real estate investment trust: No Holding company: No
LME FAMILY HOLDINGS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	31.67	5/14/2018	Private equity company: No Real estate investment trust: No Holding company: No
SAMARA HOLDINGS COMPANY LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	31.67	1/28/2020	Private equity company: No Real estate investment trust: No Holding company: No
STRAWBERRY HILL HOLDINGS LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	31.67	1/28/2020	Private equity company: No Real estate investment trust: No Holding company: No
CHRISTINE SHANK	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.	5/26/2023	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.
GPH LANCASTER LP	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.	5/14/2018	Private equity company: No Real estate investment trust: No Holding company: No
ROBERT J PEARLSTEIN	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.	1/1/2022	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.
CHRISTINE SHANK	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/26/2023	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.
CLINICAL CONSULTING SERVICES LLC	Organization	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.	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
PRIORITY CARE GROUP LLC	Organization	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.	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
ROBERT J PEARLSTEIN	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.	1/1/2022	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.
SUMMATION FINANCIAL SERVICES LLC	Organization	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.	1/1/2019	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: SAMARA HOLDINGS COMPANY LLC 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: GABRIEL J SEBBAG no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SAMARA HOLDINGS COMPANY LLC 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: GABRIEL J SEBBAG appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2026: LAHASKY FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JOSHUA PAUL BENNETT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: EPHRAM M LAHASKY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: DAVID T GAMZEH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: DAVID T GAMZEH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: AKIVA TZVI GLATZER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CLINICAL CONSULTING SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHRISTINE SHANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHRISTINE SHANK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SUMMATION FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: GPH LANCASTER LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: ROBERT J PEARLSTEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: ROBERT J PEARLSTEIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: STRAWBERRY HILL HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: PRIORITY CARE GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SAMARA HOLDINGS COMPANY LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	20 May 2026	25 April 2025	17	1
2	25 April 2025	15 March 2024	16	1
3	15 March 2024	2 June 2023	14	0

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

Deficiencies cited

47 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
20 May 2026	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	Yes	Deficient, Provider has date of correction	10 June 2026
20 May 2026	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.	D	Yes	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	K	No	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	Yes	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0770	Administration Deficiencies	Provide timely, quality laboratory services/tests to meet the needs of residents.	D	No	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0790	Quality of Life and Care Deficiencies	Provide routine and 24-hour emergency dental care for each resident.	D	No	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	D	No	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	10 June 2026
20 May 2026	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	10 June 2026
13 February 2026	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	Yes	Deficient, Provider has date of correction	30 March 2026
18 December 2025	Health	F 0680	Quality of Life and Care Deficiencies	Ensure the activities program is directed by a qualified professional.	E	Yes	Deficient, Provider has date of correction	19 January 2026
3 December 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	8 December 2025
6 August 2025	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	Yes	Deficient, Provider has date of correction	20 August 2025
25 April 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	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	12 June 2025
25 April 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	E	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	F	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	F	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	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.	E	No	Deficient, Provider has date of correction	12 June 2025
25 April 2025	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	F	No	Deficient, Provider has date of correction	12 June 2025
12 August 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	3 September 2024
12 August 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	Yes	Deficient, Provider has date of correction	3 September 2024
15 March 2024	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	1 May 2024
15 March 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	No	Deficient, Provider has date of correction	1 May 2024
15 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.	D	No	Deficient, Provider has date of correction	1 May 2024
15 March 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	1 May 2024
15 March 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	E	No	Deficient, Provider has date of correction	1 May 2024
15 March 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	1 May 2024
15 March 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	1 May 2024
15 March 2024	Health	F 0825	Quality of Life and Care Deficiencies	Provide or get specialized rehabilitative services as required for a resident.	D	No	Deficient, Provider has date of correction	1 May 2024
3 January 2024	Health	F 0801	Nutrition and Dietary Deficiencies	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.	D	Yes	Deficient, Provider has date of correction	15 January 2024
1 December 2023	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.	J	Yes	Deficient, Provider has date of correction	2 January 2024
1 December 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	2 January 2024
1 December 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Past Non-Compliance	27 October 2023
1 December 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	2 January 2024
1 December 2023	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	E	Yes	Deficient, Provider has date of correction	2 January 2024

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
20 May 2026	Fine	$43,002			140984
1 December 2023	Fine	$85,790			13459

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	KEYSTONE NURSING AND REHAB OF LANCASTER LLC
Date First Approved to Provide Medicare and Medicaid Services	1967-03-03
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Lancaster
Telephone Number	7173974281
Chain Name	LME FAMILY HOLDINGS
Chain ID	321
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	124
Average Number of Residents per Day	102.1
Overall Rating	2
Health Inspection Rating	1
QM Rating	5
Long-Stay QM Rating	5
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: SAMARA HOLDINGS COMPANY LLC 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: GABRIEL J SEBBAG no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SAMARA HOLDINGS COMPANY LLC 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: GABRIEL J SEBBAG appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2026: LAHASKY FAMILY TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: JOSHUA PAUL BENNETT no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: EPHRAM M LAHASKY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: DAVID T GAMZEH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: DAVID T GAMZEH no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: AKIVA TZVI GLATZER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CLINICAL CONSULTING SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHRISTINE SHANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHRISTINE SHANK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SUMMATION FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: GPH LANCASTER LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: ROBERT J PEARLSTEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: ROBERT J PEARLSTEIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: STRAWBERRY HILL HOLDINGS LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: PRIORITY CARE GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SAMARA HOLDINGS COMPANY LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
26 June 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
30 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
22 November 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
27 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
21 April 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
22 October 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
30 October 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
2 May 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
27 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
18 October 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
30 November 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
18 November 2016: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
9 September 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
28 June 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
26 October 2012: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
16 May 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
27 January 2012: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
27 July 2010: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
24 April 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
6 August 2007: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
26 July 2007: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
18 May 2007: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
23 January 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
26 December 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
11 May 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
18 June 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
1 August 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
18 January 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
16 December 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.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, ROSE CITY NURSING AND REHAB AT LANCASTER — facility record report, CMS certification number 395177. https://velarionrecords.com/facility/395177/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 2017Q2 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 395177. 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
2017Q2	30 June 2017	91	9,031	4,536.78	6,721.38	26,044.06	37,302.22
2017Q3	30 September 2017	92	9,083	5,428.75	8,731.63	30,960.01	45,120.39
2017Q4	31 December 2017	92	9,169	3,997.45	8,985.68	30,308.69	43,291.82
2018Q1	31 March 2018	90	10,041	3,995.48	6,946.7	25,067.84	36,010.02
2018Q3	30 September 2018	92	10,455	3,449	8,268.25	21,239	32,956.25
2018Q4	31 December 2018	92	10,539	4,117.5	7,841	23,229.23	35,187.73
2019Q1	31 March 2019	90	10,622	3,400.5	7,816.33	20,808.78	32,025.61
2019Q2	30 June 2019	91	10,869	3,912.25	7,659.25	21,336.25	32,907.75
2019Q3	30 September 2019	92	10,691	4,321.25	7,850.25	21,011	33,182.5
2019Q4	31 December 2019	92	10,913	4,370.83	7,997.5	21,036.5	33,404.83
2020Q1	31 March 2020	91	10,767	4,617	7,770.25	20,332.25	32,719.5
2020Q2	30 June 2020	91	9,367	4,285.25	6,998.75	16,866	28,150
2020Q3	30 September 2020	92	9,452	4,674.25	7,328.25	19,235.25	31,237.75
2020Q4	31 December 2020	92	9,804	3,628.5	7,988.5	19,928.5	31,545.5
2021Q1	31 March 2021	90	10,133	3,820.25	7,519.25	20,382.93	31,722.43
2021Q2	30 June 2021	91	10,345	5,094.75	7,554	19,697	32,345.75
2021Q3	30 September 2021	92	10,780	4,752.25	7,343.25	18,888.25	30,983.75
2021Q4	31 December 2021	92	10,181	5,122.25	6,082	18,130	29,334.25
2022Q1	31 March 2022	90	8,918	3,573	6,200.75	15,068.5	24,842.25
2022Q2	30 June 2022	91	8,996	2,847.5	5,443	15,201	23,491.5
2022Q3	30 September 2022	92	8,755	2,889	4,536.25	11,871.5	19,296.75
2022Q4	31 December 2022	92	9,038	4,246.27	6,503.5	14,581.5	25,331.27
2023Q1	31 March 2023	90	8,701	3,957.87	7,958.25	13,740.12	25,656.24
2023Q2	30 June 2023	91	9,166	5,589.75	7,744.25	14,364.75	27,698.75
2023Q3	30 September 2023	92	9,281	5,692	6,895.5	15,630	28,217.5
2023Q4	31 December 2023	92	8,779	6,077.5	5,620.75	14,476.75	26,175
2024Q1	31 March 2024	91	8,125	4,902.5	5,494	13,449	23,845.5
2024Q2	30 June 2024	91	8,005	5,496.5	6,561.25	13,224.5	25,282.25
2024Q3	30 September 2024	92	7,597	4,883.25	6,345	14,842.75	26,071
2024Q4	31 December 2024	92	7,559	4,933.5	4,479.75	14,987.5	24,400.75
2025Q1	31 March 2025	90	8,641	4,707	5,767	16,590.5	27,064.5
2025Q2	30 June 2025	91	9,410	5,685.75	5,448.5	18,948.75	30,083
2025Q3	30 September 2025	92	9,855	6,037.25	5,561	20,392.25	31,990.5
2025Q4	31 December 2025	92	9,790	6,063	2,570.75	18,508.5	27,142.25
2026Q1	31 March 2026	90	9,193	6,442.75	4,819	19,534.55	30,796.3

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
2017Q2	0.502356	0.744256	2.883851	4.130464
2017Q3	0.597682	0.961316	3.408567	4.967565
2017Q4	0.435974	0.980007	3.305561	4.721542
2018Q1	0.397917	0.691833	2.496548	3.586298
2018Q3	0.32989	0.790842	2.031468	3.1522
2018Q4	0.390692	0.743998	2.204121	3.338811
2019Q1	0.320137	0.735862	1.959027	3.015026
2019Q2	0.359946	0.704688	1.963037	3.02767
2019Q3	0.404195	0.734286	1.965298	3.103779
2019Q4	0.400516	0.732842	1.927655	3.061013
2020Q1	0.42881	0.721673	1.888386	3.038869
2020Q2	0.457484	0.747171	1.800576	3.005231
2020Q3	0.494525	0.775312	2.035045	3.304883
2020Q4	0.370104	0.81482	2.032691	3.217615
2021Q1	0.377011	0.742056	2.01154	3.130606
2021Q2	0.492484	0.730208	1.904012	3.126704
2021Q3	0.44084	0.681192	1.752157	2.874188
2021Q4	0.503119	0.597387	1.780768	2.881274
2022Q1	0.40065	0.695307	1.689673	2.78563
2022Q2	0.31653	0.605047	1.689751	2.611327
2022Q3	0.329983	0.518132	1.355968	2.204083
2022Q4	0.469824	0.719573	1.613355	2.802752
2023Q1	0.454875	0.914636	1.579143	2.948654
2023Q2	0.609835	0.844889	1.567178	3.021902
2023Q3	0.613296	0.74297	1.684086	3.040351
2023Q4	0.692277	0.640249	1.64902	2.981547
2024Q1	0.603385	0.676185	1.655262	2.934831
2024Q2	0.686633	0.819644	1.65203	3.158307
2024Q3	0.642787	0.835198	1.953765	3.431749
2024Q4	0.652666	0.592638	1.982736	3.228039
2025Q1	0.544729	0.6674	1.919975	3.132103
2025Q2	0.604224	0.579012	2.013682	3.196918
2025Q3	0.612608	0.564282	2.069229	3.246119
2025Q4	0.619305	0.262589	1.890552	2.772446
2026Q1	0.700832	0.524203	2.124937	3.349973

How each quarter is derived, and its file

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
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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