Facility record report · CMS certification number 445463

BELLS NURSING AND REHABILITATION CENTER

BELLS, 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 April 2024 to 31 March 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 September 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$10,347,919	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$828,745	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,519,174	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,188,660	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$669,486	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,044,633	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$375,147	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $375,147 (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 2025
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,800	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,255	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	17,298	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,774	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	28,327	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	68	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	19	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	78	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	165	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	910.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	171.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439506, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 April 2023 to 31 March 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 October 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$9,818,027	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$962,282	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,855,745	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,572,840	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,717,095	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,520,995	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$196,100	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$196,100 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,476	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	253	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	303.49	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	108.6	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441348, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 April 2022 to 31 March 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$9,720,714	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$985,413	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,735,301	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,975,726	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,240,425	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,071,448	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$168,977	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$168,977 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,109	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	212	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.15	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	452.03	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	142.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390909, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 April 2021 to 31 March 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 May 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$9,964,082	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$970,884	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,993,198	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,618,564	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$625,366	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,584,197	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$958,831	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $958,831 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,775	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	160	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	913.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	204.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1346682, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 April 2020 to 31 March 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 October 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,493,054	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$676,012	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,817,042	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,353,310	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$536,268	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,014,413	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,478,145	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,478,145 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,501	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	187	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	508.76	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	173.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335184, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 April 2019 to 31 March 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$10,703,641	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,110,093	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,593,548	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,111,181	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$482,367	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$292,229	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$774,596	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $774,596 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,254	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	175	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,008.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	212.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304641, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 April 2018 to 31 March 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 January 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$10,021,910	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,013,964	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,007,946	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,749,474	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$258,472	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$424,938	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$683,410	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $683,410 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,751	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	202	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	788.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	176.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1278111, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 April 2017 to 31 March 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 June 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$9,149,752	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,067,731	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,082,021	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,543,294	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$461,273	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,028,460	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$567,187	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $567,187 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,598	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	160	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	222.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1256672, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 April 2016 to 31 March 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$9,383,569	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,313,548	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,070,021	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,509,226	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$439,205	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,049,745	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$610,540	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $610,540 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,647	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	162	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	55.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	232.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221904, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 April 2015 to 31 March 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$9,080,784	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$966,460	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,114,324	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,300,628	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$186,304	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$978,894	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$792,590	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $792,590 (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 2016
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,153	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	144	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.7	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	271.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1182096, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 April 2014 to 31 March 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,980,494	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,007,276	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,973,218	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,509,133	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$535,915	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$752,497	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$216,582	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $216,582 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,373	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	143	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	275.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1144245, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 April 2013 to 31 March 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,912,440	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,000,892	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,911,548	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,380,288	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$468,740	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$527,243	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$58,503	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $58,503 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,267	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	136	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.77	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	288.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108190, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 April 2012 to 31 March 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$8,966,577	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,266,674	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,699,903	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,064,941	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$365,038	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$511,186	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$146,148	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $146,148 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,566	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	143	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	269.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1077100, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 April 2011 to 31 March 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$8,441,254	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$960,620	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,480,634	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,088,464	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$607,830	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$506,538	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$101,292	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$101,292 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,471	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	116	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	305.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046347, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 April 2010 to 31 March 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$7,081,722	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,501,132	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$419,410	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$474,834	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $55,424 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,459	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	144	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	57.73	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	246.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431675, read from the public cost report file SNFFY2010.zip.

Cost report for 1 April 2009 to 31 March 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$6,986,907	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,566,074	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$579,167	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$469,605	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$109,562 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,521	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	138	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	279.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 416750, read from the public cost report file SNFFY2009.zip.

Cost report for 1 April 2008 to 31 March 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 February 2012.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$6,780,583	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,412,632	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$632,049	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$462,475	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$169,574 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,566	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	123	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	64.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	799.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	321.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424485, read from the public cost report file SNFFY2008.zip.

Cost report for 1 April 2007 to 31 March 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 22 February 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$6,411,087	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,099,404	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$688,317	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$450,409	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$237,908 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,612	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	102	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	398.16	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 364289, read from the public cost report file SNFFY2007.zip.

Cost report for 1 April 2006 to 31 March 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$6,712,369	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,350,906	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$638,537	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$488,099	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$150,438 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,051	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	56	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	163.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	768.77	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325336, read from the public cost report file SNFFY2006.zip.

Cost report for 1 April 2005 to 31 March 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 September 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$6,140,942	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,299,383	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$158,441	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$342,768	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $184,327 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,893	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	55	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	120.12	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,462.43	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	779.87	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 293436, read from the public cost report file SNFFY2005.zip.

Cost report for 1 April 2004 to 31 March 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 August 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$5,792,126	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,998,073	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$205,947	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$283,349	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $77,402 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,577	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	61	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	84.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	714.38	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260396, read from the public cost report file SNFFY2004.zip.

Cost report for 1 April 2003 to 31 March 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 30 August 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$5,622,406	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,471,990	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$150,416	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$623,969	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $774,385 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,179	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	49	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	96.11	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	881.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 231964, read from the public cost report file SNFFY2003.zip.

Cost report for 1 October 2002 to 31 March 2003 — a reporting period of 181 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,336,345	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,355,595	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$19,250	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$142,955	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $123,705 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,055	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	22	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	62	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,479	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	957.05	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 192794, read from the public cost report file SNFFY2003.zip.

Five facilities of a similar size in Tennessee, fiscal year 2025

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
BELLS NURSING HOME	120	28,327	$9,519,174	$10,188,660	−$669,486	31 March 2025
CROCKETT COUNTY NURSING HOME	121	22,811	$7,088,103	$7,804,416	−$716,313	31 March 2025
CUMBERLAND MANOR NURSING CENTER	124	2,985	$847,401	$2,097,328	−$1,249,927	31 January 2025
DIVERSICARE OF OAK RIDGE	120	34,343	$10,621,913	$10,420,099	$201,814	28 February 2025
DYER NURSING HOME	120	25,529	$8,712,464	$9,051,398	−$338,934	31 March 2025
PARKWAY HEALTH & REHAB CENTER	120	40,662	$13,591,802	$14,578,550	−$986,748	30 June 2025

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
BELLS HOLDING INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/29/1995
CROOM, RITA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/27/2025
MANN, JOY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2023
MCBRIDE, DAVID	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/14/2023
RHEAR, RAYMOND	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/04/2025
CROOM, RITA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/27/2025
MANN, JOY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 11/01/2023
BELLS HOLDING INC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 03/29/1995
MANN, JOY	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 11/01/2023
MCBRIDE, DAVID	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 12/14/2023
BELLS HOLDING INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/14/2023
MCBRIDE, DAVID	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/14/2023
RHEAR, RAYMOND	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/02/1993

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BELLS NURSING HOME INC (enrollment ID O20020814000013).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BELLS HOLDING INC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	3/29/1995	Private equity company: No Real estate investment trust: No Holding company: Yes
JOY MANN	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	11/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BELLS HOLDING INC	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.	3/29/1995	Private equity company: No Real estate investment trust: No Holding company: Yes
DAVID MCBRIDE	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.	11/14/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOY MANN	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.	11/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RAYMOND W RHEAR	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.	9/4/2025	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.
RITA C CROOM	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/27/2025	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.
JOY MANN	Individual	CORPORATE OFFICER	100	11/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RITA C CROOM	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.	1/27/2025	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.
BELLS HOLDING INC	Organization	DIRECT OWNERSHIP INTEREST	100	3/29/1995	Private equity company: No Real estate investment trust: No Holding company: Yes
JOY MANN	Individual	INDIRECT OWNERSHIP INTEREST	100	11/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID MCBRIDE	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.	12/14/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BELLS HOLDING INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/14/2023	Private equity company: No Real estate investment trust: No Holding company: Yes
DAVID MCBRIDE	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.	12/14/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RAYMOND W RHEAR	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/2/1993	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: JOY MANN no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN 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: JOY MANN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 November 2025: DAVID MCBRIDE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: RAYMOND W RHEAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: RAYMOND W RHEAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAVID MCBRIDE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAVID MCBRIDE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAVID MCBRIDE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BELLS HOLDING INC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BELLS HOLDING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BELLS HOLDING INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: RITA C CROOM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: RITA C CROOM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOY MANN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOY MANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 April 2024: ALLISON SILLS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: DAVID MCBRIDE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 December 2023: CRAIG B LAMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: CRAIG B LAMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: ALLISON SILLS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: JOY MANN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: JOY MANN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	14 August 2025	14 August 2025	3	0
2	21 June 2024	21 June 2024	5	3
3	2 March 2023	2 March 2023	5	4

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

Deficiencies cited

13 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
14 August 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	5 September 2025
14 August 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	5 December 2025
14 August 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	5 September 2025
21 June 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	1 August 2024
21 June 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	1 August 2024
21 June 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	1 August 2024
21 June 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	1 August 2024
21 June 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	No	Deficient, Provider has date of correction	1 August 2024
2 March 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	17 March 2023
2 March 2023	Health	F 0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	No	Deficient, Provider has date of correction	17 March 2023
2 March 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	17 March 2023
2 March 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	17 March 2023
2 March 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	17 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 - Limited Liability company
Legal Business Name	BELLS NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid Services	2002-10-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Crockett
Telephone Number	7316632335
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	120
Average Number of Residents per Day	85.9
Overall Rating	3
Health Inspection Rating	4
QM Rating	1
Long-Stay QM Rating	1
Short-Stay QM Rating	1
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: JOY MANN no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN 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: JOY MANN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JOY MANN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 November 2025: DAVID MCBRIDE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: RAYMOND W RHEAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: RAYMOND W RHEAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAVID MCBRIDE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAVID MCBRIDE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAVID MCBRIDE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BELLS HOLDING INC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BELLS HOLDING INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BELLS HOLDING INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: RITA C CROOM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: RITA C CROOM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOY MANN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOY MANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
23 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
12 September 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
1 April 2024: ALLISON SILLS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 April 2024: DAVID MCBRIDE appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
1 December 2023: CRAIG B LAMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: CRAIG B LAMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: ALLISON SILLS appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: JOY MANN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: JOY MANN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
3 May 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
17 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
16 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
14 January 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
2 June 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
26 March 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
18 January 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
30 September 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
19 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
26 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
15 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
13 August 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
8 February 2012: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
31 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
22 February 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
9 September 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
13 September 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
3 August 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
30 August 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
1 September 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.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, BELLS NURSING AND REHABILITATION CENTER — facility record report, CMS certification number 445463. https://velarionrecords.com/facility/445463/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 445463. 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	9,122	4,220.72	15,388.98	28,200.41	47,810.11
2017Q2	30 June 2017	91	8,999	3,009.31	11,856.36	22,064	36,929.67
2017Q3	30 September 2017	92	9,135	2,737.98	12,600.92	21,537.85	36,876.75
2017Q4	31 December 2017	92	8,969	2,554.45	13,455.64	22,305.21	38,315.3
2018Q1	31 March 2018	90	8,370	2,506.38	13,439.35	19,475.85	35,421.58
2018Q2	30 June 2018	91	9,139	3,172.91	12,470.64	21,769.51	37,413.06
2018Q3	30 September 2018	92	8,792	3,271.79	11,647.55	22,750.9	37,670.24
2018Q4	31 December 2018	92	9,222	3,013.49	11,749.04	20,975.88	35,738.41
2019Q1	31 March 2019	90	8,748	2,769.89	12,271.54	21,124.94	36,166.37
2019Q2	30 June 2019	91	9,177	3,048.57	11,609.93	17,879.24	32,537.74
2019Q3	30 September 2019	92	9,150	3,443.47	11,778.59	22,900.93	38,122.99
2019Q4	31 December 2019	92	9,697	3,783.88	12,900.17	21,865.18	38,549.23
2020Q1	31 March 2020	91	9,254	3,966.11	12,881.36	23,466.32	40,313.79
2020Q2	30 June 2020	91	8,564	3,817.47	13,594.78	25,170.38	42,582.63
2020Q3	30 September 2020	92	8,301	4,069.95	11,548.82	25,526.37	41,145.14
2020Q4	31 December 2020	92	8,436	3,565.31	11,489.46	20,878.66	35,933.43
2021Q1	31 March 2021	90	7,291	2,655.68	10,037.95	17,717.14	30,410.77
2021Q2	30 June 2021	91	7,982	3,243.4	10,140.1	18,243.66	31,627.16
2021Q3	30 September 2021	92	8,805	3,559.59	11,185.97	17,671.93	32,417.49
2021Q4	31 December 2021	92	8,288	3,411.17	11,472.63	18,616.84	33,500.64
2022Q1	31 March 2022	90	7,801	3,104.78	10,719.36	17,671.15	31,495.29
2022Q2	30 June 2022	91	7,968	2,221.35	7,604.22	12,011.74	21,837.31
2022Q3	30 September 2022	92	7,897	4,099.77	11,192.81	17,319.53	32,612.11
2022Q4	31 December 2022	92	7,641	4,878.11	9,957.43	17,027.82	31,863.36
2023Q1	31 March 2023	90	6,971	4,423.97	10,226.1	17,497.97	32,148.04
2023Q2	30 June 2023	91	6,718	4,223.99	10,479.43	17,876.82	32,580.24
2023Q3	30 September 2023	92	6,833	3,702.91	10,542.26	18,033.87	32,279.04
2023Q4	31 December 2023	92	6,767	4,185.31	9,980.86	17,791.54	31,957.71
2024Q1	31 March 2024	91	7,332	4,412.27	9,977.06	20,196.51	34,585.84
2024Q2	30 June 2024	91	6,997	3,777.22	10,115.15	19,657.39	33,549.76
2024Q3	30 September 2024	92	6,820	3,532.36	10,359.92	20,600.36	34,492.64
2024Q4	31 December 2024	92	7,220	2,928.57	10,814.78	16,458.6	30,201.95
2025Q1	31 March 2025	90	7,276	3,173.91	10,598.33	15,843.43	29,615.67
2025Q2	30 June 2025	91	7,379	3,066.72	10,613.39	19,146.36	32,826.47
2025Q3	30 September 2025	92	7,804	3,610.97	11,290.71	21,251.5	36,153.18
2025Q4	31 December 2025	92	7,673	3,895.18	10,497.55	20,629.38	35,022.11
2026Q1	31 March 2026	90	7,727	3,414.43	11,150.52	18,655.83	33,220.78

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	0.462697	1.687018	3.091472	5.241187
2017Q2	0.334405	1.31752	2.451828	4.103753
2017Q3	0.299724	1.379411	2.357729	4.036864
2017Q4	0.284809	1.500239	2.486923	4.27197
2018Q1	0.299448	1.605657	2.326864	4.231969
2018Q2	0.347183	1.364552	2.382045	4.093781
2018Q3	0.372133	1.32479	2.587682	4.284604
2018Q4	0.326772	1.274023	2.274548	3.875343
2019Q1	0.316631	1.402782	2.414831	4.134244
2019Q2	0.332197	1.265112	1.948266	3.545575
2019Q3	0.376336	1.287278	2.502834	4.166447
2019Q4	0.390211	1.330326	2.25484	3.975377
2020Q1	0.428583	1.391978	2.535803	4.356364
2020Q2	0.445758	1.587433	2.939092	4.972283
2020Q3	0.490296	1.391256	3.075096	4.956649
2020Q4	0.42263	1.361956	2.474948	4.259534
2021Q1	0.364241	1.376759	2.430001	4.171001
2021Q2	0.406339	1.270371	2.2856	3.96231
2021Q3	0.404269	1.270411	2.007034	3.681714
2021Q4	0.411579	1.384246	2.24624	4.042066
2022Q1	0.397998	1.374101	2.265242	4.03734
2022Q2	0.278784	0.954345	1.507497	2.740626
2022Q3	0.519155	1.41735	2.193178	4.129683
2022Q4	0.638413	1.303158	2.228481	4.170051
2023Q1	0.634625	1.466949	2.510109	4.611683
2023Q2	0.628757	1.559903	2.661033	4.849693
2023Q3	0.541916	1.542845	2.639232	4.723992
2023Q4	0.618488	1.474931	2.629162	4.722582
2024Q1	0.601783	1.360756	2.75457	4.717109
2024Q2	0.539834	1.445641	2.809403	4.794878
2024Q3	0.517941	1.51905	3.020581	5.057572
2024Q4	0.405619	1.497892	2.279584	4.183096
2025Q1	0.436216	1.456615	2.177492	4.070323
2025Q2	0.415601	1.438324	2.594709	4.448634
2025Q3	0.462708	1.446785	2.723155	4.632647
2025Q4	0.507648	1.368115	2.688568	4.564331
2026Q1	0.441883	1.443059	2.414369	4.299312

How each quarter is derived, and its file

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

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