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Facility record report · CMS certification number 525695

Anna John Resident Centered Care Community

Oneida, 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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 February 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$3,042,988CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$345,739CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,697,249CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,834,760CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$7,137,511CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$294,044CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$6,843,467CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,843,467 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components17,520CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days362CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days6,180CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days2,614CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components9,156CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges8CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges20CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges25CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components53CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days309CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days172.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403513, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$3,465,612CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$177,864CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,287,748CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,135,774CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,848,026CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$209,013CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$5,639,013CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,639,013 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,668CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components32CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days496.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days333.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1374027, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 March 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,320,671CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,320,671CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,237,126CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,916,455CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$168,511CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,747,944CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,747,944 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,401CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components33CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days164CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days372.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days315.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344189, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,786,428CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$6,786,428CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,508,261CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,278,167CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$135,562CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,413,729CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,413,729 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,653CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components58CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days373.28CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days200.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314173, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 April 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$4,819,158CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,819,158CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,450,846CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,631,688CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$175,108CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,456,580CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,456,580 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,182CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components46CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days87.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days422.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days308.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282339, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,053,002CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$615,000CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,438,002CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,397,408CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,959,406CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$1,959,406CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,959,406 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,591CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days70.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days511.26CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days323.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253604, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 March 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,364,929CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,364,929CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,773,256CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,408,327CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$2,408,327CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,408,327 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,559CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components47CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days64.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days391.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days288.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221092, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,629,863CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,629,863CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,948,232CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,318,369CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$5,318,369CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,318,369 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components48CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,366CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components79CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days348.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days194.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188746, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 May 2017.

None of these figures is carried on this report.

CMS report record 1157117, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2016.

None of these figures is carried on this report.

CMS report record 1121914, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.

None of these figures is carried on this report.

CMS report record 1088217, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 May 2014.

None of these figures is carried on this report.

CMS report record 1060888, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 7 March 2013.

None of these figures is carried on this report.

CMS report record 1025543, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2012.

None of these figures is carried on this report.

CMS report record 428611, read from the public cost report file SNFFY2011.zip.

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 January 2011.

None of these figures is carried on this report.

CMS report record 392655, read from the public cost report file SNFFY2009.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.

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
ANNA JOHN RESIDENT CENTERED CARE COM489,156$2,697,249$9,834,760−$7,137,51130 September 2024
LINDENGROVE MUKWONAGO4712,493$6,398,145$7,586,821−$1,188,67630 June 2024
MUSKEGO HEALTH AND REHAB4912,871$5,109,916$4,955,551$154,36531 December 2024
NEWCASTLE PLACE4714,225$24,139,161$24,730,579−$591,41831 December 2024
PORTAGE COUNTY HEALTH CARE CENTER4810,090$4,922,996$5,693,814−$770,81831 December 2024
WILLOWDALE HEALTH SERVICES4910,983$4,119,468$3,808,683$310,78531 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
ONEIDA NATION5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 01/01/1975
DANFORTH, DEBBIEW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 06/29/2007
LARSON, DAVIDW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 06/15/2016
ROSNER, JENNIEW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 12/03/2020
WHITE, DANIELLEW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 12/03/2020

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ONEIDA NATION (enrollment ID O20050907001088).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ONEIDA NATIONOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/1975
Private equity company: No
Real estate investment trust: No
Holding company: No
DANIELLE L WHITEIndividualW-2 MANAGING EMPLOYEE012/3/2020
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.
DAVID L LARSONIndividualW-2 MANAGING EMPLOYEE06/15/2016
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.
DEBBIE DANFORTHIndividualW-2 MANAGING EMPLOYEE06/29/2007
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.
JENNIE L ROSNERIndividualW-2 MANAGING EMPLOYEE012/3/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

No change in ownership appears in the CMS files on record since 20 September 2022.

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
118 February 202618 February 202668
26 November 20246 November 2024212
320 September 202320 September 2023113

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

Deficiencies cited

9 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
18 February 2026HealthF 0638Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.ENoDeficient, Provider has date of correction13 March 2026
18 February 2026HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.ENoDeficient, Provider has date of correction16 March 2026
18 February 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correction13 March 2026
18 February 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction17 March 2026
18 February 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction13 March 2026
18 February 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction13 March 2026
6 June 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction1 July 2025
6 November 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction26 November 2024
20 September 2023HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction16 October 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - Federal
Legal Business NameONEIDA NATION
Date First Approved to Provide Medicare and Medicaid Services2008-10-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishBrown
Telephone Number9208692797
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds48
Average Number of Residents per Day41.6
Overall Rating5
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating4
Processing Date2026-08-01

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

Every change on this record

  • 11 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 28 February 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 10 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • 21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 14 April 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 15 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 13 March 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • 11 May 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • 20 April 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • 16 April 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • 28 May 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • 7 March 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • 3 May 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
  • 14 January 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.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, Anna John Resident Centered Care Community — facility record report, CMS certification number 525695. https://velarionrecords.com/facility/525695/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 525695. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 2017903,8921,449.257,021.3312,136.2520,606.83
2017Q230 June 2017913,9131,883.757,277.7517,856.9327,018.43
2017Q330 September 2017923,6201,888.756,95618,527.527,372.25
2017Q431 December 2017923,5902,399.255,786.2515,877.524,063
2018Q330 September 2018923,4423,4506,71417,076.7527,240.75
2018Q431 December 2018923,2813,462.257,66415,680.9526,807.2
2019Q131 March 2019903,1474,263.55,965.216,063.2526,291.95
2019Q230 June 2019913,5834,015.56,829.516,579.2527,424.25
2019Q330 September 2019923,5894,699.755,458.7515,766.7525,925.25
2019Q431 December 2019923,8144,582.757,266.5914,735.7126,585.05
2020Q131 March 2020913,9744,240.258,48814,08226,810.25
2020Q230 June 2020913,4864,162.757,437.7516,26727,867.5
2020Q330 September 2020923,1963,0268,248.516,701.7527,976.25
2023Q131 March 2023902,6603,849.257,445.7510,691.7521,986.75
2023Q230 June 2023912,7985,048.256,44411,366.5322,858.78
2023Q330 September 2023922,6203,9144,539.510,189.2518,642.75
2023Q431 December 2023922,4725,2227,025.2512,352.9524,600.2
2024Q431 December 2024922,7502,2525,00513,59220,849
2025Q131 March 2025902,8993,047.254,378.2513,475.2520,900.75
2025Q230 June 2025913,0343,384.754,622.514,298.2522,305.5
2025Q330 September 2025923,1983,934.255,406.2515,788.7425,129.24
2025Q431 December 2025923,4704,2754,249.2515,703.7524,228
2026Q131 March 2026903,7474,421.755,145.7519,411.4728,978.97
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q10.3723661.8040423.1182555.294663
2017Q20.4814081.859894.5634886.904787
2017Q30.5217541.9215475.1180947.561395
2017Q40.6683151.6117694.4227026.702786
2018Q31.0023241.950614.9612877.914221
2018Q41.0552422.3358734.779328.170436
2019Q11.3547821.895525.1043068.354608
2019Q21.1207091.9060844.6271987.653991
2019Q31.3094871.5209674.3930767.22353
2019Q41.201561.9052413.8635846.970385
2020Q11.0669982.1358833.5435336.746414
2020Q21.1941342.1336064.666387.994119
2020Q30.9468092.5808825.2258298.75352
2023Q11.4470862.7991544.0194558.265695
2023Q21.8042352.3030744.0623778.169685
2023Q31.4938931.7326343.8890277.115553
2023Q42.112462.841934.9971489.951537
2024Q40.8189091.824.9425457.581455
2025Q11.0511381.5102624.6482417.209641
2025Q21.1156061.5235664.7126737.351846
2025Q31.2302221.690514.9370677.857799
2025Q41.2319881.2245684.5255766.982133
2026Q11.1800771.3732995.1805367.733912

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
  • 2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv
  • 2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv
  • 2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv
  • 2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv
  • 2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv
  • 2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv
  • 2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv
  • 2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv
  • 2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv
  • 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
  • 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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