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Facility record report · CMS certification number 445492

Ripley Healthcare And Rehab Center

RIPLEY, Tennessee · Medicare and Medicaid

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 June 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,708,928CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,182,483CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,526,445CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,403,017CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$123,428CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$380,755CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$504,183CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $504,183 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components52,704CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,569CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days12,531CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,371CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components17,471CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges23CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges65CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges35CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components123CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days68.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days192.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days142.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450142, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 April 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$5,742,198CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$964,515CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,777,683CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,037,241CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$259,558CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$326,286CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$66,728CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $66,728 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,284CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components150CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days174.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days108.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1420937, read from the public cost report file SNF10FY2023.zip.

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

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$5,077,389CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$793,928CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,283,461CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,672,801CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$389,340CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$47,494CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$341,846CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$341,846 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,028CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components199CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days65.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days96.81CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days80.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1376193, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$4,445,517CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$904,055CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,541,462CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,271,389CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$729,927CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$71,833CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$658,094CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$658,094 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,343CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components219CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days62.52CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344236, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$5,618,261CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$861,567CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,756,694CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,973,825CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$217,131CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$180,194CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$36,937CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$36,937 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,059CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components346CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days61.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days52.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1326133, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 May 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,738,095CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,427,800CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,310,295CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,155,931CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$154,364CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$165,124CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$319,488CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $319,488 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,996CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components124CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days371.54CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days169.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283323, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 December 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$7,314,967CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,678,307CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,636,660CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,158,765CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$477,895CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$121,835CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$599,730CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $599,730 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,097CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components210CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days247.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days105.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274927, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 March 2020.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$5,418,500CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$563,583CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,854,917CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,823,640CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$31,277CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$282,664CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$313,941CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $313,941 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,060CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components176CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1.12CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days102.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252868, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,487,210CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,174,551CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,312,659CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,492,745CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,180,086CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$294,161CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$885,925CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$885,925 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,032CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components202CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days8.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days89.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1216696, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 December 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$5,547,626CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$914,464CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,633,162CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,614,373CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$981,211CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$271,317CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$709,894CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$709,894 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,241CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components146CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days77.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1181500, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$6,172,763CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,424,499CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,748,264CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,955,542CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,207,278CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$133,971CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,073,307CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,073,307 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,093CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components129CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days16.22CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days179.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141889, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 December 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$6,817,107CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,485,510CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,331,597CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,938,027CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$606,430CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20,839CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$585,591CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$585,591 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,006CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components191CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days53.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days151.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1116290, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 December 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$7,429,943CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,578,278CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,851,665CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,077,240CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$225,575CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$30,122CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$195,453CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$195,453 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,048CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components189CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days32.28CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days169.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1082548, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$6,443,033CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$450,780CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,992,253CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,042,999CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$50,746CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$19,314CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$31,432CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$31,432 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,492CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components347CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days11.37CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days82.11CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1049641, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 June 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,622,631CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,342,720CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$720,089CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,538CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$712,551 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,350CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components114CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days48.57CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days102.89CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days187.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431060, read from the public cost report file SNFFY2010.zip.

Cost report for 30 March 2009 to 31 December 2009 — a reporting period of 276 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 3 June 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$1,515,933CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,015,126CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$1,499,193CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,068CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,497,125 (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
FigureAs filedWhere it comes from
Total facility beds, all components144CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components7,127CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components36CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days81.92CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days331.8CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days197.97CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 401842, read from the public cost report file SNFFY2009.zip.

Five facilities of a similar size in Tennessee, fiscal year 2024

Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
LCC OF CLEVELAND14231,941$11,584,496$11,528,768$55,72831 December 2024
LCC OF RED BANK14830,533$10,280,063$10,434,317−$154,25431 December 2024
LUKE INC.14437,959$28,871,997$43,494,312−$14,622,31531 December 2024
NASHVILLE CENTER FOR REHABILITATION14245,637$20,104,648$20,755,699−$651,05131 December 2024
RIPLEY HEALTH & REHAB CENTER14417,471$5,526,445$5,403,017$123,42831 December 2024
SMOKY MOUNTAIN HEALTHCARE INC.14924,747$8,241,876$8,536,476−$294,60031 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
B&Y HEALTHCARE S CORP5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization50%since 12/31/2019
CODY HEALTHCARE S CORP5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization50%since 12/31/2019
B&Y TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization50%since 12/31/2019
CRAIG FLASHNER 2007 TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization50%since 12/31/2019
NORCROSS, ROBERTCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/01/2014
ROGERS, STACEYCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 10/30/2014
FLASHNER, CRAIGCORPORATE DIRECTORIndividualNOT APPLICABLEsince 12/31/2019
FLASHNER, CRAIGOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/31/2019
NORTHPOINT REGIONAL LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2007
PERLSTEIN, YITZCHOKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/31/2019
PRESTIGE ADMINISTRATIVE SERVICES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/31/2019
KIRK, KRISTINEW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 12/31/2018

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of RIPLEY OPERATOR, LLC (enrollment ID O20080429000695).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
B&Y HEALTHCARE S CORPOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5012/31/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
CODY HEALTHCARE S CORPOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST5012/31/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
B&Y TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5012/31/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
CRAIG FLASHNER 2007 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5012/31/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
ROBERT L NORCROSSIndividualCONTRACTED MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2014
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.
STACEY PAUL ROGERSIndividualCONTRACTED MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/30/2014
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.
CRAIG A FLASHNERIndividualCORPORATE DIRECTOR012/31/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CRAIG A FLASHNERIndividualOPERATIONAL/MANAGERIAL CONTROL012/31/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NORTHPOINT REGIONAL LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2007
Private equity company: No
Real estate investment trust: No
Holding company: No
PRESTIGE ADMINISTRATIVE SERVICES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS 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.12/31/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
YITZCHOK A PERLSTEINIndividualOPERATIONAL/MANAGERIAL CONTROL012/31/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KRISTINE RANEL KIRKIndividualW-2 MANAGING EMPLOYEE012/31/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

No change in ownership appears in the CMS files on record since 20 September 2022.

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
16 May 20266 May 202621
24 August 20214 August 202161
311 March 202011 March 202032

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

Deficiencies cited

11 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
6 May 2026HealthF 0553Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.DNoDeficient, Provider has date of correction2 June 2026
6 May 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction2 June 2026
5 June 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.JYesDeficient, Provider has date of correction24 June 2025
4 August 2021HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction14 September 2021
4 August 2021HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction14 September 2021
4 August 2021HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction14 September 2021
4 August 2021HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction14 September 2021
4 August 2021HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction14 September 2021
11 March 2020HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.ENoDeficient, Provider has date of correction25 April 2020
11 March 2020HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction25 April 2020
11 March 2020HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction25 April 2020

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
5 June 2025Fine$66,47233663

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameRIPLEY OPERATOR, LLC
Date First Approved to Provide Medicare and Medicaid Services2009-03-30
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishLauderdale
Telephone Number7316355180
Chain NamePRESTIGE ADMINISTRATIVE SERVICES
Chain ID416
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds144
Average Number of Residents per Day51.3
Overall Rating3
Health Inspection Rating3
QM Rating2
Long-Stay QM Rating2
Processing Date2026-08-01

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

Every change on this record

  • 2 June 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 11 April 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 10 April 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • 13 March 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 22 July 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 4 May 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 3 December 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 19 March 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • 20 December 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • 28 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • 18 August 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • 24 December 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • 12 December 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • 5 November 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
  • 28 June 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • 3 June 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.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, Ripley Healthcare And Rehab Center — facility record report, CMS certification number 445492. https://velarionrecords.com/facility/445492/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 445492. 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
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 2017903,8331,728.534,534.358,790.2715,053.15
2017Q230 June 2017914,4021,619.325,064.5610,313.1216,997
2017Q330 September 2017924,9891,658.784,445.8211,239.5317,344.13
2017Q431 December 2017924,8701,659.114,752.0610,121.116,532.27
2018Q131 March 2018905,2381,773.164,723.7810,463.3516,960.29
2018Q230 June 2018915,7162,468.524,197.9712,625.9719,292.46
2018Q330 September 2018925,8302,7194,035.7912,702.7219,457.51
2018Q431 December 2018925,3292,919.424,498.2312,009.5619,427.21
2019Q131 March 2019905,5752,630.54,790.4412,248.1719,669.11
2019Q230 June 2019915,2453,231.154,282.8511,439.6918,953.69
2019Q330 September 2019925,2043,463.63,909.3611,547.2118,920.17
2019Q431 December 2019925,1883,247.884,215.1411,539.4419,002.46
2020Q131 March 2020914,7963,215.283,976.7410,460.2917,652.31
2020Q230 June 2020914,5993,397.583,582.3111,701.0518,680.94
2020Q330 September 2020924,5243,447.573,473.0310,419.417,340
2020Q431 December 2020924,1122,462.754,047.348,336.9814,847.07
2021Q131 March 2021903,8382,212.813,840.757,964.5814,018.14
2021Q230 June 2021913,3862,295.253,651.287,742.6413,689.17
2021Q330 September 2021923,5671,837.53,704.156,997.9712,539.62
2021Q431 December 2021923,5761,904.563,720.36,347.9411,972.8
2022Q131 March 2022903,5741,902.193,473.297,539.3112,914.79
2022Q230 June 2022914,1132,695.743,324.788,782.4414,802.96
2022Q330 September 2022924,0172,142.533,231.018,718.114,091.64
2022Q431 December 2022924,3431,696.254,285.038,382.9614,364.24
2023Q131 March 2023903,9122,0944,142.067,514.9913,751.05
2023Q230 June 2023914,1921,802.094,267.429,036.2515,105.76
2023Q330 September 2023924,0261,951.194,841.158,021.0314,813.37
2023Q431 December 2023924,1841,922.54,531.478,652.0215,105.99
2024Q131 March 2024914,0731,934.165,155.838,573.9215,663.91
2024Q230 June 2024914,1781,903.65,5078,778.516,189.1
2024Q330 September 2024924,5002,001.455,079.59,601.7516,682.7
2024Q431 December 2024924,8232,320.254,527.510,22517,072.75
2025Q131 March 2025904,9881,862.54,8139,857.516,533
2025Q230 June 2025915,0902,251.55,295.2510,971.518,518.25
2025Q330 September 2025924,7582,167.55,164.7510,831.518,163.75
2025Q431 December 2025924,7512,416.755,639.2511,226.7519,282.75
2026Q131 March 2026904,6172,685.755,669.2510,533.2518,888.25
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q10.450961.1829772.2933133.92725
2017Q20.367861.1505132.3428263.861199
2017Q30.3324870.8911242.2528623.476474
2017Q40.340680.9757822.0782553.394717
2018Q10.3385190.9018291.9975853.237932
2018Q20.4318610.7344242.2088823.375168
2018Q30.4663810.6922452.1788543.33748
2018Q40.5478360.8441042.2536243.645564
2019Q10.4718390.8592722.1969813.528091
2019Q20.6160440.8165592.1810663.613668
2019Q30.6655650.7512222.218913.635698
2019Q40.6260370.8124792.2242563.662772
2020Q10.6704090.8291782.1810453.680632
2020Q20.7387650.7789322.544264.061957
2020Q30.7620620.767692.3031393.832891
2020Q40.5989180.9842752.0274763.610669
2021Q10.5765531.0007172.075193.65246
2021Q20.6778651.0783462.2866634.042874
2021Q30.5151391.038451.9618643.515453
2021Q40.5325951.0403521.7751513.348098
2022Q10.532230.9718212.1094883.613539
2022Q20.6554190.8083592.1352883.599066
2022Q30.5333660.8043342.1703013.508001
2022Q40.3905710.9866521.9302233.307446
2023Q10.5352761.0588091.921013.515095
2023Q20.4298881.0179912.1555943.603473
2023Q30.4846471.2024711.9923083.679426
2023Q40.4594891.0830472.0678823.610418
2024Q10.4748741.2658562.1050633.845792
2024Q20.4556251.3180952.1011253.874844
2024Q30.4447671.1287782.1337223.707267
2024Q40.481080.9387312.120053.539861
2025Q10.3733960.9649161.9762433.314555
2025Q20.4423381.0403242.1555013.638163
2025Q30.4555491.0854882.2764823.817518
2025Q40.5086821.1869612.3630294.058672
2026Q10.5817091.2279082.2814064.091022

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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