Velarion Records

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Facility record report · CMS certification number 445515

NHC HEALTHCARE, TULLAHOMA

TULLAHOMA, 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 28 May 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$13,687,971CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$670,721CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,017,250CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,663,472CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,353,778CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$481,187CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,834,965CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,834,965 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components35,631CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days8,498CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days11,870CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days11,498CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components31,866CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges247CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges28CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges296CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components571CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days423.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days55.81CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450091, 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 7 March 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$13,039,473CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$674,864CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,364,609CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,544,956CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$819,653CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$609,203CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,428,856CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,428,856 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,508CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components631CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.42CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days279.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days49.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1404890, 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 19 July 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$12,294,938CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,407,103CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,887,835CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,431,007CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$543,172CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$324,328CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$218,844CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$218,844 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,350CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components690CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.01CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days327.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days43.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1388140, 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 20 December 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$11,434,492CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$983,563CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,450,929CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,770,739CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$319,810CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,345,672CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,025,862CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,025,862 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,180CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components451CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days564.28CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days66.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1338663, 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 25 August 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$11,214,343CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,425,619CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,788,724CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,658,317CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$869,593CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,152,584CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$282,991CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $282,991 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,387CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components516CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days345.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days58.89CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330678, 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 24 June 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$12,144,114CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,289,766CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,854,348CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,296,625CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$442,277CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$50,966CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$391,311CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$391,311 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,351CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components493CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days339.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days63.59CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1287282, 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 14 October 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$12,499,170CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,698,137CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,801,033CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,532,652CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$731,619CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,181CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$724,438CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$724,438 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,237CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components662CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days499.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days47.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1270490, 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 18 February 2020.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$12,257,704CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,761,799CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,495,905CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,281,421CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$785,516CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$60,255CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$725,261CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$725,261 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,679CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components685CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days356.91CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days44.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1251183, 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 28 November 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$12,465,304CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,179,574CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,285,730CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,934,684CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$648,954CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$27,003CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$621,951CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$621,951 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,902CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components701CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days260.58CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days44.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1214419, 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 3 November 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$13,020,314CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,710,356CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,309,958CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,010,329CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$700,371CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,308CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$682,063CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$682,063 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,618CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components727CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days281.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days40.74CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1177879, 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 15 August 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$8,647,364CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,709,544CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,937,820CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,904,379CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,966,559CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$93,124CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,873,435CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,873,435 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,210CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components484CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days184CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days37.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141349, read from the public cost report file SNF10FY2014.zip.

Cost report for 26 November 2013 to 31 December 2013 — a reporting period of 35 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 27 October 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$204,405CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$53,908CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$150,497CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$871,007CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$720,510CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$578CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$719,932CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$719,932 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components90CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components417CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components10CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days41.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1111910, read from the public cost report file SNF10FY2014.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
COVINGTON CARE NURSING AND REHABILIT9828,584$9,476,688$11,417,732−$1,941,04431 December 2024
MCKENZIE HEALTHCARE AND REHABILITATI9925,464$8,708,760$11,032,951−$2,324,19131 December 2024
NHC HEALTHCARE LEWISBURG10023,548$7,634,301$9,185,211−$1,550,91031 December 2024
NHC HEALTHCARE TULLAHOMA9931,866$13,017,250$11,663,472$1,353,77831 December 2024
SEVIERVILLE HEALTH AND REHABILITATIO9828,458$9,828,414$10,800,506−$972,09231 December 2024
WAVERLY HEALTH CARE AND REHABILITATI10021,203$6,641,546$7,766,673−$1,125,12731 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
BILLS, STEPHENADP OF THE SNFIndividualNOT APPLICABLEsince 03/10/2014
BLACKROCK INCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/20/2019
BURISH, STEPHENADP OF THE SNFIndividualNOT APPLICABLEsince 03/30/2025
DIMENSIONAL FUND ADVISORS LPADP OF THE SNFOrganizationNOT APPLICABLEsince 03/07/2023
DODSON, VICKIADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2019
KIDD, BRIANADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2017
MORGAN STANLEYADP OF THE SNFOrganizationNOT APPLICABLEsince 11/08/2024
NATIONAL HEALTH CORPORATIONADP OF THE SNFOrganizationNOT APPLICABLEsince 05/15/2013
NATIONAL HEALTHCARE CORPORATIONADP OF THE SNFOrganizationNOT APPLICABLEsince 05/15/2013
NHC-OP LPADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2013
VANGUARD GROUP INCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/27/2017
BIDWELL, GREGORYCORPORATE OFFICERIndividualNOT APPLICABLEsince 07/01/2000
MORGAN STANLEY INSTITUTIONAL ADVISORS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 11/08/2024
NHC/DELAWARE INCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/15/2013
BIDWELL, GREGORYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 07/01/2000
BIDWELL, GREGORYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/01/2000
BILLS, STEPHENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/10/2014
BURISH, STEPHENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/13/2022
DODSON, VICKIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2019
KIDD, BRIANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2017
MASSIE, WINONAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/20/2024
NATIONAL HEALTHCARE CORPORATIONOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/15/2013
NHC-OP LPOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/15/2013
USSERY, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/15/2013

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NHC HEALTHCARE -TULLAHOMA, LLC (enrollment ID O20130712000590).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
NHC-OP LPOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1005/15/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
BLACKROCK INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST12.73/20/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
DIMENSIONAL FUND ADVISORS LPOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6.13/7/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
MORGAN STANLEYOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5.411/8/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
NATIONAL HEALTH CORPORATIONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6.65/15/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
NATIONAL HEALTHCARE CORPORATIONOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST995/15/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
VANGUARD GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST9.093/27/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
BLACKROCK INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/20/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
BRIAN KIDDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2017
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.
DIMENSIONAL FUND ADVISORS LPOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/7/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
MORGAN STANLEYOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/8/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
NATIONAL HEALTH CORPORATIONOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/15/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
NATIONAL HEALTHCARE CORPORATIONOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/15/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
NHC-OP LPOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/13/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
STEPHEN BURISHIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/30/2025
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.
STEPHEN H BILLSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/10/2014
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.
VANGUARD GROUP INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/27/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
VICKI L DODSONIndividualADP OF THE SNFCMS paused 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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2000
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.
GREGORY BIDWELLIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2000
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.
MORGAN STANLEY INSTITUTIONAL ADVISORS LLCOrganizationINDIRECT OWNERSHIP INTEREST4.911/8/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
NHC/DELAWARE INCOrganizationINDIRECT OWNERSHIP INTEREST15/15/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
GREGORY BIDWELLIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2000
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 KIDDIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2017
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.
GREGORY BIDWELLIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2000
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.
NATIONAL HEALTHCARE CORPORATIONOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/15/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
NHC-OP LPOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/15/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
ROBERT M USSERYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/15/2013
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.
STEPHEN BURISHIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/13/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHEN H BILLSIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/10/2014
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.
VICKI L DODSONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.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.
WINONA MASSIEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/20/2024
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.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
111 June 202511 June 202583
213 March 202413 March 202432
312 February 202012 February 202020

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

Deficiencies cited

13 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
11 June 2025HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.DNoDeficient, Provider has date of correction26 July 2025
11 June 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction26 July 2025
11 June 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction26 July 2025
11 June 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction26 July 2025
11 June 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction26 July 2025
11 June 2025HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DNoDeficient, Provider has date of correction26 July 2025
11 June 2025HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DNoDeficient, Provider has date of correction26 July 2025
11 June 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction26 July 2025
13 March 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction18 March 2024
13 March 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction22 March 2024
13 March 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction18 March 2024
31 January 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction23 February 2024
31 January 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction23 February 2024

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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameNHC HEALTHCARE-TULLAHOMA LLC
Date First Approved to Provide Medicare and Medicaid Services2013-11-26
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishCoffee
Telephone Number9312224207
Chain NameNATIONAL HEALTHCARE CORPORATION
Chain ID364
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds90
Average Number of Residents per Day93.1
Overall Rating3
Health Inspection Rating3
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating5
Processing Date2026-08-01

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

Every change on this record

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, NHC HEALTHCARE, TULLAHOMA — facility record report, CMS certification number 445515. https://velarionrecords.com/facility/445515/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 445515. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 2017907,8113,222.2511,860.517,863.532,946.25
2017Q230 June 2017917,7232,942.2511,64318,17032,755.25
2017Q330 September 2017927,9362,608.7512,455.2519,58834,652
2017Q431 December 2017927,4462,746.2512,598.7520,059.7535,404.75
2018Q131 March 2018907,5872,338.512,375.517,328.7532,042.75
2018Q230 June 2018917,8932,81611,876.7519,373.2534,066
2018Q330 September 2018928,0463,501.511,929.7519,509.2534,940.5
2018Q431 December 2018927,8723,33612,11118,911.7534,358.75
2019Q131 March 2019907,5563,042.7511,78717,42132,250.75
2019Q230 June 2019917,7583,543.7511,53118,143.7533,218.5
2019Q330 September 2019927,8433,542.7511,475.7517,605.2532,623.75
2019Q431 December 2019928,0663,045.2512,64117,977.7533,664
2020Q131 March 2020918,0122,991.512,253.2516,944.532,189.25
2020Q230 June 2020917,7302,713.2511,903.516,993.7531,610.5
2020Q330 September 2020927,5692,92612,31215,287.7530,525.75
2020Q431 December 2020927,0582,683.511,09014,44028,213.5
2021Q131 March 2021907,0372,976.59,954.2513,727.7526,658.5
2021Q230 June 2021917,6333,529.759,063.5312,83625,429.28
2021Q330 September 2021927,5713,149.59,395.513,159.8325,704.83
2021Q431 December 2021927,8772,458.3811,815.0115,991.3230,264.71
2022Q131 March 2022906,9092,610.510,462.1516,502.7529,575.4
2022Q230 June 2022917,5302,905.4411,023.9416,631.3530,560.73
2022Q330 September 2022927,8823,347.511,878.7716,951.1932,177.46
2022Q431 December 2022927,9263,735.512,182.5416,446.2432,364.28
2023Q131 March 2023907,6543,404.511,696.4615,981.1731,082.13
2023Q230 June 2023917,7595,210.7510,691.3415,568.431,470.49
2023Q330 September 2023927,8875,8529,339.7217,971.9633,163.68
2023Q431 December 2023927,9916,253.59,061.2516,413.7631,728.51
2024Q131 March 2024917,9686,631.258,961.6716,491.7532,084.67
2024Q230 June 2024917,9516,716.258,586.7516,666.0531,969.05
2024Q330 September 2024927,7496,784.58,26216,54331,589.5
2024Q431 December 2024928,0646,8248,203.2518,084.2533,111.5
2025Q131 March 2025908,2526,498.58,128.2516,646.531,273.25
2025Q230 June 2025918,4386,988.758,384.518,55433,927.25
2025Q330 September 2025928,6947,935.757,428.7518,930.2534,294.75
2025Q431 December 2025928,5217,440.257,858.7518,733.134,032.1
2026Q131 March 2026908,3827,2948,151.7518,059.533,505.25
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q10.4125271.5184362.2869674.21793
2017Q20.3809721.5075752.3527134.24126
2017Q30.3287241.5694622.4682464.366431
2017Q40.3688221.6920162.694034.754868
2018Q10.3082251.6311452.2840064.223376
2018Q20.3567721.5047192.4544854.315976
2018Q30.4351851.4826932.4247144.342593
2018Q40.423781.5384912.4024074.364679
2019Q10.4026931.5599522.3055854.268231
2019Q20.4567871.4863372.3387154.281838
2019Q30.4517091.4631842.2447094.159601
2019Q40.3775421.5671962.2288314.173568
2020Q10.3733771.5293622.114894.01763
2020Q20.3510031.5399092.1984154.089327
2020Q30.3865771.6266352.0197854.032996
2020Q40.3802071.5712672.0459053.997379
2021Q10.4229791.4145591.9507963.788333
2021Q20.4624331.1874141.6816453.331492
2021Q30.4159951.2409851.7381893.39517
2021Q40.3120961.4999382.0301283.842162
2022Q10.377841.5142782.3885874.280706
2022Q20.3858491.4640032.2086794.05853
2022Q30.4247021.5070762.150624.082398
2022Q40.4712971.5370352.0749744.083306
2023Q10.44481.528152.087954.0609
2023Q20.6715751.3779282.0064964.055998
2023Q30.741981.1841922.2786814.204854
2023Q40.7825681.1339322.0540313.970531
2024Q10.8322351.1247082.0697484.026691
2024Q20.8447051.0799582.0960954.020758
2024Q30.8755321.0662022.1348564.076591
2024Q40.846231.0172682.2425914.106089
2025Q10.7875060.9850042.0172693.789778
2025Q20.8282470.993662.1988624.020769
2025Q30.9127850.8544692.1773923.944646
2025Q40.8731660.922282.1984633.993909
2026Q10.8701980.972532.1545573.997286

How each quarter is derived, and its file

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

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