Facility record report · CMS certification number 435068

AVANTARA WATERTOWN

WATERTOWN, 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 11 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,180,550	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,939,809	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,240,741	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,401,625	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$160,884	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$76	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$160,808	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$160,808 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	18,666	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,610	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	9,227	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,014	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	15,851	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	56	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	39	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	42	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	137	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	236.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438761, 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 30 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$7,916,419	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,778,396	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,138,023	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,027,855	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$110,168	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$45	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$110,213	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $110,213 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,791	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	100	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	260.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	167.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393649, 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 27 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$8,041,223	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,658,245	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,382,978	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,624,372	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$758,606	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,492	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$761,098	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $761,098 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,420	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	117	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	66.15	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	329.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365652, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,982,652	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,238,264	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,744,388	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,381,182	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$363,206	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$720,771	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,083,977	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,083,977 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,870	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	139	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	208.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	114.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333701, 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 12 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,578,072	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,997,261	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,580,811	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,375,009	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$205,802	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$831,464	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,037,266	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,037,266 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,399	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	119	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	260.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	137.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304405, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 July 2019 to 31 December 2019 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 14 January 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,678,722	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,393,430	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,285,292	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,131,171	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$154,121	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$122	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$154,243	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $154,243 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,502	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	98	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	102.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	86.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278109, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,784,118	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$989,491	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,794,627	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,503,016	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$291,611	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$315,695	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$607,306	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $607,306 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,087	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	130	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	123.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240625, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,842,353	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$624,622	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,217,731	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,849,240	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$368,491	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,367	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$369,858	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $369,858 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,055	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	134	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	476.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	127.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208790, 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	$4,597,904	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$787,680	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,810,224	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,894,497	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$84,273	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,219	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$78,054	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$78,054 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,282	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	98	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	176.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169718, 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	$4,487,456	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$736,837	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,750,619	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,748,665	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,954	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$32,447	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$34,401	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $34,401 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,412	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	179.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142185, 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 23 September 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,940,878	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,026,096	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,914,782	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,942,584	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$27,802	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$70,112	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$42,310	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $42,310 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,594	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	106	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	165.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110629, 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, as submitted, processed by CMS on 26 June 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,745,813	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$971,470	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,774,343	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,821,788	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$47,445	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$45,189	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,256	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,256 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,508	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	107	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	163.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1068570, 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	$4,725,563	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$996,994	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,728,569	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,607,893	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$120,676	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,993	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$140,669	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $140,669 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,392	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	128	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	135.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1047670, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 November 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$4,989,903	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$938,914	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,050,989	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,666,858	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$384,131	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$63,947	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$448,078	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $448,078 (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	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,898	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	111	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	161.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1019229, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,866,561	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,536,466	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$330,095	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$31,121	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $361,216 (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	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,768	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	119	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.84	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	149.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415087, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,525,947	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,329,876	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$196,071	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$21,096	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $217,167 (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	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,380	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	103	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	168.74	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381816, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 9 June 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,429,053	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,151,222	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$277,831	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,967	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $285,798 (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	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,630	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	67	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	263.13	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 373461, read from the public cost report file SNFFY2008.zip.

Cost report for 31 August 2007 to 31 December 2007 — a reporting period of 122 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 31 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$1,126,547	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,104,542	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$22,005	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,842	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $23,847 (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	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	5,940	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	32	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	185.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322422, read from the public cost report file SNFFY2007.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 WATERTOWN	51	15,851	$5,240,741	$5,401,625	−$160,884	31 December 2024
BETHESDA HOME	50	16,944	$4,899,226	$5,164,534	−$265,308	31 December 2024
CLARKSON HEALTH CARE	52	17,189	$6,742,848	$6,620,178	$122,670	30 September 2024
GOOD SAMARITAN SOCIETY-CORSICA	50	14,938	$4,632,614	$4,655,566	−$22,952	30 September 2024
GOOD SAMARITAN SOCIETY-SCOTLAND	52	15,245	$4,407,549	$4,560,265	−$152,716	30 September 2024
TEKAKWITHA LIVING CENTER	50	15,125	$3,614,707	$4,066,110	−$451,403	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
DOROS GENERATION TRUST U/A/D 1/3/12	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	43%	since 07/01/2019
GPN FAMILY TRUST U/A/D 4/28/08	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	43%	since 07/01/2019
OAKWAY OPERATIONS LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	15%	since 07/01/2019
TRUIST BANK	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 04/01/2022
WATERTOWN SD PROPERTY HOLDINGS, LLC	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 07/01/2019
DOROS GENERATION TRUST U/A/D 1/3/12	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/01/2019
GPN FAMILY TRUST U/A/D 4/28/08	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/01/2019
LEGACY HEALTHCARE FINANCIAL SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/01/2019
RAJCHENBACH, CHAIM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2019
RSM US LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2024
SHABAT, MENACHEM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2019
SHIVES, AARON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2019
SPEIER, LYNNA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
WATERTOWN SD PROPERTY HOLDINGS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/01/2019
RAJCHENBACH, CHAIM	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 07/01/2019
SHABAT, MENACHEM	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 07/01/2019
RAJCHENBACH, CHAIM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2019
SHABAT, MENACHEM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2019
SHIVES, AARON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2019
SPEIER, LYNNA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2025
TRUIST BANK	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WATERTOWN SD SKILLED NURSING FACILITY, LLC (enrollment ID O20190827001390).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
DOROS GENERATION TRUST U/A/D 1/3/12	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	42.5	7/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
GPN FAMILY TRUST U/A/D 4/28/08	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	42.5	7/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
OAKWAY OPERATIONS LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	15	7/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
TRUIST BANK	Organization	5% OR GREATER SECURITY INTEREST	100	4/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
WATERTOWN SD PROPERTY HOLDINGS, LLC	Organization	5% OR GREATER SECURITY INTEREST	100	7/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
AARON B SHIVES	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	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.
CHAIM RAJCHENBACH	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	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.
DOROS GENERATION TRUST U/A/D 1/3/12	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
GPN FAMILY TRUST U/A/D 4/28/08	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
LEGACY HEALTHCARE FINANCIAL SERVICES LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
LYNNA SPEIER	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MENACHEM SHABAT	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	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.
RSM US LLP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
WATERTOWN SD PROPERTY HOLDINGS, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	INDIRECT OWNERSHIP INTEREST	4.9	7/1/2019	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	INDIRECT OWNERSHIP INTEREST	2.6	7/1/2019	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	INDIRECT OWNERSHIP INTEREST	4.9	7/1/2019	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	INDIRECT OWNERSHIP INTEREST	2.6	7/1/2019	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.
CHAIM RAJCHENBACH	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	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.
MENACHEM SHABAT	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	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.
AARON B SHIVES	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	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.
CHAIM RAJCHENBACH	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	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.
LYNNA SPEIER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MENACHEM SHABAT	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2019	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.
TRUIST BANK	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2022	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 February 2026: CIBC BANK USA no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAIM Z RAJCHENBACH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LYNNA SPEIER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MENACHEM SHABAT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRUIST BANK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRUIST BANK appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DOROS GENERATION TRUST U/A/D 1/3/12 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: AARON B SHIVES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: AARON B SHIVES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: RSM US LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: OAKWAY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GPN FAM TR UA 04282008 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WATERTOWN SD PROPERTY HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WATERTOWN SD PROPERTY HOLDINGS, LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAIM Z RAJCHENBACH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAIM Z RAJCHENBACH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAIM Z RAJCHENBACH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LYNNA SPEIER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LYNNA SPEIER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MENACHEM SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MENACHEM SHABAT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MENACHEM SHABAT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	29 April 2026	29 April 2026	26	4
2	5 December 2024	5 December 2024	4	2
3	28 September 2023	28 September 2023	2	2

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

Deficiencies cited

32 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
17 June 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	Yes	Deficient, Provider has plan of correction	1 August 2026
29 April 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	Yes	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	F	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E	No	Deficient, Provider has date of correction	2 June 2026
29 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.	J	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	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.	E	Yes	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	Yes	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	Yes	Deficient, Provider has date of correction	2 June 2026
29 April 2026	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	2 June 2026
29 April 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	K	Yes	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	G	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	F	Yes	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0837	Administration Deficiencies	Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.	F	No	Deficient, Provider has date of correction	2 June 2026
29 April 2026	Health	F 0865	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	F	No	Deficient, Provider has date of correction	2 June 2026
6 March 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	G	Yes	Past Non-Compliance	28 February 2025
5 December 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	6 January 2025
5 December 2024	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.	E	Yes	Deficient, Provider has date of correction	6 January 2025
5 December 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	6 January 2025
19 March 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	Yes	Deficient, Provider has date of correction	24 April 2024
28 September 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	6 November 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
6 March 2025	Fine	$6,368			100281

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	WATERTOWN SD SKILLED NURSING FACILITY, LLC
Date First Approved to Provide Medicare and Medicaid Services	1993-03-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Codington
Telephone Number	6058868431
Chain Name	LEGACY HEALTHCARE
Chain ID	306
Special Focus Status	SFF Candidate
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	51
Average Number of Residents per Day	46.6
Overall Rating	1
Health Inspection Rating	1
QM Rating	2
Long-Stay QM Rating	2
Short-Stay QM Rating	3
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 February 2026: CIBC BANK USA no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAIM Z RAJCHENBACH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LYNNA SPEIER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MENACHEM SHABAT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRUIST BANK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: TRUIST BANK appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DOROS GENERATION TRUST U/A/D 1/3/12 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: AARON B SHIVES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: AARON B SHIVES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: RSM US LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: OAKWAY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: GPN FAM TR UA 04282008 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WATERTOWN SD PROPERTY HOLDINGS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: WATERTOWN SD PROPERTY HOLDINGS, LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAIM Z RAJCHENBACH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAIM Z RAJCHENBACH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: CHAIM Z RAJCHENBACH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LYNNA SPEIER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: LYNNA SPEIER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MENACHEM SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MENACHEM SHABAT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: MENACHEM SHABAT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
11 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
30 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
27 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
22 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
12 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
14 January 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
28 January 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
13 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
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
23 September 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
26 June 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
10 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
15 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
9 June 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
31 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.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, AVANTARA WATERTOWN — facility record report, CMS certification number 435068. https://velarionrecords.com/facility/435068/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.zip.
Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
Care Compare ownership: CMS file dated 1 August 2026.
Medicare enrollment ownership: CMS file dated 1 August 2026.
Nurse staffing: CMS Payroll-Based Journal, quarters 2017Q2 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 435068. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q2	30 June 2017	91	4,233	4,776.71	2,805.66	11,713.28	19,295.65
2017Q3	30 September 2017	92	4,332	5,325.37	3,041.52	11,823.18	20,190.07
2017Q4	31 December 2017	92	4,210	4,693.16	2,416.13	10,907.22	18,016.51
2018Q1	31 March 2018	90	4,222	4,819.17	1,040.71	10,022.98	15,882.86
2018Q2	30 June 2018	91	4,270	4,872.99	1,326.47	10,417.94	16,617.4
2018Q3	30 September 2018	92	4,296	4,326.45	1,814.31	10,382.76	16,523.52
2018Q4	31 December 2018	92	4,495	4,190.86	2,195.13	10,190.71	16,576.7
2019Q1	31 March 2019	90	4,346	4,479.76	1,658.05	9,915.94	16,053.75
2019Q2	30 June 2019	91	4,291	4,501.71	1,637.59	10,577.87	16,717.17
2019Q3	30 September 2019	92	4,374	4,468.75	1,988.5	9,626	16,083.25
2019Q4	31 December 2019	92	4,036	4,715.75	1,485.5	8,817.25	15,018.5
2020Q2	30 June 2020	91	3,831	4,999.25	685.25	7,149.5	12,834
2020Q3	30 September 2020	92	4,023	4,760.5	1,036.75	7,769.75	13,567
2020Q4	31 December 2020	92	4,087	4,967.92	1,193	8,565.75	14,726.67
2021Q1	31 March 2021	90	3,546	4,656.5	1,122.5	8,516	14,295
2021Q2	30 June 2021	91	4,255	4,879.75	955	8,757.5	14,592.25
2021Q3	30 September 2021	92	4,251	5,297.25	811.5	8,650.75	14,759.5
2021Q4	31 December 2021	92	3,766	5,159.25	988.75	6,752	12,900
2022Q1	31 March 2022	90	3,575	4,843.5	1,269	6,887.5	13,000
2022Q2	30 June 2022	91	4,094	4,545	1,641.75	8,186.5	14,373.25
2022Q3	30 September 2022	92	4,386	3,993.25	2,097.25	9,016	15,106.5
2022Q4	31 December 2022	92	4,266	3,787.5	2,235.5	7,410.75	13,433.75
2023Q1	31 March 2023	90	4,095	3,385.5	2,331.5	8,221.75	13,938.75
2023Q2	30 June 2023	91	4,056	4,044.32	2,042.75	7,883.9	13,970.97
2023Q3	30 September 2023	92	4,271	3,825	2,482.25	8,640.5	14,947.75
2023Q4	31 December 2023	92	4,204	3,213.75	2,850.75	7,711.75	13,776.25
2024Q1	31 March 2024	91	4,038	3,190.75	2,592.5	8,694	14,477.25
2024Q2	30 June 2024	91	3,959	3,390.25	2,778.5	9,067.75	15,236.5
2024Q3	30 September 2024	92	4,007	4,111.5	2,375.25	9,441.5	15,928.25
2024Q4	31 December 2024	92	3,925	4,204.8	2,073	9,035.43	15,313.23
2025Q1	31 March 2025	90	4,068	4,867.94	1,595.25	8,958	15,421.19
2025Q2	30 June 2025	91	4,201	4,907.75	1,557.75	9,208.5	15,674
2025Q3	30 September 2025	92	4,204	4,873.5	1,147.25	9,162.25	15,183
2025Q4	31 December 2025	92	4,325	4,987.25	1,467.2	8,528.5	14,982.95
2026Q1	31 March 2026	90	4,196	4,464.2	1,741.75	8,770	14,975.95

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q2	1.128446	0.662807	2.767134	4.558386
2017Q3	1.22931	0.702105	2.729266	4.660681
2017Q4	1.114765	0.573903	2.590789	4.279456
2018Q1	1.141442	0.246497	2.373989	3.761928
2018Q2	1.141215	0.310649	2.439799	3.891663
2018Q3	1.007088	0.422325	2.416844	3.846257
2018Q4	0.932338	0.488349	2.267121	3.687809
2019Q1	1.030778	0.381512	2.281624	3.693914
2019Q2	1.049105	0.381634	2.465129	3.895868
2019Q3	1.021662	0.454618	2.200732	3.677012
2019Q4	1.168422	0.368062	2.184651	3.721135
2020Q2	1.304946	0.17887	1.866223	3.350039
2020Q3	1.183321	0.257706	1.931332	3.372359
2020Q4	1.215542	0.291901	2.095853	3.603296
2021Q1	1.31317	0.316554	2.401579	4.031303
2021Q2	1.146827	0.224442	2.058167	3.429436
2021Q3	1.246119	0.190896	2.034992	3.472007
2021Q4	1.369955	0.262546	1.792884	3.425385
2022Q1	1.354825	0.354965	1.926573	3.636364
2022Q2	1.110161	0.401014	1.999634	3.510809
2022Q3	0.910454	0.478169	2.055632	3.444254
2022Q4	0.887834	0.524027	1.737166	3.149027
2023Q1	0.82674	0.569353	2.007753	3.403846
2023Q2	0.99712	0.503637	1.943762	3.444519
2023Q3	0.895575	0.581187	2.023063	3.499824
2023Q4	0.764451	0.678104	1.834384	3.276939
2024Q1	0.790181	0.642026	2.153046	3.585253
2024Q2	0.85634	0.701819	2.290414	3.848573
2024Q3	1.026079	0.592775	2.356252	3.975106
2024Q4	1.071287	0.528153	2.30202	3.90146
2025Q1	1.196642	0.392146	2.202065	3.790853
2025Q2	1.168234	0.370805	2.191978	3.731016
2025Q3	1.159253	0.272895	2.179412	3.61156
2025Q4	1.153121	0.339237	1.971908	3.464266
2026Q1	1.063918	0.415098	2.090086	3.569102

How each quarter is derived, and its file

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

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