Facility record report · CMS certification number 505531
HERON'S KEY
GIG HARBOR, Washington · Medicare
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,464,946 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $77,068 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,387,878 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,018,283 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $369,595 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,665,441 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,035,036 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,035,036 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 29,646 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 471 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 18,600 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,071 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 794.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438138, 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 6 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,453,883 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $162,157 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,291,726 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,911,178 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$619,452 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,170,435 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,550,983 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,550,983 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,595 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 282.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394025, 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 21 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,595,067 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $301,879 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,293,188 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $31,664,844 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,371,656 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,008,223 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$8,363,433 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$8,363,433 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,495 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 284.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362725, 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 1 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,313,169 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $150,304 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,162,865 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,078,060 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,915,195 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $923,272 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,991,923 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,991,923 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,604 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 222.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328506, read from the public cost report file SNF10FY2021.zip.
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,898,002 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$191,351 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,089,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,603,771 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,514,418 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $953,843 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,560,575 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,560,575 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,476 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 169.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300061, 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 10 November 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,321,045 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $32,873 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,288,172 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,645,600 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,357,428 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,625,725 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,268,297 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,268,297 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,739 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 205 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 71.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1273421, read from the public cost report file SNF10FY2019.zip.
Cost report for 31 January 2018 to 31 December 2018 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on 15 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,012,052 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $94,742 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,917,310 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,025,629 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,108,319 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,039,882 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,068,437 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,068,437 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,838 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 64.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1278286, read from the public cost report file SNF10FY2018.zip.
Five facilities of a similar size in Washington, fiscal year 2024
Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.
| Facility | Total facility beds | Total patient days | Net patient revenue | Total operating expenses | Net income from service to patients | Period ended |
|---|---|---|---|---|---|---|
| ALLEN CREEK HEALTHCARE INC. | 82 | 26,421 | $13,436,250 | $12,798,330 | $637,920 | 31 December 2024 |
| AVAMERE HERITAGE REHABILITATION OF T | 81 | 21,089 | $9,466,185 | $10,902,710 | −$1,436,525 | 31 December 2024 |
| COLUMBIA CREST CENTER | 80 | 20,786 | $9,366,179 | $10,385,915 | −$1,019,736 | 31 December 2024 |
| EMERALD CARE | 82 | 27,248 | $10,448,418 | $10,515,362 | −$66,944 | 31 December 2024 |
| HERONS KEY | 81 | 19,071 | $23,387,878 | $23,018,283 | $369,595 | 31 December 2024 |
| SUNNYSIDE HEALTHCARE CENTER | 80 | 10,436 | $4,676,629 | $4,529,833 | $146,796 | 31 December 2024 |
Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HERONS KEY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/10/2013 |
| KILCUP, LEROY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/16/2016 |
| KING, GARY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/10/2013 |
| SCHNEIDER, DAPHNE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/10/2013 |
| VANHORN, DANNA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/10/2013 |
| ANTONUCCI, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2016 |
| CHAMBARD, ALLAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/13/2015 |
| WALLIN, KAY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/13/2015 |
| EMERALD COMMUNITIES | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/01/2015 |
| ANTONUCCI, JAMES | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 06/01/2016 |
| ASHLEY, JOHNATHAN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/17/2016 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HERONS KEY (enrollment ID O20170307001007).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HERONS KEY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/10/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANNA VANHORN | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/10/2013 | 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. |
| DAPHNE SCHNEIDER | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/10/2013 | 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. |
| GARY L KING | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/10/2013 | 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. |
| LEROY C KILCUP | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/16/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ALLAN R CHAMBARD | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/13/2015 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JAMES A ANTONUCCI | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KAY H WALLIN | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/13/2015 | 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. |
| EMERALD COMMUNITIES | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 8/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAMES A ANTONUCCI | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHNATHAN W ASHLEY | Individual | W-2 MANAGING EMPLOYEE | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/17/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 November 2025: LISA A HARDY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 June 2025: ROBERT CRIST no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 13 February 2026 | 13 February 2026 | 3 | 7 |
| 2 | 15 November 2024 | 15 November 2024 | 12 | 4 |
| 3 | 8 January 2024 | 8 January 2024 | 4 | 7 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
19 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 13 February 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 26 March 2026 |
| 13 February 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 26 March 2026 |
| 13 February 2026 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | No | Deficient, Provider has date of correction | 26 March 2026 |
| 15 November 2024 | Health | F 0559 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0572 | Resident Rights Deficiencies | Give residents a notice of rights, rules, services and charges. | F | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 27 December 2024 |
| 15 November 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | 27 December 2024 |
| 8 January 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 1 February 2024 |
| 8 January 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 1 February 2024 |
| 8 January 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | 1 February 2024 |
| 31 August 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 28 September 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 31 August 2023 | Fine | $15,015 | 43491 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | HERONS KEY |
| Date First Approved to Provide Medicare and Medicaid Services | 2018-01-31 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Pierce |
| Telephone Number | 2533130800 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 30 |
| Average Number of Residents per Day | 16.1 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Every change on this record
- 1 November 2025: LISA A HARDY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 1 June 2025: ROBERT CRIST no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- 6 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 21 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 1 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 16 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 15 January 2021: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 10 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
How to read this report
Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.
A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.
This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.
How to cite this report
Velarion Records, HERON'S KEY — facility record report, CMS certification number 505531. https://velarionrecords.com/facility/505531/report.
- Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file
SNF10FY2024.zip. - Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
- Care Compare ownership: CMS file dated 1 August 2026.
- Medicare enrollment ownership: CMS file dated 1 August 2026.
- Nurse staffing: CMS Payroll-Based Journal, quarters 2018Q2 to 2026Q1.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 505531. 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.
| Quarter | Quarter ended | Days reported | Resident days | Registered nurse hours | Licensed practical nurse hours | Nurse aide hours | Total nurse hours |
|---|---|---|---|---|---|---|---|
| 2018Q2 | 30 June 2018 | 91 | 1,443 | 1,991.37 | 1,943.81 | 3,871.56 | 7,806.74 |
| 2018Q3 | 30 September 2018 | 92 | 1,535 | 2,859.54 | 2,318.54 | 5,080.18 | 10,258.26 |
| 2018Q4 | 31 December 2018 | 92 | 1,593 | 3,428.41 | 2,571.94 | 5,156.94 | 11,157.29 |
| 2019Q2 | 30 June 2019 | 91 | 2,116 | 2,985.33 | 2,513.9 | 6,138.26 | 11,637.49 |
| 2019Q3 | 30 September 2019 | 92 | 2,314 | 2,876.1 | 2,593.49 | 6,879.46 | 12,349.05 |
| 2019Q4 | 31 December 2019 | 92 | 2,139 | 4,660.84 | 1,405.9 | 6,425.49 | 12,492.23 |
| 2020Q1 | 31 March 2020 | 91 | 1,696 | 4,404.2 | 1,438.47 | 6,059.36 | 11,902.03 |
| 2020Q2 | 30 June 2020 | 91 | 1,681 | 3,717.45 | 1,899.92 | 4,401.97 | 10,019.34 |
| 2020Q3 | 30 September 2020 | 92 | 1,691 | 3,377.88 | 1,997.97 | 4,722.07 | 10,097.92 |
| 2020Q4 | 31 December 2020 | 92 | 1,846 | 2,746.96 | 1,791.95 | 5,453.07 | 9,991.98 |
| 2021Q1 | 31 March 2021 | 90 | 1,335 | 2,731.12 | 1,762.48 | 5,510.01 | 10,003.61 |
| 2021Q2 | 30 June 2021 | 91 | 1,991 | 2,649.19 | 2,639.48 | 5,806.16 | 11,094.83 |
| 2021Q3 | 30 September 2021 | 92 | 1,804 | 2,225.27 | 2,550.62 | 6,306.17 | 11,082.06 |
| 2021Q4 | 31 December 2021 | 92 | 1,841 | 3,124.34 | 1,842.96 | 5,496.68 | 10,463.98 |
| 2022Q1 | 31 March 2022 | 90 | 1,707 | 2,526.7 | 2,199 | 5,258.64 | 9,984.34 |
| 2022Q2 | 30 June 2022 | 91 | 2,048 | 2,975.9 | 2,596.71 | 6,346.7 | 11,919.31 |
| 2022Q3 | 30 September 2022 | 92 | 2,184 | 2,771.49 | 3,194.95 | 6,352.4 | 12,318.84 |
| 2022Q4 | 31 December 2022 | 92 | 2,002 | 2,949.85 | 2,315.66 | 4,905.83 | 10,171.34 |
| 2023Q1 | 31 March 2023 | 90 | 2,121 | 2,884.5 | 1,750.69 | 5,495.29 | 10,130.48 |
| 2023Q2 | 30 June 2023 | 91 | 2,414 | 3,313.25 | 1,816.39 | 5,886.48 | 11,016.12 |
| 2023Q3 | 30 September 2023 | 92 | 2,428 | 3,426.21 | 2,010.09 | 6,517.96 | 11,954.26 |
| 2023Q4 | 31 December 2023 | 92 | 2,206 | 3,789.8 | 1,804.08 | 5,526.53 | 11,120.41 |
| 2024Q1 | 31 March 2024 | 91 | 2,043 | 3,864.85 | 1,181.35 | 5,077.28 | 10,123.48 |
| 2024Q2 | 30 June 2024 | 91 | 1,851 | 3,256.92 | 1,207.39 | 4,482.25 | 8,946.56 |
| 2024Q3 | 30 September 2024 | 92 | 1,511 | 2,718.43 | 773.78 | 4,341.17 | 7,833.38 |
| 2024Q4 | 31 December 2024 | 92 | 1,612 | 3,308.34 | 619.34 | 4,415.31 | 8,342.99 |
| 2025Q1 | 31 March 2025 | 90 | 1,743 | 2,895.1 | 554.72 | 4,741.34 | 8,191.16 |
| 2025Q2 | 30 June 2025 | 91 | 1,856 | 3,283.21 | 613.33 | 5,588.85 | 9,485.39 |
| 2025Q3 | 30 September 2025 | 92 | 1,900 | 2,505.88 | 1,268.02 | 5,798.47 | 9,572.37 |
| 2025Q4 | 31 December 2025 | 92 | 1,993 | 3,428.44 | 659.42 | 5,610.47 | 9,698.33 |
| 2026Q1 | 31 March 2026 | 90 | 1,449 | 2,457.51 | 1,011.97 | 4,856.27 | 8,325.75 |
| Quarter | Registered nurse hours per resident day | Licensed practical nurse hours per resident day | Nurse aide hours per resident day | Total nurse hours per resident day |
|---|---|---|---|---|
| 2018Q2 | 1.380021 | 1.347062 | 2.682994 | 5.410076 |
| 2018Q3 | 1.862893 | 1.51045 | 3.309564 | 6.682906 |
| 2018Q4 | 2.152172 | 1.614526 | 3.23725 | 7.003949 |
| 2019Q2 | 1.410836 | 1.188043 | 2.900879 | 5.499759 |
| 2019Q3 | 1.242913 | 1.120782 | 2.972973 | 5.336668 |
| 2019Q4 | 2.178981 | 0.65727 | 3.003969 | 5.84022 |
| 2020Q1 | 2.596816 | 0.848154 | 3.572736 | 7.017706 |
| 2020Q2 | 2.211452 | 1.130232 | 2.618662 | 5.960345 |
| 2020Q3 | 1.997564 | 1.181532 | 2.792472 | 5.971567 |
| 2020Q4 | 1.488061 | 0.97072 | 2.953992 | 5.412774 |
| 2021Q1 | 2.045783 | 1.32021 | 4.127348 | 7.493341 |
| 2021Q2 | 1.330583 | 1.325706 | 2.916203 | 5.572491 |
| 2021Q3 | 1.23352 | 1.413869 | 3.49566 | 6.143049 |
| 2021Q4 | 1.697089 | 1.001065 | 2.985703 | 5.683857 |
| 2022Q1 | 1.480199 | 1.288225 | 3.080633 | 5.849057 |
| 2022Q2 | 1.453076 | 1.267925 | 3.098975 | 5.819976 |
| 2022Q3 | 1.268997 | 1.462889 | 2.908608 | 5.640495 |
| 2022Q4 | 1.473452 | 1.156673 | 2.450465 | 5.080589 |
| 2023Q1 | 1.359972 | 0.825408 | 2.590896 | 4.776275 |
| 2023Q2 | 1.372514 | 0.75244 | 2.438476 | 4.56343 |
| 2023Q3 | 1.411124 | 0.827879 | 2.684498 | 4.923501 |
| 2023Q4 | 1.717951 | 0.817806 | 2.505227 | 5.040984 |
| 2024Q1 | 1.891752 | 0.578243 | 2.485208 | 4.955203 |
| 2024Q2 | 1.759546 | 0.652291 | 2.421529 | 4.833366 |
| 2024Q3 | 1.799093 | 0.512098 | 2.873044 | 5.184236 |
| 2024Q4 | 2.05232 | 0.384206 | 2.739026 | 5.175552 |
| 2025Q1 | 1.660987 | 0.318256 | 2.720218 | 4.699461 |
| 2025Q2 | 1.768971 | 0.330458 | 3.011234 | 5.110663 |
| 2025Q3 | 1.318884 | 0.667379 | 3.051826 | 5.038089 |
| 2025Q4 | 1.720241 | 0.330868 | 2.815088 | 4.866197 |
| 2026Q1 | 1.696004 | 0.698392 | 3.351463 | 5.745859 |
How each quarter is derived, and its file
- 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 - 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