Facility record report · CMS certification number 445458

FOUR OAKS HEALTH CARE CENTER

JONESBOROUGH, Tennessee · 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 2 June 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$9,046,878	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,743,105	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,303,773	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,849,622	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$454,151	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$355,133	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$809,284	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $809,284 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	30,744	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,022	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	14,984	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,117	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	23,123	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	19	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	114	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	29	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	162	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	131.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	142.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450140, 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 2 February 2026.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,231,208	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$952,378	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,278,830	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,035,823	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$756,993	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,292,671	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$535,678	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $535,678 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,414	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	297	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	119.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	58.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447247, 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 20 October 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$6,992,655	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,188,462	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,804,193	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,945,787	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$141,594	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$252,768	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$111,174	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $111,174 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,773	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	280	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	153.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	74.19	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366973, 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 28 March 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,189,824	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,191,091	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,998,733	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,029,073	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$30,340	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,480,458	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,450,118	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,450,118 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,397	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	231	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	427	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345046, 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 2 August 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,225,715	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$976,392	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,249,323	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,078,683	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$170,640	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$607,418	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$778,058	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $778,058 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,969	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	192	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	330.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328639, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 November 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$7,383,262	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$694,482	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,688,780	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,894,629	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$794,151	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$31,064	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$763,087	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $763,087 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,873	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	257	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.66	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	353.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	104.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304639, 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 17 December 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,163,790	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,168,261	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,995,529	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,119,576	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$124,047	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$193,220	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$69,173	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $69,173 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,713	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	258	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	398.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	103.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1276687, read from the public cost report file SNF10FY2018.zip.

Cost report for 28 April 2017 to 31 December 2017 — a reporting period of 247 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 12 May 2020.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,286,635	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$226,940	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,059,695	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,956,739	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$102,956	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$262,930	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$365,886	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $365,886 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,356	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	147	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	352.97	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	124.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1255327, 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 24 January 2019.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$8,464,318	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,103,732	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,360,586	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,010,710	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$349,876	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,768	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$352,644	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $352,644 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,518	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	131	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,122.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	194.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1217279, 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 15 December 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,379,739	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,204,504	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,175,235	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,968,901	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$206,334	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,816	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$212,150	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $212,150 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,618	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	163	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,058.28	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	175.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1180352, 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 18 April 2017.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,488,291	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,718,376	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,769,915	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,771,162	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,247	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,855	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$12,608	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $12,608 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,216	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	189	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	719.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	144	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155939, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2017.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$8,480,957	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,567,414	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,913,543	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,540,471	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$373,072	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,518	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$376,590	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $376,590 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,284	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	140	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	903.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	202.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155938, 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 12 December 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$8,147,561	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,491,573	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,655,988	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,296,904	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$359,084	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,232	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$362,316	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $362,316 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,973	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	179	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	384.34	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	156.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1082544, 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 30 May 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$8,157,414	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,047,934	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,109,480	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,564,298	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$545,182	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,787	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$547,969	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $547,969 (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	84	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,363	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	215	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	474.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	131.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1030687, 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 29 May 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$5,504,691	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,183,546	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$321,145	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,084	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $326,229 (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	84	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,547	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	190	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.73	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	557.48	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	144.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 429596, 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 29 July 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,052,535	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,840,204	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$212,331	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,169	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $222,500 (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	84	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,723	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	93	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	84.74	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,079.06	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	298.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 413897, 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 8 February 2012.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,681,993	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,636,095	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$45,898	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,923	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $56,821 (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	84	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,201	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	154	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	80.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	277.48	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	170.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424498, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 June 2009.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,424,174	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,082,823	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$341,351	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,124	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $351,475 (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	84	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,058	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	180	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	67.72	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	201.26	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	150.32	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 343071, read from the public cost report file SNFFY2007.zip.

Cost report for 1 July 2006 to 31 December 2006 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,042,325	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,872,319	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$170,006	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,689	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $172,695 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	84	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,427	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	81	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	279.62	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	165.77	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 307294, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 June 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$4,346,618	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,840,821	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$505,797	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$884	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $506,681 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	84	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,582	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	155	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	190.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 284878, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 May 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,918,819	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,858,709	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$60,110	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$243,736	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $303,846 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	84	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,125	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	121	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.41	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	240.7	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 250185, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 August 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$3,617,950	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,506,229	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$111,721	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$243,474	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $355,195 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	84	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,829	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	115	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	126	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	250.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 230351, read from the public cost report file SNFFY2003.zip.

Cost report for 1 July 2002 to 31 December 2002 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 16 July 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$1,713,606	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,630,993	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$82,613	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$124,024	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $206,637 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	84	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,365	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	79	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	76.12	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	212	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	181.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 186585, read from the public cost report file SNFFY2002.zip.

Five facilities of a similar size in Tennessee, 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
AGAPE NURSING AND REHABILITATION CT	84	24,324	$7,578,084	$8,222,500	−$644,416	31 December 2024
FOUR OAKS HEALTH CENTER	84	23,123	$7,303,773	$6,849,622	$454,151	31 December 2024
KNOLLWOOD MANOR	84	23,637	$5,006,380	$5,420,098	−$413,718	31 December 2024
MILLINGTON NURSING CENTER	85	24,275	$7,915,669	$8,508,802	−$593,133	30 June 2024
THE WATERS OF GAINSBORO	85	15,587	$5,215,258	$6,044,465	−$829,207	31 December 2024
THE WATERS OF JOHNSON CITY LLC	84	19,831	$7,861,359	$9,207,877	−$1,346,518	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
LABIN, SHIYA	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	8%	since 04/28/2017
MCE ASSOCIATES LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	10%	since 04/28/2017
NEUMAN, BENJAMIN	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	10%	since 04/28/2017
NIEDERMAN, ANSHEL	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	30%	since 04/28/2017
EDWARDS, TAMMY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/27/2025
ROSENHEIN, BRIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/07/2025
NIEDERMAN, ANSHEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/28/2017
EISEN, MENASHE	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/27/2025
PHILIPSON, BENT	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/27/2025
PHILIPSON, GABRIELLE	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/27/2025
PHILIPSON, RAQUEL	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/27/2025
NIEDERMAN, ANSHEL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/01/2019
EDWARDS, TAMMY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/13/2022
ROSENHEIN, BRIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/13/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FOUR OAKS OPERATING GROUP LLC (enrollment ID O20170621001826).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ANSHEL NIEDERMAN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	30	4/28/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BENJAMIN NEUMAN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	10	4/28/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MCE ASSOCIATES LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	10	4/28/2017	Private equity company: No Real estate investment trust: No Holding company: No
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	42.5	4/28/2017	Private equity company: No Real estate investment trust: No Holding company: No
SHIYA LABIN	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	7.5	4/28/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRIAN J ROSENHEIN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/7/2025	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.
TAMMY EDWARDS	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.	3/27/2025	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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/27/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	3/27/2025	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.	3/27/2025	Private equity company: No Real estate investment trust: No Holding company: No
ANSHEL NIEDERMAN	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/28/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANSHEL NIEDERMAN	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.	6/1/2019	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.
BRIAN J ROSENHEIN	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.	6/13/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TAMMY EDWARDS	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.	6/13/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: TAMMY EDWARDS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TAMMY EDWARDS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BENJAMIN NEUMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TAMMY EDWARDS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TAMMY EDWARDS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BENJAMIN NEUMAN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2026: MCE ASSOCIATES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: ANSHEL NIEDERMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SHIYA LABIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MFI HEALTHCARE TN II LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN NEUMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MCE ASSOCIATES LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: ANSHEL NIEDERMAN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SHIYA LABIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN NEUMAN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2025: MENASHE EISEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BENJAMIN LANDA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BENT PHILIPSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TAMMY EDWRDS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ANSHEL NIEDERMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BRIAN J ROSENHEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BRIAN J ROSENHEIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TAMMY EDWARDS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TAMMY EDWARDS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
5 January 2024: DEBORAH PHILIPSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
1 January 2023: BRIAN WOODS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: TAMMY EDWRDS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	3 December 2025	3 December 2025	2	1
2	23 February 2023	23 February 2023	6	2
3	2 October 2019	2 October 2019	2	7

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

Deficiencies cited

10 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
3 December 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	No	Past Non-Compliance	6 June 2025
3 December 2025	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	15 December 2025
5 March 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Past Non-Compliance	7 October 2024
8 September 2023	Health	F 0559	Resident Rights Deficiencies	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.	D	Yes	Deficient, Provider has date of correction	28 September 2023
8 September 2023	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	29 September 2023
23 February 2023	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	14 March 2023
23 February 2023	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	D	No	Deficient, Provider has date of correction	16 March 2023
23 February 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	16 March 2023
23 February 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	20 March 2023
23 February 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	16 March 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	FOUR OAKS OPERATING GROUP LLC
Date First Approved to Provide Medicare and Medicaid Services	2002-07-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Washington
Telephone Number	4237538711
Chain Name	AHAVA HEALTHCARE
Chain ID	17
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	84
Average Number of Residents per Day	59.8
Overall Rating	4
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: TAMMY EDWARDS no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TAMMY EDWARDS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BENJAMIN NEUMAN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TAMMY EDWARDS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TAMMY EDWARDS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BENJAMIN NEUMAN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
2 June 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 May 2026: MCE ASSOCIATES LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: ANSHEL NIEDERMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SHIYA LABIN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MFI HEALTHCARE TN II LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN NEUMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: MCE ASSOCIATES LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: ANSHEL NIEDERMAN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SHIYA LABIN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BENJAMIN NEUMAN appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
2 February 2026: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 May 2025: MENASHE EISEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BENJAMIN LANDA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BENT PHILIPSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TAMMY EDWRDS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ANSHEL NIEDERMAN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BRIAN J ROSENHEIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BRIAN J ROSENHEIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TAMMY EDWARDS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: TAMMY EDWARDS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
5 January 2024: DEBORAH PHILIPSON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
20 October 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
28 March 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
1 January 2023: BRIAN WOODS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: TAMMY EDWRDS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
2 August 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
16 November 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
17 December 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
12 May 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
17 April 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
24 January 2019: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
15 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
18 April 2017: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
18 April 2017: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
12 December 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
30 May 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
29 May 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
8 February 2012: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
29 July 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
10 June 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
23 April 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
24 January 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
29 October 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
19 June 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
24 May 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
9 August 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
16 July 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.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, FOUR OAKS HEALTH CARE CENTER — facility record report, CMS certification number 445458. https://velarionrecords.com/facility/445458/report.

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

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 445458. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	6,867	4,668.39	5,963.04	13,984.33	24,615.76
2018Q1	31 March 2018	90	6,744	3,710.63	7,245.17	12,511.73	23,467.53
2018Q2	30 June 2018	91	6,711	4,855.21	7,399.36	13,389.36	25,643.93
2018Q3	30 September 2018	92	6,822	5,051.6	7,359.66	13,393.22	25,804.48
2018Q4	31 December 2018	92	7,026	5,328.87	6,975.1	12,719.44	25,023.41
2019Q1	31 March 2019	90	6,989	4,748.33	7,112.05	12,293.88	24,154.26
2019Q2	30 June 2019	91	6,764	3,748.5	6,951.6	12,668.37	23,368.47
2019Q3	30 September 2019	92	6,553	4,076.58	6,716.34	13,175.55	23,968.47
2019Q4	31 December 2019	92	7,011	3,592.48	6,417.14	13,189.54	23,199.16
2020Q2	30 June 2020	91	6,370	3,838.75	7,063.51	13,325.31	24,227.57
2020Q3	30 September 2020	92	6,332	2,580.5	7,527.75	15,522	25,630.25
2020Q4	31 December 2020	92	5,802	3,013.5	6,774	16,243	26,030.5
2021Q1	31 March 2021	90	5,619	2,052.25	7,105.25	13,275.25	22,432.75
2021Q2	30 June 2021	91	5,660	1,870.5	7,052.5	10,059.25	18,982.25
2021Q3	30 September 2021	92	5,348	2,597	6,749.25	10,747.25	20,093.5
2021Q4	31 December 2021	92	4,923	2,592.25	7,862.5	10,468.25	20,923
2022Q1	31 March 2022	90	5,473	1,878.75	7,557.25	7,943.5	17,379.5
2022Q2	30 June 2022	91	5,157	2,443.25	6,477.5	8,113.5	17,034.25
2022Q3	30 September 2022	92	5,216	2,957.25	7,115.75	8,979.5	19,052.5
2022Q4	31 December 2022	92	5,004	3,572.75	6,069.25	7,872.5	17,514.5
2023Q1	31 March 2023	90	4,228	3,767.75	5,189	6,928.5	15,885.25
2023Q2	30 June 2023	91	4,291	4,300.5	4,992.75	6,905.25	16,198.5
2023Q3	30 September 2023	92	4,227	3,436.5	4,517.5	9,735	17,689
2023Q4	31 December 2023	92	4,679	3,251.75	4,771	9,124.25	17,147
2024Q1	31 March 2024	91	5,154	3,518.25	5,655.5	10,382	19,555.75
2024Q2	30 June 2024	91	5,607	3,195.5	5,025.5	10,969.75	19,190.75
2024Q3	30 September 2024	92	6,147	3,230.75	4,716.5	10,814	18,761.25
2024Q4	31 December 2024	92	6,226	2,835.75	5,551.5	14,872.5	23,259.75
2025Q1	31 March 2025	90	6,035	2,074.75	5,572.5	11,842.5	19,489.75
2025Q2	30 June 2025	91	6,043	1,924.75	6,073.5	13,234.25	21,232.5
2025Q3	30 September 2025	92	5,416	1,898.25	6,168.25	12,792.5	20,859
2025Q4	31 December 2025	92	5,423	1,497.75	6,252.5	11,732	19,482.25
2026Q1	31 March 2026	90	5,378	1,615.25	6,444.5	10,607	18,666.75

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.67983	0.868362	2.036454	3.584645
2018Q1	0.550212	1.074313	1.855239	3.479764
2018Q2	0.72347	1.102572	1.995136	3.821179
2018Q3	0.740487	1.078813	1.96324	3.782539
2018Q4	0.75845	0.992755	1.810339	3.561544
2019Q1	0.6794	1.017606	1.759033	3.456039
2019Q2	0.554184	1.027735	1.872911	3.45483
2019Q3	0.622094	1.024926	2.010613	3.657633
2019Q4	0.512406	0.915296	1.881264	3.308966
2020Q2	0.60263	1.108871	2.091885	3.803386
2020Q3	0.407533	1.188842	2.451358	4.047734
2020Q4	0.51939	1.167528	2.799552	4.48647
2021Q1	0.365234	1.264504	2.362565	3.992303
2021Q2	0.330477	1.246025	1.777253	3.353754
2021Q3	0.485602	1.262014	2.009583	3.757199
2021Q4	0.526559	1.597095	2.126397	4.250051
2022Q1	0.343276	1.380824	1.451398	3.175498
2022Q2	0.473774	1.25606	1.573298	3.303132
2022Q3	0.566957	1.364216	1.72153	3.652703
2022Q4	0.713979	1.21288	1.573241	3.5001
2023Q1	0.891142	1.227294	1.638718	3.757155
2023Q2	1.002214	1.16354	1.60924	3.774994
2023Q3	0.812988	1.068725	2.303052	4.184765
2023Q4	0.694967	1.019662	1.950043	3.664672
2024Q1	0.682625	1.097303	2.014358	3.794286
2024Q2	0.569913	0.89629	1.956438	3.422641
2024Q3	0.525582	0.767285	1.759232	3.052099
2024Q4	0.455469	0.891664	2.388773	3.735906
2025Q1	0.343786	0.923364	1.962303	3.229453
2025Q2	0.318509	1.005047	2.190013	3.513569
2025Q3	0.350489	1.138894	2.361983	3.851366
2025Q4	0.276185	1.15296	2.163378	3.592523
2026Q1	0.300344	1.198308	1.972295	3.470946

How each quarter is derived, and its file

2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv
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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