Facility record report · CMS certification number 435043

SPEARFISH CANYON HEALTHCARE

SPEARFISH, South Dakota · 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 18 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$11,875,372	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,680,431	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,194,941	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,728,514	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$466,427	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,737	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$481,164	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $481,164 (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	105	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	38,430	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,739	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,878	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	6,798	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	26,415	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	88	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	40	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	19	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	147	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	421.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	179.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439812, 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 29 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$11,180,050	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,685,918	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,494,132	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,212,898	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$281,234	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$452,932	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$734,166	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $734,166 (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	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,296	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	160	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	673.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	164.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393482, 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 11 October 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$12,283,666	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,131,979	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,151,687	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,941,634	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,210,053	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$398,523	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,608,576	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,608,576 (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	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,515	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	90	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,341.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	305.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366136, 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 20 October 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$10,688,704	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,416,714	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,271,990	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,847,858	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$424,132	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,149,156	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,573,288	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,573,288 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,325	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	112	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	607.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	235.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335540, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$11,045,512	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,413,888	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,631,624	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,351,812	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$279,812	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$307,368	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$587,180	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $587,180 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,318	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	122	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	626.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	232.11	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302100, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 February 2019 to 31 December 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 24 September 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$10,333,327	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,413,632	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,919,695	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,178,541	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$741,154	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,079	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$757,233	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $757,233 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,467	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	124	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	776.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	237.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1269575, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$11,911,384	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,683,468	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,227,916	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,303,761	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$924,155	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,182	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$943,337	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $943,216 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	105	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,044	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	168	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	936.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	196.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1201897, 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 18 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$10,465,348	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,367,055	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,098,293	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,204,327	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$893,966	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$40,997	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$934,963	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $934,961 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,640	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	174	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	730.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	193.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169717, 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 22 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$10,269,958	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,435,727	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,834,231	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,900,099	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$934,132	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$33,301	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$967,433	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $967,433 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,781	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	127	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,154.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	265.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142079, 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 24 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$10,224,387	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,409,850	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,814,537	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,970,490	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$844,047	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$125,538	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$969,585	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $917,137 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,040	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	142	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	691.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	239.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103803, 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 30 July 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$9,542,433	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,288,276	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,254,157	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,868,326	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$385,831	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$95,770	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$481,601	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $481,601 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,587	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	132	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	526.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	246.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074129, 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 9 September 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$8,983,239	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,002,580	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,980,659	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,493,837	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$486,822	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$108,788	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$595,610	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $595,610 (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	95	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,731	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	105	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	80.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,064.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	311.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1047669, read from the public cost report file SNF10FY2012.zip.

Cost report for 6 January 2011 to 31 December 2011 — a reporting period of 359 days, on form CMS-2540-10, settled, processed by CMS on 12 November 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$8,457,710	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,672,157	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,785,553	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,510,731	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$274,822	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$28,438	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$303,260	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $303,260 (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	95	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,462	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	86	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	67.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	840.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	377.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1019227, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 January 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$6,335,218	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,799,532	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$535,686	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,348	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $548,034 (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	95	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,415	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	133	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	686.66	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	243.72	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 392179, read from the public cost report file SNFFY2009.zip.

Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 January 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$6,211,605	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,823,241	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$388,364	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,822	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $400,186 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,846	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	64.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	695.1	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	248.83	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 363074, read from the public cost report file SNFFY2008.zip.

Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 January 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$6,023,592	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,649,783	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$373,809	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,397	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $387,206 (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	95	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,067	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	148	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	61.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	669.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	223.43	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 332623, read from the public cost report file SNFFY2007.zip.

Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 February 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$5,539,248	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,388,358	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$150,890	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$19,335	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $170,225 (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	94	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,279	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	158	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.37	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	460.61	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	210.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 302382, read from the public cost report file SNFFY2006.zip.

Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 13 February 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$5,272,424	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,227,203	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$45,221	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$37,386	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $82,607 (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	102	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,439	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	164	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	451.24	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	209.99	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 272250, read from the public cost report file SNFFY2005.zip.

Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 October 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$4,626,175	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,905,250	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$279,075	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$27,104	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$251,971 (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	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,080	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	164	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.56	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	560.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	201.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 264799, read from the public cost report file SNFFY2004.zip.

Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 October 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$4,654,423	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,917,284	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$262,861	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$32,598	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$230,263 (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	103	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,725	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	210	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.77	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	511.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	165.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 234670, read from the public cost report file SNFFY2003.zip.

Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 November 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$4,047,543	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,438,254	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$390,711	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$24,868	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$365,843 (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	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,481	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	117	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.24	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	900.74	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	294.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 200930, read from the public cost report file SNFFY2002.zip.

Cost report for 1 April 2002 to 30 June 2002 — a reporting period of 90 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 28 July 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$1,113,721	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,167,509	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$53,788	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,479	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$42,309 (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	112	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	9,301	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	16	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	581.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 155118, 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, settled, processed by CMS on 13 February 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$4,574,934	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,713,956	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$139,022	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$32,254	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$106,768 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,686	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	171	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	469.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	232.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 126210, 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, settled, processed by CMS on 11 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$4,348,030	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,252,617	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$95,413	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$56,102	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $151,515 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,673	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	163	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	638.2	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	243.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 113479, 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, settled, processed by CMS on 2 May 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$3,802,173	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,979,600	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$177,427	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$35,435	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$141,992 (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	118	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,119	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	88	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.41	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,168.52	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	444.53	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 1792, 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, settled, processed by CMS on 5 September 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$3,793,966	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,831,595	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$37,629	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$35,783	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$150	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$1,996 (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	112	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,658	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	120	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,696.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	322.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 18657, 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, settled, processed by CMS on 1 October 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$3,436,235	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,444,878	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$8,643	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$30,884	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,271	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $20,970 (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	116	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,478	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	84	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.71	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	2,550.18	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	446.17	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 18655, read from the public cost report file SNFFY1997.zip.

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 7 October 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$3,496,855	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,602,113	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$105,258	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$36,756	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,430	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$71,932 (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 1996
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,963	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	27.84	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	673.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	310.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 18654, read from the public cost report file SNFFY1996.zip.

Five facilities of a similar size in South Dakota, 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
AVANTARA HURON	105	25,754	$8,129,904	$7,886,590	$243,314	31 December 2024
AVANTARA MOUNTAIN VIEW	101	30,515	$10,562,110	$9,452,399	$1,109,711	31 December 2024
AVANTARA NORTON	100	34,003	$11,432,467	$11,211,524	$220,943	31 December 2024
FIRESTEEL HEALTHCARE CENTER	135	36,630	$11,110,025	$11,101,740	$8,285	31 December 2024
JENKINS LIVING CENTER	110	28,234	$9,246,071	$11,715,580	−$2,469,509	31 March 2024
SPEARFISH NURSING AND REHAB CENTER	105	26,415	$10,194,941	$9,728,514	$466,427	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
THOMPSON, CHRISTOPHER	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/01/2019
BEWSEY, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2019
EDURO HEALTHCARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/01/2019
THOMPSON, CHRISTOPHER	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 02/01/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SPEARFISH NURSING AND REHAB CENTER LLC (enrollment ID O20190219001633).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
EDURO HEALTHCARE LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	2/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
BRIAN J RAMOS	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	2/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL C BEWSEY	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	50	2/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHRISTOPHER M THOMPSON	Individual	CORPORATE OFFICER	0	2/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EDURO HEALTHCARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	2/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL C BEWSEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	50	2/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHRISTOPHER M THOMPSON	Individual	W-2 MANAGING EMPLOYEE	0	2/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: MICHAEL C BEWSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MICHAEL C BEWSEY 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: MICHAEL C BEWSEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MICHAEL C BEWSEY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	28 August 2025	28 August 2025	7	3
2	7 February 2024	7 February 2024	8	5
3	2 February 2023	2 February 2023	6	0

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

Deficiencies cited

21 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
20 April 2026	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	Yes	Past Non-Compliance
28 August 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	10 October 2025
28 August 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	10 October 2025
28 August 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	10 October 2025
28 August 2025	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 October 2025
28 August 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	10 October 2025
28 August 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	10 October 2025
9 July 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	Past Non-Compliance	9 June 2025
9 July 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.	G	Yes	Deficient, Provider has date of correction	31 July 2025
19 June 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Past Non-Compliance	17 June 2024
2 May 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	16 June 2024
7 February 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	15 March 2024
7 February 2024	Health	F 0576	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	F	No	Deficient, Provider has date of correction	15 March 2024
7 February 2024	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.	E	No	Deficient, Provider has date of correction	15 March 2024
7 February 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	15 March 2024
7 February 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	15 March 2024
7 February 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	15 March 2024
2 February 2023	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	6 March 2023
2 February 2023	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	1 March 2023
2 February 2023	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	2 March 2023
2 February 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	1 March 2023

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
9 July 2025	Fine	$9,718			138050

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	SPEARFISH NURSING AND REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services	1990-02-10
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Lawrence
Telephone Number	6056422716
Chain Name	EDURO HEALTHCARE
Chain ID	193
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	105
Average Number of Residents per Day	75.9
Overall Rating	2
Health Inspection Rating	2
QM Rating	4
Long-Stay QM Rating	4
Short-Stay QM Rating	4
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: MICHAEL C BEWSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MICHAEL C BEWSEY 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: MICHAEL C BEWSEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MICHAEL C BEWSEY appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
18 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
29 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
11 October 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
20 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
20 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
24 September 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
19 September 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
23 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
18 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
22 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
24 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
30 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
9 September 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
12 November 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
17 August 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
12 January 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
27 January 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
26 January 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
19 February 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
13 February 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
18 October 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
17 October 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
30 November 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
28 July 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
28 July 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
13 February 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
11 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
2 May 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
5 September 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
1 October 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
7 October 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.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, SPEARFISH CANYON HEALTHCARE — facility record report, CMS certification number 435043. https://velarionrecords.com/facility/435043/report.

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

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 435043. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	8,224	3,350.07	2,846.58	23,375.43	29,572.08
2017Q2	30 June 2017	91	8,024	3,123.86	2,381.12	24,413.61	29,918.59
2017Q3	30 September 2017	92	8,587	3,157.9	3,053.16	23,312.49	29,523.55
2017Q4	31 December 2017	92	8,144	3,071.49	2,671.65	19,766.25	25,509.39
2018Q1	31 March 2018	90	7,588	2,875.34	2,825.13	18,779.87	24,480.34
2018Q2	30 June 2018	91	7,857	2,856.86	2,764.36	21,152.55	26,773.77
2018Q3	30 September 2018	92	7,974	3,403.21	4,555.55	20,318.2	28,276.96
2019Q1	31 March 2019	90	7,760	3,754.52	2,952.43	17,015.85	23,722.8
2019Q2	30 June 2019	91	8,118	3,682.5	3,870.5	21,827.04	29,380.04
2019Q3	30 September 2019	92	8,241	3,650	4,365	20,011.57	28,026.57
2019Q4	31 December 2019	92	7,955	3,029	4,117.45	18,480.46	25,626.91
2020Q1	31 March 2020	91	7,702	3,000	4,377.02	17,076.2	24,453.22
2020Q2	30 June 2020	91	7,271	4,645.5	1,712.45	17,927.02	24,284.97
2020Q3	30 September 2020	92	6,979	4,266.5	2,933.31	17,617.16	24,816.97
2020Q4	31 December 2020	92	6,461	3,524.5	5,883.3	18,869.37	28,277.17
2021Q1	31 March 2021	90	6,430	3,321.25	3,636.25	16,943.75	23,901.25
2021Q2	30 June 2021	91	6,749	2,915	3,403.92	16,348.75	22,667.67
2021Q3	30 September 2021	92	6,460	3,404.75	3,236.4	15,078.46	21,719.61
2021Q4	31 December 2021	92	6,800	3,369.5	3,788.18	16,539.25	23,696.93
2022Q1	31 March 2022	90	6,535	3,697.15	2,800.92	15,098.19	21,596.26
2022Q2	30 June 2022	91	6,916	4,301.21	2,902.88	15,775.63	22,979.72
2022Q3	30 September 2022	92	6,920	3,642.56	3,159.59	16,569.12	23,371.27
2022Q4	31 December 2022	92	7,010	2,401.61	4,001.01	15,643.81	22,046.43
2023Q1	31 March 2023	90	6,594	2,190.93	3,863.1	15,263.21	21,317.24
2023Q2	30 June 2023	91	6,500	2,061.15	4,822.81	15,480.4	22,364.36
2023Q3	30 September 2023	92	6,737	2,380.94	4,187.59	15,177.07	21,745.6
2023Q4	31 December 2023	92	6,447	3,036.7	4,071.79	14,856.58	21,965.07
2024Q1	31 March 2024	91	6,008	3,184.11	3,164.05	14,602.37	20,950.53
2024Q2	30 June 2024	91	6,717	3,516.9	2,726.07	14,352.9	20,595.87
2024Q3	30 September 2024	92	6,753	3,060.61	2,954.76	15,942.89	21,958.26
2024Q4	31 December 2024	92	6,836	2,756.68	2,554.04	15,359.98	20,670.7
2025Q1	31 March 2025	90	6,675	2,309.29	4,143.4	15,333.84	21,786.53
2025Q2	30 June 2025	91	6,872	2,366.59	4,200.75	16,080.49	22,647.83
2025Q3	30 September 2025	92	7,075	2,400.11	4,590.86	16,182.04	23,173.01
2025Q4	31 December 2025	92	6,871	2,466.9	4,168.58	16,420.97	23,056.45
2026Q1	31 March 2026	90	6,827	2,990.66	3,772.03	16,269.46	23,032.15

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.407353	0.346131	2.842343	3.595827
2017Q2	0.389315	0.29675	3.042574	3.728638
2017Q3	0.367754	0.355556	2.714859	3.438168
2017Q4	0.377148	0.328051	2.427094	3.132292
2018Q1	0.378933	0.372315	2.474943	3.226191
2018Q2	0.363607	0.351834	2.692192	3.407633
2018Q3	0.426788	0.5713	2.548056	3.546145
2019Q1	0.48383	0.380468	2.192764	3.057062
2019Q2	0.453622	0.47678	2.688721	3.619123
2019Q3	0.442907	0.529669	2.428294	3.40087
2019Q4	0.380767	0.517593	2.323125	3.221485
2020Q1	0.389509	0.568297	2.217112	3.174918
2020Q2	0.638908	0.235518	2.465551	3.339977
2020Q3	0.611334	0.420305	2.52431	3.555949
2020Q4	0.545504	0.910587	2.920503	4.376593
2021Q1	0.516524	0.565513	2.635109	3.717146
2021Q2	0.431916	0.504359	2.422396	3.358671
2021Q3	0.527051	0.500991	2.334127	3.362169
2021Q4	0.495515	0.557085	2.432243	3.484843
2022Q1	0.565746	0.428603	2.310358	3.304707
2022Q2	0.621922	0.419734	2.281034	3.322689
2022Q3	0.526382	0.456588	2.394382	3.377351
2022Q4	0.342598	0.570757	2.231642	3.144997
2023Q1	0.332261	0.585851	2.314712	3.232824
2023Q2	0.3171	0.741971	2.3816	3.440671
2023Q3	0.353412	0.621581	2.252794	3.227787
2023Q4	0.471025	0.631579	2.304418	3.407022
2024Q1	0.529978	0.526639	2.430488	3.487106
2024Q2	0.523582	0.405846	2.136802	3.06623
2024Q3	0.453222	0.437548	2.36086	3.25163
2024Q4	0.403259	0.373616	2.246925	3.0238
2025Q1	0.345961	0.620734	2.297204	3.2639
2025Q2	0.344382	0.611285	2.340001	3.295668
2025Q3	0.339238	0.648885	2.287214	3.275337
2025Q4	0.359031	0.606692	2.389895	3.355618
2026Q1	0.438064	0.552516	2.383105	3.373685

How each quarter is derived, and its file

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

← the facility’s full record