Velarion Records

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Facility record report · CMS certification number 455983

St. Catherine Center

Waco, Texas · 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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 January 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$31,008,756CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$7,188,498CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$23,820,258CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$26,659,329CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,839,071CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$156,792CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,682,279CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,682,279 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components255CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components93,075CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days6,566CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days68,715CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components75,281CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges225CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges788CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components1,013CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days74.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446576, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 December 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$30,015,413CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,577,773CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,437,640CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$24,566,820CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,129,180CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$333,300CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,795,880CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,795,880 (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 components255CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components71,867CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,018CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days70.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1444016, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 November 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$28,756,535CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,504,571CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$20,251,964CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$34,437,807CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$14,185,843CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,068,518CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$13,117,325CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$13,117,325 (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 components215CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components66,042CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components938CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days70.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1399396, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$27,312,880CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,187,549CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$19,125,331CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$23,418,505CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,293,174CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,139,595CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,153,579CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,153,579 (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 components265CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components51,285CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components843CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days60.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375406, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 March 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$30,615,891CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$9,154,766CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,461,125CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$25,092,232CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,631,107CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,628,648CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,997,541CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,997,541 (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 components265CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components68,226CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,211CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days56.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344325, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 June 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$36,920,843CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$12,600,810CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$24,320,033CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$23,889,000CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$431,033CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,154,256CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,585,289CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,585,289 (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 components265CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components82,461CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,255CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days65.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1319222, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 May 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$39,140,426CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$14,600,258CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$24,540,168CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$24,189,016CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$351,152CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$465,525CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$816,677CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $816,677 (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 components265CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components85,616CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,264CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days67.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283327, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 February 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$22,416,318CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$614,433CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,801,885CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,592,031CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$790,146CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$666,361CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$123,785CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$123,785 (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 components265CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components86,093CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,095CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days78.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1251637, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$29,928,148CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$9,709,911CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$20,218,237CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$21,709,947CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,491,710CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,418,945CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$72,765CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$72,765 (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 components265CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components87,463CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components918CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days95.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1225262, read from the public cost report file SNF10FY2016.zip.

Cost report for 8 July 2015 to 30 June 2016 — a reporting period of 358 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$25,755,843CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,601,550CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$19,154,293CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,743,289CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$588,996CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$314,961CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$274,035CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$274,035 (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 components265CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components91,015CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components726CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days125.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1150612, read from the public cost report file SNF10FY2015.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
BUENA VIDA NURSING & REHAB SAN ANTON22223,882$5,939,906$6,177,860−$237,95431 March 2025
CORYELL COUNTY MEMORIAL HOSPITAL AUT23471,635$18,132,792$18,574,988−$442,19631 August 2025
OLNEY HAMILTON DBA WILLOW RIDGE26529,208$6,732,611$8,494,063−$1,761,45231 August 2025
POMERADO RANCH HEALTHCARE INC.26458,737$21,279,056$19,876,976$1,402,08030 June 2025
PROVIDENCE VILLAGE25575,281$23,820,258$26,659,329−$2,839,07130 June 2025
TEXHOMA CHRISTIAN CARE CENTER INC23451,899$17,215,058$17,054,194$160,86428 February 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
ASCENSION HEALTH SENIOR CARE5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 07/01/2014
ASCENSION HEALTH SENIOR CAREADP OF THE SNFOrganizationNOT APPLICABLEsince 07/01/2015
BREEDLOVE, RYANADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2024
HEALTH DIMENSIONS CONSULTING INCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/02/2019
LEFCO, AMYADP OF THE SNFIndividualNOT APPLICABLEsince 02/17/2025
MEDICAL SOLUTIONS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/14/2017
MUSGRAVE, LISAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2024
PIETSCH, DARRELLADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2017
SHADBOLT, ERINADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2024
SMOOT, KENNETHADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2024
BREEDLOVE, RYANCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2024
MUSGRAVE, LISACORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2024
SMOOT, KENNETHCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2024
SHADBOLT, ERINCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/28/2023
LEFCO, AMYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/17/2025
PIETSCH, DARRELLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PROVIDENCE PARK INC (enrollment ID O20150918002016).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ASCENSION HEALTH SENIOR CAREOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1007/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
AMY K LEFCOIndividualADP 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.2/17/2025
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.
ASCENSION HEALTH SENIOR CAREOrganizationADP 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.7/1/2015
Private equity company: No
Real estate investment trust: No
Holding company: No
DARRELL R PIETSCHIndividualADP 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.8/1/2017
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.
ERIN SHADBOLTIndividualADP 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.1/1/2024
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.
HEALTH DIMENSIONS CONSULTING 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.8/2/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
KENNETH SMOOTIndividualADP 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.1/1/2024
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.
LISA MUSGRAVEIndividualADP 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.1/1/2024
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.
MEDICAL SOLUTIONS LLCOrganizationADP 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.6/14/2017
Private equity company: No
Real estate investment trust: No
Holding company: No
RYAN BREEDLOVEIndividualADP 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.1/1/2024
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.
KENNETH SMOOTIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
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.
LISA MUSGRAVEIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
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.
RYAN BREEDLOVEIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
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.
ERIN SHADBOLTIndividualCORPORATE 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.2/28/2023
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.
AMY K LEFCOIndividualOPERATIONAL/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.2/17/2025
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.
DARRELL R PIETSCHIndividualOPERATIONAL/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.8/1/2017
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

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
130 April 202630 April 202651
226 February 202526 February 202533
325 January 202425 January 202448

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

Deficiencies cited

12 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
30 April 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correction25 May 2026
30 April 2026HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GNoDeficient, Provider has date of correction25 May 2026
30 April 2026HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction25 May 2026
30 April 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction25 May 2026
9 December 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.EYesDeficient, Provider has date of correction10 December 2025
26 February 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction18 March 2025
26 February 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 correction18 March 2025
10 September 2024HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DYesDeficient, Provider has date of correction25 September 2024
25 January 2024HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correction16 February 2024
25 January 2024HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction16 February 2024
25 January 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction16 February 2024
16 November 2023HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DYesDeficient, Provider has date of correction6 December 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
30 April 2026Fine$13,065138902

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NamePROVIDENCE PARK INC
Date First Approved to Provide Medicare and Medicaid Services1992-01-03
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishMc Lennan
Telephone Number2547618500
Chain NameASCENSION LIVING
Chain ID48
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds165
Average Number of Residents per Day143.9
Overall Rating5
Health Inspection Rating4
QM Rating2
Long-Stay QM Rating3
Short-Stay QM Rating2
Processing Date2026-08-01

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

Every change on this record

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, St. Catherine Center — facility record report, CMS certification number 455983. https://velarionrecords.com/facility/455983/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 455983. 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 20179018,5407,869.1221,899.7241,549.871,318.64
2017Q230 June 20179119,4948,815.6221,686.9942,404.7472,907.35
2017Q330 September 20179219,9178,352.4317,923.4441,484.6967,760.56
2017Q431 December 20179219,6478,519.3521,39442,755.3272,668.67
2018Q131 March 20189017,3168,554.1223,195.441,447.4373,196.95
2018Q230 June 20189117,7206,111.2920,888.694,551.8731,551.85
2018Q330 September 20189218,1016,949.819,961.082,202.9629,113.84
2018Q431 December 20189217,60611,979.5420,092.3846,564.1178,636.03
2019Q131 March 20199017,96213,262.6920,005.6643,880.4177,148.76
2019Q230 June 20199117,67713,092.8618,629.942,122.4273,845.18
2019Q330 September 20199217,98913,619.6918,074.4541,622.673,316.74
2019Q431 December 20199217,82213,904.320,253.8539,947.0774,105.22
2020Q131 March 20209117,50914,134.6620,470.8937,484.1272,089.67
2020Q230 June 20209115,13912,849.618,247.136,985.7568,082.45
2020Q330 September 20209213,49511,815.5517,638.6233,812.9863,267.15
2020Q431 December 20209214,48410,254.4718,095.7536,204.2464,554.46
2021Q131 March 20219013,1489,492.3116,867.0532,127.7858,487.14
2021Q230 June 20219114,5139,446.2818,087.8833,819.5861,353.74
2021Q330 September 20219212,8169,400.6814,560.2632,402.7756,363.71
2021Q431 December 2021719,7716,396.7711,343.2822,561.6940,301.74
2022Q131 March 20229012,7227,385.0914,563.9828,152.7950,101.86
2022Q230 June 20229112,9547,695.9315,246.5728,701.2151,643.71
2022Q330 September 20229212,7896,188.214,593.7828,449.749,231.68
2022Q431 December 20229213,3795,962.5915,885.4829,454.1351,302.2
2023Q131 March 20239013,2836,418.6614,841.128,322.9349,582.69
2023Q230 June 20239113,5236,246.414,356.5729,139.5549,742.52
2023Q330 September 20239213,2056,573.9312,960.4728,198.6947,733.09
2023Q431 December 20239214,0646,881.8415,182.9331,391.1853,455.95
2024Q131 March 20249113,8837,454.3115,016.0933,212.3655,682.76
2024Q230 June 20249113,3977,183.5714,474.0932,915.0954,572.75
2024Q330 September 20249213,7456,691.2214,822.8433,375.7954,889.85
2024Q431 December 20249213,7586,973.2213,997.3331,824.2852,794.83
2025Q131 March 20259013,6387,326.9113,742.8331,439.6752,509.41
2025Q230 June 20259113,2917,669.5614,179.5332,789.3454,638.43
2025Q330 September 20259213,2596,939.4312,254.6632,522.7751,716.86
2025Q431 December 20259213,5817,672.412,815.932,758.7453,247.04
2026Q131 March 20269012,9538,116.1811,598.9731,305.6251,020.77
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
2017Q10.424441.1812152.241093.846744
2017Q20.4522221.1124962.1752713.739989
2017Q30.4193620.8999072.0828783.402147
2017Q40.4336211.0889192.1761753.698716
2018Q10.4940011.3395362.3935914.227128
2018Q20.3448811.178820.2568781.780578
2018Q30.3839461.1027610.1217041.608411
2018Q40.6804241.1412232.6447864.466434
2019Q10.7383751.1137772.4429584.29511
2019Q20.7406721.0539062.3828944.177472
2019Q30.7571121.004752.3137814.075643
2019Q40.7801761.1364522.2414474.158075
2020Q10.807281.1691642.1408494.117292
2020Q20.8487751.2053042.4430774.497156
2020Q30.875551.3070492.5055934.688192
2020Q40.7079861.2493612.4996024.45695
2021Q10.7219581.2828612.4435494.448368
2021Q20.6508841.2463232.3302964.227502
2021Q30.7335111.13612.5283064.397917
2021Q40.6546691.1609132.3090464.124628
2022Q10.5804981.1447872.2129223.938206
2022Q20.5940971.1769782.2156253.9867
2022Q30.4838691.141122.2245453.849533
2022Q40.4456681.1873442.201523.834532
2023Q10.4832241.11732.1322693.732793
2023Q20.4619091.0616412.1548143.678364
2023Q30.4978360.9814822.1354563.614774
2023Q40.4893231.079562.2320243.800907
2024Q10.5369381.0816172.3923044.010859
2024Q20.5362071.0803982.45694.073505
2024Q30.4868111.0784172.4282133.993441
2024Q40.5068481.0173962.3131473.837391
2025Q10.5372421.0076872.3052993.850228
2025Q20.5770491.0668522.4670334.110934
2025Q30.5233750.9242522.4528833.90051
2025Q40.5649360.9436642.4121013.920701
2026Q10.6265870.8954662.4168633.938915

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 71 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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