Facility record report · CMS certification number 445496

THE MEADOWS

NASHVILLE, 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 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$13,104,757	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,073,913	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,030,844	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,948,894	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$918,050	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$438,441	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$479,609	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$479,609 (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	122	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	44,652	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,708	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	18,550	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	17,547	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	37,805	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	45	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	47	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	178	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	270	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	394.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	140.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438024, 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
Figure	As filed	Where it comes from
Total patient revenue	$13,127,814	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,455,161	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,672,653	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,253,162	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$580,509	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,755,903	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,175,394	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,175,394 (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	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,687	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	280	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	196.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	138.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1420939, 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 9 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$11,781,411	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,438,830	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,342,581	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,039,587	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,697,006	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$259,641	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,437,365	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,437,365 (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	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,358	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	437	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	8.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	181.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	83.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1363929, 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 27 February 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$10,369,648	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$985,048	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,384,600	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,455,672	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,071,072	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$960,980	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,110,092	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,110,092 (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	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,236	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	201	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	206.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	160.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343295, 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 16 September 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$9,665,701	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$672,064	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,993,637	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,479,348	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,485,711	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,083,769	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$401,942	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$401,942 (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	133	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,553	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	337	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	151.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	99.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300389, 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 1 May 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$10,439,405	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$978,506	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,460,899	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,091,769	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$630,870	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$78,132	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$552,738	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$552,738 (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	133	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,770	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	282	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	176.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254864, 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 18 August 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$9,937,181	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,008,164	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,929,017	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,368,370	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$439,353	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$56,326	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$383,027	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$383,027 (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	133	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,946	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	312	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	170.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	105.6	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1264030, 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 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$8,132,282	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$622,458	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,509,824	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,761,670	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,251,846	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$80,618	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,171,228	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,171,228 (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	133	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,080	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	239	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	117.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1199338, 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 8 September 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$9,541,512	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,172,282	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,369,230	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,630,135	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$260,905	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$81,759	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$179,146	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$183,425 (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	133	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,539	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	353	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	86.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175687, 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 29 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$9,544,050	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,035,806	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,508,244	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,515,222	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$6,978	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$87,968	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$80,990	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $32,179 (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	133	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,555	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	365	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	86.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142904, 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 19 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,128,874	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$654,784	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,474,090	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,913,256	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$439,166	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$163,019	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$276,147	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$297,246 (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	133	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,669	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	257	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	119.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108276, 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 25 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$7,702,721	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$433,505	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,269,216	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,870,645	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$601,429	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$148,747	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$452,682	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$474,895 (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	133	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,359	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	239	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.03	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	131.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1076899, 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 22 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$7,169,592	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$454,193	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,715,399	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,226,268	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$510,869	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$85,589	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$425,280	CMS-2540-10 worksheet G300000 line 2600 column 100
Total other expenses	$30,457	CMS-2540-10 worksheet G300000 line 3000 column 100

Net income: −$455,737 (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	123	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,489	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	192	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.15	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	158.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1047223, 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 14 February 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$7,067,952	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$304,340	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,763,612	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,912,913	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$149,301	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$84,366	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$64,935	CMS-2540-10 worksheet G300000 line 2600 column 100
Total other expenses	$33,394	CMS-2540-10 worksheet G300000 line 3000 column 100

Net income: −$98,329 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	123	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,272	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	172	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	181.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024819, read from the public cost report file SNF10FY2011.zip.

Cost report for 16 April 2010 to 31 December 2010 — a reporting period of 259 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 16 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$6,124,736	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,057,417	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$67,319	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$89,849	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$15,435	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $141,733 (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	123	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,845	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	119	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	267.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417847, read from the public cost report file SNFFY2010.zip.

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

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
AHAVA HEALTHCARE OF CLARKSVILLE	122	42,188	$13,903,259	$11,879,807	$2,023,452	31 December 2024
LAKESHORE THE MEADOWS	122	37,805	$12,030,844	$12,948,894	−$918,050	31 December 2024
LCC OF COLUMBIA (TN)	123	32,765	$12,102,458	$11,420,492	$681,966	31 December 2024
LCC OF CROSSVILLE	122	28,282	$10,155,001	$9,555,417	$599,584	31 December 2024
NHC HEALTHCARE HENDERSONVILLE	122	37,329	$12,983,392	$14,369,376	−$1,385,984	31 December 2024
THE BAY AT DYERSBURG	123	27,708	$9,858,478	$9,781,403	$77,075	31 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
LAKESHORE ESTATES, INC.	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 10/06/2009
ANDERSON, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
DODSON, VICKI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2019
HILBERS, ZACH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
KIDD, BRIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2019
LAKESHORE ESTATES, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/06/2009
NATIONAL HEALTHCARE CORPORATION	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/01/2017
SHELLY, TIMOTHY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/01/2017
TENNESSEE HEALTHCARE ADVISORS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2025
VINCENT, BRANDON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/19/2024
ACUFF, EMILY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2014
BROCK, WELDON	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2016
COCHRAN, SARAH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/01/2025
GILMER, SCOTT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2025
JABLONSKI, JON	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2021
LAMBERT, DEBBIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/01/2021
LLOYD, SUSAN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/01/2023
OUTHIER, BARBARA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2013
RAMPY, WYATT	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2022
ROBINSON, JOHN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2014
ZUPA, RANDY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2024
ROBINSON, JOHN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2014
ANDERSON, JAMES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/19/2023
BROCK, WELDON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2016
BROWN, MORGAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/22/2018
DODSON, VICKI	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2019
HILBERS, ZACH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2017
KIDD, BRIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2019
LAKESHORE ESTATES, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/06/2009
NHC/DELAWARE INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/01/2017
ROBINSON, JOHN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2014
SHELLY, TIMOTHY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2017
TENNESSEE HEALTHCARE ADVISORS, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/01/2017
VINCENT, BRANDON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/19/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LAKESHORE ESTATES, INC. (enrollment ID O20091209000467).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
LAKESHORE ESTATES, INC.	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	10/6/2009	Private equity company: No Real estate investment trust: No Holding company: No
BRANDON VINCENT	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.	8/19/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRIAN KIDD	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.	1/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES R ANDERSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAKESHORE ESTATES, 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.	10/6/2009	Private equity company: No Real estate investment trust: No Holding company: No
NATIONAL HEALTHCARE CORPORATION	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.	2/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
TENNESSEE HEALTHCARE ADVISORS, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
TIMOTHY SHELLY	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.	2/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VICKI L DODSON	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.	6/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ZACH HILBERS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	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.	2/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BARBARA A OUTHIER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2013	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.
DEBBIE LAMBERT	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2021	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.
EMILY H ACUFF	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2014	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.
JOHN R ROBINSON	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2014	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.
JON JABLONSKI	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2021	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.
RANDY ZUPA	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2024	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.
SARAH COCHRAN	Individual	CORPORATE DIRECTOR	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.	9/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT GILMER	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2025	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.
SUSAN LLOYD	Individual	CORPORATE DIRECTOR	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.	9/1/2023	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.
WELDON BROCK	Individual	CORPORATE DIRECTOR	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2016	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.
WYATT RAMPY	Individual	CORPORATE DIRECTOR	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.	12/1/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN R ROBINSON	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.	1/1/2014	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.
BRANDON VINCENT	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.	8/19/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRIAN KIDD	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.	1/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES R ANDERSON	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.	4/19/2023	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.
JOHN R ROBINSON	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.	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.
LAKESHORE ESTATES, 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.	10/6/2009	Private equity company: No Real estate investment trust: No Holding company: No
MORGAN BROWN	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.	1/22/2018	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.
NHC/DELAWARE 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.	2/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
TENNESSEE HEALTHCARE ADVISORS, LLC	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.	2/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
TIMOTHY SHELLY	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.	2/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VICKI L DODSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WELDON BROCK	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.	1/1/2016	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.
ZACH HILBERS	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.	2/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: TIMOTHY SHELLY 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: TIMOTHY SHELLY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TIMOTHY SHELLY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TIMOTHY SHELLY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: ROY PURKEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ZACH HILBERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EMILY H ACUFF no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN A THWEATT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BARBARA A OUTHIER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRIAN KIDD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRIAN KIDD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MORGAN BROWN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRANDON VINCENT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRANDON VINCENT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JAMES R ANDERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JAMES R ANDERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TENNESSEE HEALTHCARE ADVISORS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TENNESSEE HEALTHCARE ADVISORS, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RANDY ZUPA appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NHC/DELAWARE INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NATIONAL HEALTHCARE CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: WYATT RAMPY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JON JABLONSKI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: WELDON BROCK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: WELDON BROCK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ZACH HILBERS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ZACH HILBERS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SUSAN LLOYD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LAKESHORE ESTATES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LAKESHORE ESTATES, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DEBBIE LAMBERT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: VICKI L DODSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: VICKI L DODSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN R ROBINSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SARAH COCHRAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SCOTT GILMER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TIMOTHY SHELLY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	21 September 2022	21 September 2022	9	7
2	5 June 2019	5 June 2019	2	5
3	1 August 2018	1 August 2018	5	3

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

Deficiencies cited

16 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
21 September 2022	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	4 November 2022
21 September 2022	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	4 November 2022
21 September 2022	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	4 November 2022
21 September 2022	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	4 November 2022
21 September 2022	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	4 November 2022
21 September 2022	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	4 November 2022
21 September 2022	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.	F	No	Deficient, Provider has date of correction	4 November 2022
21 September 2022	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	4 November 2022
21 September 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	4 November 2022
5 June 2019	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	C	No	Deficient, Provider has date of correction	30 June 2019
5 June 2019	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	30 June 2019
1 August 2018	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	24 August 2018
1 August 2018	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	24 August 2018
1 August 2018	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	24 August 2018
1 August 2018	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	24 August 2018
1 August 2018	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	24 August 2018

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	Non profit - Other
Legal Business Name	LAKESHORE ESTATES, INC.
Date First Approved to Provide Medicare and Medicaid Services	2010-04-16
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Davidson
Telephone Number	6156464466
Chain Name	NATIONAL HEALTHCARE CORPORATION
Chain ID	364
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	113
Average Number of Residents per Day	102.0
Overall Rating	3
Health Inspection Rating	2
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: TIMOTHY SHELLY 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: TIMOTHY SHELLY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TIMOTHY SHELLY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TIMOTHY SHELLY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: ROY PURKEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ZACH HILBERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: EMILY H ACUFF no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN A THWEATT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BARBARA A OUTHIER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRIAN KIDD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRIAN KIDD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MORGAN BROWN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRANDON VINCENT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BRANDON VINCENT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JAMES R ANDERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JAMES R ANDERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TENNESSEE HEALTHCARE ADVISORS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TENNESSEE HEALTHCARE ADVISORS, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RANDY ZUPA appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NHC/DELAWARE INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: NATIONAL HEALTHCARE CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: WYATT RAMPY appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JON JABLONSKI appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: WELDON BROCK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: WELDON BROCK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ZACH HILBERS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ZACH HILBERS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SUSAN LLOYD appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LAKESHORE ESTATES, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LAKESHORE ESTATES, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DEBBIE LAMBERT appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: VICKI L DODSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: VICKI L DODSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOHN R ROBINSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SARAH COCHRAN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SCOTT GILMER appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TIMOTHY SHELLY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
29 August 2025: 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
9 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
27 February 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
16 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
18 August 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
1 May 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
8 September 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
29 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
19 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
25 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
22 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
14 February 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
16 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.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, THE MEADOWS — facility record report, CMS certification number 445496. https://velarionrecords.com/facility/445496/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 2017Q4 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 445496. 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
2017Q4	31 December 2017	92	6,146	3,286.25	7,761.75	16,910.5	27,958.5
2018Q1	31 March 2018	90	6,797	3,303.25	8,674	16,875.5	28,852.75
2018Q2	30 June 2018	91	6,968	3,647.5	9,631.75	14,927.5	28,206.75
2018Q3	30 September 2018	92	7,625	3,900.75	10,290.5	16,934.5	31,125.75
2018Q4	31 December 2018	92	7,894	3,561.25	10,549.75	17,129	31,240
2019Q1	31 March 2019	90	8,077	4,052.75	10,322.5	16,991.25	31,366.5
2019Q2	30 June 2019	91	8,192	3,867.25	10,820.25	18,187.5	32,875
2019Q3	30 September 2019	92	8,448	4,048.25	11,298.25	18,513.5	33,860
2019Q4	31 December 2019	92	8,459	3,636	12,122.75	19,273.79	35,032.54
2020Q1	31 March 2020	91	8,435	4,279.5	11,058.25	18,631.83	33,969.58
2020Q2	30 June 2020	91	7,658	5,208	10,428.75	16,539	32,175.75
2020Q3	30 September 2020	92	7,505	5,633	10,438	14,257.25	30,328.25
2020Q4	31 December 2020	92	7,335	4,694	11,260	17,064.09	33,018.09
2021Q1	31 March 2021	90	6,683	4,545.25	10,839.55	13,346.34	28,731.14
2021Q2	30 June 2021	91	8,146	4,496.25	10,225.5	15,023	29,744.75
2021Q3	30 September 2021	92	8,092	4,595.5	11,018.75	17,193.08	32,807.33
2021Q4	31 December 2021	92	8,006	5,508	10,808.08	18,599.4	34,915.48
2022Q1	31 March 2022	90	7,951	5,412.25	9,619.5	15,582.41	30,614.16
2022Q2	30 June 2022	91	8,169	6,051.25	8,229.37	19,276.62	33,557.24
2022Q3	30 September 2022	92	8,529	6,017.75	8,791.9	19,074.43	33,884.08
2022Q4	31 December 2022	92	9,206	6,817.25	9,905.87	20,126.6	36,849.72
2023Q1	31 March 2023	90	9,029	7,599	8,104.5	18,179.09	33,882.59
2023Q2	30 June 2023	91	9,227	8,176.5	8,168	17,460.1	33,804.6
2023Q3	30 September 2023	92	9,382	7,946.75	7,531	18,777.66	34,255.41
2023Q4	31 December 2023	92	9,246	7,735.75	7,239.25	18,516.93	33,491.93
2024Q1	31 March 2024	91	9,106	7,092	7,760.5	17,090.89	31,943.39
2024Q2	30 June 2024	91	8,898	7,059.5	7,690.75	18,733.7	33,483.95
2024Q3	30 September 2024	92	8,844	7,520	7,835.97	18,372.5	33,728.47
2024Q4	31 December 2024	92	8,549	7,513.5	7,304.5	17,626.75	32,444.75
2025Q1	31 March 2025	90	8,311	7,751.25	7,048.75	17,124.75	31,924.75
2025Q2	30 June 2025	91	8,974	8,234.5	6,658.25	18,656.5	33,549.25
2025Q3	30 September 2025	92	8,570	8,063.25	6,478.5	18,054.75	32,596.5
2025Q4	31 December 2025	92	8,854	6,893.25	7,296.75	18,442	32,632
2026Q1	31 March 2026	90	9,182	7,273.75	7,066.75	17,639	31,979.5

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
2017Q4	0.534697	1.262895	2.751464	4.549056
2018Q1	0.485986	1.276151	2.482787	4.244924
2018Q2	0.523464	1.382283	2.142293	4.048041
2018Q3	0.511574	1.349574	2.220918	4.082066
2018Q4	0.451134	1.336426	2.169876	3.957436
2019Q1	0.501764	1.278012	2.103659	3.883434
2019Q2	0.472076	1.320831	2.220154	4.013062
2019Q3	0.479196	1.337388	2.191465	4.008049
2019Q4	0.429838	1.433119	2.278495	4.141452
2020Q1	0.50735	1.310996	2.208871	4.027218
2020Q2	0.680073	1.361811	2.159702	4.201587
2020Q3	0.750566	1.390806	1.8997	4.041073
2020Q4	0.639945	1.535106	2.326393	4.501444
2021Q1	0.680121	1.621959	1.997058	4.299138
2021Q2	0.551958	1.255279	1.844218	3.651455
2021Q3	0.567907	1.361684	2.124701	4.054292
2021Q4	0.687984	1.349998	2.323183	4.361164
2022Q1	0.680701	1.209848	1.959805	3.850353
2022Q2	0.740758	1.00739	2.359728	4.107876
2022Q3	0.705563	1.030824	2.23642	3.972808
2022Q4	0.740522	1.076023	2.186248	4.002794
2023Q1	0.841621	0.897608	2.013411	3.75264
2023Q2	0.886149	0.885228	1.892284	3.663661
2023Q3	0.847021	0.802707	2.001456	3.651184
2023Q4	0.836659	0.78296	2.002696	3.622316
2024Q1	0.778827	0.85224	1.876882	3.50795
2024Q2	0.793381	0.864323	2.105383	3.763087
2024Q3	0.850294	0.886021	2.077397	3.813712
2024Q4	0.878875	0.854427	2.061849	3.795151
2025Q1	0.93265	0.848123	2.060492	3.841265
2025Q2	0.917595	0.741949	2.07895	3.738495
2025Q3	0.940869	0.755951	2.106739	3.803559
2025Q4	0.778546	0.824119	2.0829	3.685566
2026Q1	0.792175	0.769631	1.921041	3.482847

How each quarter is derived, and its file

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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