Facility record report · CMS certification number 525449

Meadowbrook at Oconto Falls

Oconto Falls, Wisconsin · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,950,755	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$757,952	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,708,707	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,727,808	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,019,101	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$73,422	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$945,679	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$945,679 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	27,450	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	629	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	10,197	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,661	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	18,487	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	52	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	21	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	33	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	106	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	12.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	485.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	174.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435808, 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 12 June 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$7,115,439	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$496,349	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,619,090	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,911,852	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,292,762	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$255,583	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,037,179	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,037,179 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	75	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,729	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	219	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	21.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	99.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1383128, 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 13 June 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$6,746,382	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$792,338	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,954,044	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,263,654	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$309,610	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$320,882	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$11,272	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $11,272 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,106	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	135	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	349.28	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	148.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1351207, 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 18 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,947,778	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,024,192	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,923,586	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,583,962	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$339,624	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$420,763	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$760,387	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $760,387 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,271	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	126	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	352.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	121.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1330114, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 December 2019 to 31 December 2020 — a reporting period of 396 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,076,478	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,408,451	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,668,027	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,675,856	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$7,829	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,735	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$7,906	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $7,906 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,410	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	173	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	67.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	157.69	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	89.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1299946, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 30 November 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,266,759	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,740,014	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,526,745	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,078,646	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$551,901	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,371	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$548,530	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$548,530 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,094	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	138	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	300.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1263246, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,875,915	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,569,531	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,306,384	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,126,127	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$180,257	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,040	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$181,297	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $181,297 (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%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,775	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	152	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	428.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242226, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$7,536,550	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,886,629	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,649,921	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,073,000	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$576,921	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$4,302	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$572,619	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $572,619 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,216	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	87	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	933.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	255.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209462, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 March 2016 to 31 December 2016 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 24 August 2017.

None of these figures is carried on this report.

CMS report record 1174809, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,412,944	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,481,182	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,931,762	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,353,054	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$421,292	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,943	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$419,349	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$419,349 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,426	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	138	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	92.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	910.84	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	205.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138711, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 August 2014 to 31 December 2014 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$2,889,096	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$605,762	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,283,334	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,567,987	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$284,653	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$209	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$284,862	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$284,862 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,845	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	66	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	465.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	179.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105634, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$5,990,563	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,990,563	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,019,548	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$971,015	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$971,015	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $971,015 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,371	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	179	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	193.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	169.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1076024, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,762,516	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,762,516	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,822,104	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$940,412	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$940,412	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $940,412 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,564	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	200	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	169.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	132.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044519, read from the public cost report file SNF10FY2012.zip.

Cost report for 14 December 2010 to 31 December 2011 — a reporting period of 382 days, on form CMS-2540-10, settled, processed by CMS on 31 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$5,647,623	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,647,623	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,123,159	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$524,464	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$524,464	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $524,464 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,102	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	150	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	187.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1017809, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 12 December 2010 — a reporting period of 345 days, on form CMS-2540-96, settled, processed by CMS on 27 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$5,524,766	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,073,081	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$451,685	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$22,591	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $474,276 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,453	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	137	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	75.34	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	352.7	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	207.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 418462, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 August 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,680,831	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,509,586	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$171,245	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$21,035	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $192,280 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,185	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	173	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	387.93	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	186.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 385349, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$5,932,746	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,447,496	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$485,250	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$23,089	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $508,339 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,851	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	170	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.57	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	518.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	199.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 354752, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 October 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$5,619,930	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,245,634	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$374,296	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$24,960	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $399,256 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,377	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	227	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.02	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	277.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	147.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 327009, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$5,045,286	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,781,008	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$264,278	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$30,406	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $294,684 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,163	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	146	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	66.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	386.56	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	213.45	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 319308, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 June 2007.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$4,903,424	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,580,079	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$323,345	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,983	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $340,328 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,373	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	166	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.03	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	434.69	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	188.99	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 280526, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 June 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$4,365,921	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,497,506	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$131,585	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,731	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$118,854 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,358	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	174	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	58.13	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	267.89	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	174.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 253673, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 August 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$4,936,139	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,897,090	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$39,049	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$14,097	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $53,146 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,069	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	200	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	46.81	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	170.34	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 231623, read from the public cost report file SNFFY2003.zip.

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 September 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$4,930,066	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,651,837	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$278,229	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,794	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $295,023 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,852	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	174	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	47.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	211.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 193913, read from the public cost report file SNFFY2002.zip.

Cost report for 1 April 2001 to 31 December 2001 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 21 September 2004.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$3,608,551	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,307,876	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$300,675	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$22,532	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$8,640	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $314,567 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,934	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	90	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	332.6	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 193901, read from the public cost report file SNFFY2001.zip.

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$4,034,614	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,106,647	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$72,033	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$17,837	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$18,083	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$72,279 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,786	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	147	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	71.56	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	610.26	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	257.05	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 122204, read from the public cost report file SNFFY2000.zip.

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 September 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$4,015,755	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,959,647	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$56,108	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,840	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $69,948 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,145	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	87	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,666.56	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	438.45	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 73235, read from the public cost report file SNFFY1999.zip.

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 November 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$4,253,488	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,110,210	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$143,278	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$22,704	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $165,982 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,234	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	108	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	372.54	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71880, read from the public cost report file SNFFY1998.zip.

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 September 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$3,847,159	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,844,195	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$2,964	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,908	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $21,872 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,549	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	104	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.73	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	787.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	380.28	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71878, read from the public cost report file SNFFY1997.zip.

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 7 October 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$3,805,377	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,783,064	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$22,313	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,496	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$406	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $38,403 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	115	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,036	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	109	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	71.62	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	548.81	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	367.3	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71877, read from the public cost report file SNFFY1996.zip.

Five facilities of a similar size in Wisconsin, 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
ABBOTSFORD HEALTH CARE CENTER	78	18,474	$7,230,232	$7,023,798	$206,434	31 December 2024
CEDAR LAKE HEALTH CARE CENTER	75	20,636	$11,709,756	$14,235,710	−$2,525,954	30 June 2024
DOVE HEALTHCARE - SPOONER	75	11,644	$4,296,009	$4,412,918	−$116,909	31 December 2024
EDGEWATER HAVEN NURSING HOME	79	16,798	$7,018,012	$7,442,224	−$424,212	31 December 2024
MEADOWBROOK AT OCONTO FALLS	75	18,487	$6,708,707	$7,727,808	−$1,019,101	31 December 2024
THREE OAKS HEALTH SERVICES	75	24,203	$8,635,786	$8,103,120	$532,666	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
BELL, CODY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/15/2024
GOEDTEL BIRR, STACEE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/22/2016
LINDEMANN, MITUL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
MASLOVSKY, BORIS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
OCONTO FALLS NURSING REALTY LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/28/2022
PUKSHANSKY, ROSTISLAV	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
REINHART BOERNER VAN DEUREN S.C.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2019
ROTH & CO, LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2019
SYNERGY SENIOR CARE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/03/2025
VANDER VELDEN, BARBARA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2019
WIPFLI LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/01/2019
VANDER VELDEN, BARBARA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2019
LINDEMANN, MITUL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/01/2019
BELL, CODY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/15/2024
GOEDTEL BIRR, STACEE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/22/2016
LINDEMANN, MITUL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2019
PUKSHANSKY, ROSTISLAV	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2019
SYNERGY SENIOR CARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of OCONTO FALLS NURSING AND REHAB LLC (enrollment ID O20191217003312).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BORIS MASLOVSKY	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	12/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROSTISLAV PUKSHANSKY	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	12/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BARBARA M VANDER VELDEN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BORIS MASLOVSKY	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CODY BELL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/15/2024	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.
MITUL R LINDEMANN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
OCONTO FALLS NURSING REALTY LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/28/2022	Private equity company: No Real estate investment trust: No Holding company: No
REINHART BOERNER VAN DEUREN S.C.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
ROSTISLAV PUKSHANSKY	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROTH & CO, LLP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
STACEE GOEDTEL BIRR	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/22/2016	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.
SYNERGY SENIOR CARE LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/3/2025	Private equity company: No Real estate investment trust: No Holding company: No
WIPFLI LLP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: No Real estate investment trust: No Holding company: No
BARBARA M VANDER VELDEN	Individual	CORPORATE DIRECTOR	100	12/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MITUL R LINDEMANN	Individual	CORPORATE OFFICER	100	12/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CODY BELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/15/2024	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.
MITUL R LINDEMANN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROSTISLAV PUKSHANSKY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STACEE GOEDTEL BIRR	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/22/2016	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.
SYNERGY SENIOR CARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/1/2019	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: OCONTO FALLS NURSING REALTY LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: OCONTO FALLS NURSING REALTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2025: SANDRA E. SCHNEIDER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SANDRA E. SCHNEIDER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SANDRA E. SCHNEIDER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STACEE GOEDTEL BIRR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STACEE GOEDTEL BIRR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MITUL R LINDEMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MITUL R LINDEMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SYNERGY SENIOR CARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SYNERGY SENIOR CARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CODY BELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CODY BELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BORIS MASLOVSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: REINHART BOERNER VAN DEUREN S.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROSTISLAV PUKSHANSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROSTISLAV PUKSHANSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROTH AND COMPANY LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BARBARA M VANDER VELDEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: OCONTO FALLS NURSING REALTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	29 May 2025	29 May 2025	7	9
2	30 April 2024	30 April 2024	18	13
3	16 March 2023	16 March 2023	14	4

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

Deficiencies cited

39 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
13 March 2026	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	Yes	Deficient, Provider has date of correction	3 April 2026
29 May 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	29 June 2025
29 May 2025	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	29 June 2025
29 May 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	29 June 2025
29 May 2025	Health	F 0699	Quality of Life and Care Deficiencies	Provide care or services that was trauma informed and/or culturally competent.	D	No	Deficient, Provider has date of correction	29 June 2025
29 May 2025	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.	E	No	Deficient, Provider has date of correction	29 June 2025
29 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	29 June 2025
16 December 2024	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E	Yes	Deficient, Provider has date of correction	13 January 2025
16 December 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	Yes	Deficient, Provider has date of correction	13 January 2025
16 December 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	13 January 2025
16 December 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	13 January 2025
16 December 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	Yes	Deficient, Provider has date of correction	13 January 2025
14 October 2024	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	Yes	Deficient, Provider has date of correction	8 November 2024
14 October 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	Yes	Deficient, Provider has date of correction	8 November 2024
21 May 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.	G	Yes	Deficient, Provider has date of correction	17 June 2024
21 May 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	Yes	Deficient, Provider has date of correction	17 June 2024
30 April 2024	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	E	No	Deficient, Provider has date of correction	3 June 2024
30 April 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	3 June 2024
30 April 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	3 June 2024
30 April 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	3 June 2024
30 April 2024	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	3 June 2024
30 April 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	3 June 2024
30 April 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	3 June 2024
30 April 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	3 June 2024
30 April 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	3 June 2024
30 April 2024	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	3 June 2024
30 April 2024	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	E	No	Deficient, Provider has date of correction	3 June 2024
2 January 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	Yes	Deficient, Provider has date of correction	23 January 2024
16 March 2023	Health	F 0551	Resident Rights Deficiencies	Give the resident's representative the ability to exercise the resident's rights.	D	No	Deficient, Provider has date of correction	20 March 2023
16 March 2023	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E	No	Deficient, Provider has date of correction	17 March 2023
16 March 2023	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	17 March 2023
16 March 2023	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	31 March 2023
16 March 2023	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	17 March 2023
16 March 2023	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	17 March 2023
16 March 2023	Health	F 0685	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D	No	Deficient, Provider has date of correction	5 April 2023
16 March 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	No	Deficient, Provider has date of correction	20 March 2023
16 March 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	5 April 2023
16 March 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	4 April 2023
16 March 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	17 March 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
16 December 2024	Fine	$43,234			61261
30 April 2024	Payment Denial		20 June 2024	18

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 and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	OCONTO FALLS NURSING AND REHAB LLC
Date First Approved to Provide Medicare and Medicaid Services	1989-12-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Oconto
Telephone Number	9208483272
Chain Name	SYNERGY SENIOR CARE
Chain ID	502
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	99
Average Number of Residents per Day	61.4
Overall Rating	2
Health Inspection Rating	2
QM Rating	3
Long-Stay QM Rating	4
Short-Stay QM Rating	2
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: OCONTO FALLS NURSING REALTY LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: OCONTO FALLS NURSING REALTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 May 2025: SANDRA E. SCHNEIDER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SANDRA E. SCHNEIDER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SANDRA E. SCHNEIDER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STACEE GOEDTEL BIRR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STACEE GOEDTEL BIRR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MITUL R LINDEMANN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MITUL R LINDEMANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SYNERGY SENIOR CARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SYNERGY SENIOR CARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CODY BELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CODY BELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BORIS MASLOVSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: REINHART BOERNER VAN DEUREN S.C. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROSTISLAV PUKSHANSKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROSTISLAV PUKSHANSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: WIPFLI LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROTH AND COMPANY LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: BARBARA M VANDER VELDEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: OCONTO FALLS NURSING REALTY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
12 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
13 June 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
18 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
11 August 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
23 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
24 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
21 November 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
29 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
28 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
13 May 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
14 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
1 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
31 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
27 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
12 August 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
14 August 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
17 October 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
23 July 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
1 June 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
14 June 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
24 August 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
21 September 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
21 September 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
12 February 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
12 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
17 September 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
1 November 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
30 September 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
7 October 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.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, Meadowbrook at Oconto Falls — facility record report, CMS certification number 525449. https://velarionrecords.com/facility/525449/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 2017Q1 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 525449. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	5,645	3,401.5	3,827.25	12,534.75	19,763.5
2017Q2	30 June 2017	91	5,920	3,522.25	3,822	12,521	19,865.25
2017Q3	30 September 2017	92	5,231	3,298.75	3,371	12,088	18,757.75
2017Q4	31 December 2017	92	5,355	3,412.75	3,407.5	12,013.75	18,834
2018Q1	31 March 2018	90	5,073	3,790	3,580.5	10,918	18,288.5
2018Q2	30 June 2018	91	5,104	3,737.5	3,455.75	10,312.5	17,505.75
2018Q3	30 September 2018	92	5,182	3,586	3,439.25	10,527.75	17,553
2019Q1	31 March 2019	90	4,213	3,336.5	2,723.5	9,539.25	15,599.25
2019Q2	30 June 2019	91	4,413	3,700.75	2,757.75	8,753.75	15,212.25
2019Q3	30 September 2019	92	4,077	3,504.25	2,634.25	8,575.75	14,714.25
2019Q4	31 December 2019	92	3,783	3,317.68	3,012.12	8,132.59	14,462.39
2020Q2	30 June 2020	91	3,964	2,965.53	2,981.58	8,714.39	14,661.5
2020Q3	30 September 2020	92	3,715	3,245.32	2,932.62	8,411.02	14,588.96
2020Q4	31 December 2020	92	4,148	3,061.04	3,002.15	8,632.46	14,695.65
2021Q1	31 March 2021	90	3,310	2,989.1	3,160.24	8,032.46	14,181.8
2021Q2	30 June 2021	91	3,775	3,145.52	3,267.53	7,353.54	13,766.59
2021Q3	30 September 2021	92	4,125	2,172.5	3,541.25	7,296	13,009.75
2021Q4	31 December 2021	92	4,857	3,228	4,404	8,958	16,590
2022Q1	31 March 2022	90	4,832	2,981	4,046.5	9,149	16,176.5
2022Q2	30 June 2022	91	4,836	2,764.75	3,189.5	9,180.25	15,134.5
2022Q3	30 September 2022	92	5,185	2,206.25	3,569.5	11,139.5	16,915.25
2022Q4	31 December 2022	92	5,416	2,973	4,524.25	9,939	17,436.25
2023Q1	31 March 2023	90	5,846	3,479.25	4,490	10,063.25	18,032.5
2023Q2	30 June 2023	91	5,172	3,254	5,037.5	11,262.25	19,553.75
2023Q3	30 September 2023	92	5,629	3,571.2	4,404.3	12,927.6	20,903.1
2023Q4	31 December 2023	92	5,141	3,906.4	3,732.7	11,334.2	18,973.3
2024Q1	31 March 2024	91	5,119	4,158.5	3,802.9	10,445.3	18,406.7
2024Q2	30 June 2024	91	4,605	3,122.7	4,024.5	10,353.3	17,500.5
2024Q3	30 September 2024	92	4,516	3,098.9	3,505.9	10,186.8	16,791.6
2024Q4	31 December 2024	92	4,519	3,283	3,175.2	10,721.9	17,180.1
2025Q1	31 March 2025	90	5,146	3,847	2,866.3	11,472.4	18,185.7
2025Q2	30 June 2025	91	5,055	3,754.3	3,152.7	12,817.2	19,724.2
2025Q3	30 September 2025	92	4,795	3,684.3	4,139.9	12,419.6	20,243.8
2025Q4	31 December 2025	92	5,373	3,752.9	4,617.6	12,429.2	20,799.7
2026Q1	31 March 2026	90	5,530	3,242.74	4,981.94	11,805.81	20,030.49

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.602569	0.677989	2.220505	3.501063
2017Q2	0.594975	0.645608	2.115034	3.355617
2017Q3	0.630616	0.644427	2.310839	3.585882
2017Q4	0.637302	0.636321	2.243464	3.517087
2018Q1	0.747092	0.705795	2.152178	3.605066
2018Q2	0.732269	0.677067	2.020474	3.42981
2018Q3	0.692011	0.663692	2.0316	3.387302
2019Q1	0.791953	0.646451	2.264242	3.702647
2019Q2	0.838602	0.624915	1.983628	3.447145
2019Q3	0.859517	0.646125	2.103446	3.609088
2019Q4	0.876997	0.796225	2.149773	3.822995
2020Q2	0.748116	0.752164	2.198383	3.698663
2020Q3	0.873572	0.7894	2.26407	3.927042
2020Q4	0.737956	0.723758	2.081114	3.542828
2021Q1	0.903051	0.954755	2.426725	4.284532
2021Q2	0.83325	0.865571	1.947958	3.646779
2021Q3	0.526667	0.858485	1.768727	3.153879
2021Q4	0.664608	0.906733	1.844348	3.415689
2022Q1	0.616929	0.837438	1.893419	3.347786
2022Q2	0.571702	0.659533	1.898315	3.129549
2022Q3	0.425506	0.688428	2.148409	3.262343
2022Q4	0.548929	0.835349	1.835118	3.219396
2023Q1	0.595151	0.768047	1.721391	3.084588
2023Q2	0.629157	0.973995	2.177543	3.780694
2023Q3	0.634429	0.78243	2.296607	3.713466
2023Q4	0.759852	0.726065	2.204668	3.690585
2024Q1	0.812366	0.742899	2.040496	3.595761
2024Q2	0.678111	0.873941	2.248274	3.800326
2024Q3	0.686205	0.776329	2.255713	3.718246
2024Q4	0.726488	0.702633	2.372627	3.801748
2025Q1	0.747571	0.556996	2.229382	3.533949
2025Q2	0.74269	0.62368	2.535549	3.901919
2025Q3	0.768363	0.863379	2.590115	4.221856
2025Q4	0.698474	0.859408	2.31327	3.871152
2026Q1	0.586391	0.900893	2.134866	3.62215

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
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
2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv
2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv
2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv
2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv
2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv
2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv
2021Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. The file's `incomplete` column flags 0 of this facility's days as 1; those days are included as filed. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv
2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv
2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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