Velarion Records

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Facility record report · CMS certification number 535042

Shepherd of the Valley Rehabilitation and Wellness

Casper, Wyoming · 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 2025 to 29 September 2025 — a reporting period of 271 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on 18 March 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$19,922,712CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,031,618CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,891,094CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,298,330CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$592,764CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,553CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$594,317CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $594,317 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components52,224CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,525CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days29,462CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days10,581CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components43,568CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges105CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges124CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges102CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components331CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days237.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days131.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448601, read from the public cost report file SNF10FY2025.zip.

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 6 March 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$25,518,827CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$7,521,241CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$17,997,586CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,768,245CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$229,341CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,117CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$231,458CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $231,458 (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 components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components55,625CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components385CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days245.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days144.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448370, read from the public cost report file SNF10FY2024.zip.

Cost report for 31 August 2023 to 31 December 2023 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$9,268,989CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,448,265CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,820,724CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,232,656CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$588,068CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,321CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$596,389CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $596,390 (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 components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,536CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components117CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days365.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days175.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438516, 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 18 October 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$24,886,321CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$7,508,987CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$17,377,334CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,551,437CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$825,897CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$112,016CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$937,913CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $937,912 (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 components216CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components53,552CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components460CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days237.77CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days116.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1397586, 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 11 October 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$20,423,161CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$7,318,969CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,104,192CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,280,445CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,176,253CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$937,081CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$239,172CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$239,170 (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 components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,050CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components140CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days7,615.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days300.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366444, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$23,516,014CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$7,327,904CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$16,188,110CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,657,313CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$530,797CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,115,534CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,646,331CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,646,331 (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 components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components49,837CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components281CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days364.58CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days177.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1340368, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 February 2019 to 31 December 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$22,206,215CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,109,289CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,096,926CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,856,918CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$759,992CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$634CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$759,358CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$759,360 (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 components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components49,242CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components347CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days510.44CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1307647, read from the public cost report file SNF10FY2019.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 9 March 2020.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$20,603,064CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,678,825CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,924,239CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,298,329CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,374,090CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,865,991CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$491,901CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $491,900 (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 components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components60,248CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components490CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days397.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252125, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 November 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$18,541,874CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,387,894CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,153,980CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,244,860CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,090,880CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,198,941CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$108,061CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $108,061 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components58,987CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components407CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days564.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days144.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1214056, 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 23 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$17,535,612CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,954,549CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,581,063CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$15,817,353CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,236,290CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,007,547CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$771,257CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $771,257 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components58,868CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components267CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days900.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days220.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142358, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$15,778,239CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,947,648CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,830,591CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$14,952,588CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,121,997CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,798,011CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$676,014CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $676,014 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components57,957CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components257CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days66.34CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days694.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days225.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103807, 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 23 July 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$15,233,184CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,931,664CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,301,520CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,245,138CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,943,618CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,428,128CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$515,490CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$515,490 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components57,931CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components194CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days777.34CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days298.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1073361, 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 19 August 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$18,597,940CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,300,073CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$16,297,867CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$16,175,352CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$122,515CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$414,658CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$537,173CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $537,173 (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
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components64,106CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components250CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days525.42CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days256.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1047010, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 August 2011 to 31 December 2011 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 12 November 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$7,549,776CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,562,521CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,987,255CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,161,676CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$174,421CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,406,864CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$8,232,443CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $8,232,443 (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
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,183CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components62CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,031.81CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days406.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1019292, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 10 May 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$12,561,227CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,162,376CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$601,149CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$133,006CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$468,143 (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
FigureAs filedWhere it comes from
Total facility beds, all components192CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components61,882CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components157CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days58.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,047.49CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days394.15CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 399134, read from the public cost report file SNFFY2010.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 26 May 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$12,437,524CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$13,359,228CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$921,704CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$141,719CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$779,985 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,422CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components144CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days76.83CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days857.84CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days433.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 370810, read from the public cost report file SNFFY2009.zip.

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$12,495,884CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$11,995,695CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$500,189CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$91,232CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $591,421 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components63,864CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components206CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days322.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days310.37CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days310.02CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 338364, read from the public cost report file SNFFY2008.zip.

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 March 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$10,927,711CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,746,445CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$181,266CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$104,759CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $286,025 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,620CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components222CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days55.97CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days502.99CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days282.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 305935, read from the public cost report file SNFFY2007.zip.

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 November 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$10,540,815CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,185,191CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$355,624CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $355,624 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,538CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components200CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days57.86CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days572.36CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days312.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 295575, read from the public cost report file SNFFY2006.zip.

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 March 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$10,075,516CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,048,858CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$26,658CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $26,658 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components59,390CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components232CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.86CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days510.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days255.99CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 273695, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 30 September 2004 — a reporting period of 273 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 10 March 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$7,269,997CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,276,785CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$6,788CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$6,788 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components47,106CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components225CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.34CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days209.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 244797, 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 17 October 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$9,213,169CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,932,962CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$719,793CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$57,380CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$662,413 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,232CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components517CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.73CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days120.37CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 234744, 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 8 September 2005.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$9,162,476CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,490,193CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$327,717CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$129,362CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$198,355 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components62,921CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components366CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.57CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days171.92CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 232531, read from the public cost report file SNFFY2002.zip.

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$8,909,017CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,229,088CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$320,071CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$186,547CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$387CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$133,911 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components63,368CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components351CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.13CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days180.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173131, 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 13 February 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$8,334,004CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,078,537CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$744,533CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$67,782CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$265CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$677,016 (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
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components64,423CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components251CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days256.67CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 128245, 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 with audit, processed by CMS on 2 November 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$8,090,156CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,567,980CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$477,824CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$46,907CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$430,917 (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
FigureAs filedWhere it comes from
Total facility beds, all components204CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components70,340CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components343CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days205.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75157, 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 18 October 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$9,193,516CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,527,770CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$665,746CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$72,951CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $738,697 (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
FigureAs filedWhere it comes from
Total facility beds, all components207CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components71,894CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components368CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.36CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days195.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75155, 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 with audit, processed by CMS on 12 November 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$7,961,350CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,576,016CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$614,666CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$116,916CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$497,750 (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
FigureAs filedWhere it comes from
Total facility beds, all components207CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components72,818CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components334CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.66CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days218.02CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75153, 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 21 October 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$8,107,520CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,328,713CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$221,193CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$77,094CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$144,099 (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
FigureAs filedWhere it comes from
Total facility beds, all components207CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components73,433CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components262CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.41CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days280.28CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75152, read from the public cost report file SNFFY1996.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
COTTONWOOD HEALTH & REHABILITATION10513,890$5,114,199$5,929,164−$814,96529 September 2025
GRANITE REHABILITATION AND WELLNESS13323,138$8,231,647$8,397,226−$165,57929 September 2025
LIFE CARE CENTER OF CASPER10728,092$11,419,196$11,177,905$241,29130 June 2025
SAGE VIEW CARE CENTER8213,702$5,409,893$5,157,367$252,52629 September 2025
SHEPHERD VALLEY HEALTHCARE CENTER19243,568$14,891,094$14,298,330$592,76429 September 2025
WORLAND HEALTHCARE AND REHABILITATIO8719,764$6,757,060$6,421,746$335,31429 September 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
CONNELL, ERICADP OF THE SNFIndividualNOT APPLICABLEsince 09/30/2025
COUVE FINANCIAL SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/14/2025
COUVE HEALTHCARE CONSULTING LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/14/2025
LAWRENCE, ERICADP OF THE SNFIndividualNOT APPLICABLEsince 09/30/2025
MILLER, JESSICAADP OF THE SNFIndividualNOT APPLICABLEsince 09/30/2025
PACIFIC NORTHWEST OPCO MANAGEMENT LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/14/2025
SHEPHERD OF THE VALLEY SNF OPERATIONS, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/14/2025
SHEPHERD OF THE VALLEY SNF REALTY LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/14/2025
SIMMONS, BENJAMINADP OF THE SNFIndividualNOT APPLICABLEsince 09/30/2025
SPIELMAN, SHIMONADP OF THE SNFIndividualNOT APPLICABLEsince 09/30/2025
YENOWITZ, YITZCHOKINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 10/14/2025
MORRISON, ROBERTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/30/2025
SIMMONS, BENJAMINMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/30/2025
CONNELL, ERICOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/30/2025
COUVE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/30/2025
COUVE HEALTHCARE CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/30/2025
LAWRENCE, ERICOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/30/2025
MILLER, JESSICAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/30/2025
MORRISON, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/30/2025
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/30/2025
SHEPHERD OF THE VALLEY SNF OPERATIONS, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/30/2025
SIMMONS, BENJAMINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/30/2025
SPIELMAN, SHIMONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/30/2025
WINTERHOLLER, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/30/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NORTH BIG HORN HOSPITAL DISTRICT (enrollment ID O20251120002737).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
NORTH BIG HORN HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1009/30/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
BENJAMIN TODD SIMMONSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
COUVE FINANCIAL SERVICES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
COUVE HEALTHCARE CONSULTING LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
ERIC J LAWRENCEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ERIC S CONNELLIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JESSICA MILLERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SHEPHERD OF THE VALLEY SNF OPERATIONS, LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SHEPHERD OF THE VALLEY SNF REALTY LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SHIMON SPIELMANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BENJAMIN TODD SIMMONSIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT B MORRISONIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BENJAMIN TODD SIMMONSIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
COUVE FINANCIAL SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
COUVE HEALTHCARE CONSULTING LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
DAVID WINTERHOLLERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ERIC J LAWRENCEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ERIC S CONNELLIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JESSICA MILLERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
ROBERT B MORRISONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHEPHERD OF THE VALLEY SNF OPERATIONS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SHIMON SPIELMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/30/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
131 October 202431 October 2024115
210 August 202310 August 2023178
331 August 202231 August 20221116

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 dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
13 March 2026HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DYesDeficient, Provider has date of correction3 April 2026
13 March 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KYesPast Non-Compliance16 February 2026
13 March 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction3 April 2026
29 January 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction16 February 2026
22 May 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesPast Non-Compliance16 May 2025
20 March 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GYesDeficient, Provider has date of correction4 April 2025
20 March 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction4 April 2025
20 March 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GYesDeficient, Provider has date of correction4 April 2025
31 October 2024HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DNoDeficient, Provider has date of correction6 December 2024
31 October 2024HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.ENoDeficient, Provider has date of correction6 December 2024
31 October 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EYesDeficient, Provider has date of correction6 December 2024
31 October 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.ENoDeficient, Provider has date of correction6 December 2024
31 October 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction6 December 2024
31 October 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correction6 December 2024
31 October 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction6 December 2024
10 September 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesPast Non-Compliance6 September 2024
10 September 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction11 October 2024
15 August 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction13 September 2024
22 March 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction26 April 2024
1 February 2024HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.DYesPast Non-Compliance23 January 2024
9 November 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction8 December 2023
10 August 2023HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correction4 September 2023
10 August 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction4 September 2023
10 August 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction4 September 2023
10 August 2023HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DYesDeficient, Provider has date of correction4 September 2023
10 August 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction4 September 2023
10 August 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correction4 September 2023
10 August 2023HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DNoDeficient, Provider has date of correction4 September 2023
10 August 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction4 September 2023
10 August 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction4 September 2023
10 August 2023HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.DYesDeficient, Provider has date of correction4 September 2023
31 August 2022HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.ENoDeficient, Provider has date of correction7 October 2022
31 August 2022HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionDNoDeficient, Provider has date of correction7 October 2022
31 August 2022HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction7 October 2022
31 August 2022HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction7 October 2022
31 August 2022HealthF 0676Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DNoDeficient, Provider has date of correction7 October 2022
31 August 2022HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction7 October 2022
31 August 2022HealthF 0839Administration DeficienciesEmploy staff that are licensed, certified, or registered in accordance with state laws.DNoDeficient, Provider has date of correction7 October 2022
31 August 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction7 October 2022

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
13 March 2026Fine$26,685137826
22 May 2025Fine$12,438134341
20 March 2025Fine$15,857100448
15 August 2024Fine$7,718100435
22 March 2024Fine$34,333100430

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameNORTH BIG HORN HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services1990-11-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishNatrona
Telephone Number3072349381
Chain NameEVERGREEN HEALTHCARE GROUP
Chain ID846
Provider Changed Ownership in Last 12 MonthsY
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds192
Average Number of Residents per Day161.9
Overall Rating1
Health Inspection Rating1
QM Rating2
Long-Stay QM Rating3
Short-Stay QM Rating1
Processing Date2026-08-01

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

Every change on this record

How to read this report

Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.

A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.

How to cite this report

Velarion Records, Shepherd of the Valley Rehabilitation and Wellness — facility record report, CMS certification number 535042. https://velarionrecords.com/facility/535042/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 535042. 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 20179014,98713,320.976,090.2841,060.0360,471.28
2017Q230 June 20179114,89311,875.777,168.2240,264.8759,308.86
2017Q330 September 20179215,12411,492.237,595.9136,424.9355,513.07
2017Q431 December 20179215,35712,047.766,088.6836,099.1454,235.58
2018Q131 March 20189014,52612,039.266,052.3136,498.9854,590.55
2018Q230 June 20189114,64812,187.595,283.4736,424.2953,895.35
2018Q330 September 20189214,84711,9693,993.4834,832.250,794.68
2018Q431 December 20189214,48811,410.194,711.0137,096.4353,217.63
2019Q131 March 20199014,38312,368.023,224.1335,133.2750,725.42
2019Q230 June 20199112,98811,8293,747.2533,429.549,005.75
2019Q330 September 20199214,0979,9696,37036,178.7552,517.75
2019Q431 December 20199213,13510,470.686,447.538,42455,342.18
2020Q131 March 20209112,4599,4976,860.2534,437.7550,795
2020Q230 June 20209113,1138,167.257,02032,611.547,798.75
2020Q330 September 20209213,0548,004.58,74730,685.847,437.3
2020Q431 December 20209210,8597,714.126,717.129,731.744,162.92
2021Q131 March 2021909,8426,911.256,570.2527,826.7541,308.25
2021Q230 June 2021919,6427,1576,360.2522,676.2536,193.5
2021Q330 September 20219210,0386,792.255,646.520,855.7533,294.5
2021Q431 December 20219212,6967,622.55,88723,162.7536,672.25
2022Q131 March 20229012,6176,359.56,010.2522,328.2534,698
2022Q230 June 20229112,9026,351.57,824.527,51641,692
2022Q330 September 20229213,7488,363.57,11429,09244,569.5
2022Q431 December 20229213,2938,975.755,791.528,54543,312.25
2023Q131 March 20239015,0759,325.255,886.531,264.2546,476
2023Q230 June 20239115,5729,2837,052.2532,231.7548,567
2023Q330 September 20239214,4068,917.56,04526,153.541,116
2023Q431 December 20239215,56810,069.56,127.532,915.2549,112.25
2024Q131 March 20249113,5109,746.55,073.530,640.545,460.5
2024Q230 June 20249113,5638,230.75,47428,80742,511.7
2024Q330 September 20249214,1819,593.755,06131,324.2545,979
2024Q431 December 20249214,3969,3665,810.7530,653.7545,830.5
2025Q131 March 20259014,42110,9375,240.2529,915.2546,092.5
2025Q230 June 20259114,26711,810.755,37131,787.548,969.25
2025Q330 September 20259214,9759,319.255,454.532,58347,356.75
2025Q431 December 20259215,5159,390.795,151.5836,805.7451,348.11
2026Q131 March 20269014,5728,976.095,377.0733,100.3447,453.5
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
2017Q10.8888350.4063712.739714.034916
2017Q20.7974060.4813152.703613.982331
2017Q30.7598670.5022422.4084193.670528
2017Q40.7845130.3964762.3506643.531652
2018Q10.8288080.4166542.5126663.758127
2018Q20.8320310.3606962.4866393.679366
2018Q30.8061560.2689762.3460773.421208
2018Q40.7875610.3251662.5604943.673221
2019Q10.8599050.2241632.4426943.526762
2019Q20.9107640.2885162.5738763.773156
2019Q30.7071720.4518692.5664153.725456
2019Q40.7971590.4908642.9253144.213337
2020Q10.762260.5506262.7640864.076972
2020Q20.6228360.5353472.486963.645142
2020Q30.6131840.6700632.3506823.633928
2020Q40.710390.6185742.7379784.066942
2021Q10.702220.6675732.8273474.19714
2021Q20.7422730.659642.351823.753734
2021Q30.6766540.5625122.077683.316846
2021Q40.6003860.4636891.8244132.888489
2022Q10.5040420.4763611.7696962.750099
2022Q20.4922880.6064562.1326933.231437
2022Q30.6083430.5174572.116093.24189
2022Q40.6752240.435682.1473713.258275
2023Q10.618590.3904812.0739143.082985
2023Q20.5961340.452882.0698533.118867
2023Q30.6190130.4196171.8154592.854089
2023Q40.6468080.3935962.1142893.154692
2024Q10.7214290.3755372.2679873.364952
2024Q20.606850.4035982.123943.134388
2024Q30.6765210.3568862.2088893.242296
2024Q40.6505970.4036362.1293243.183558
2025Q10.7584080.3633762.0744233.196207
2025Q20.8278370.3764632.2280443.432344
2025Q30.6223210.364242.1758263.162387
2025Q40.6052720.3320392.3722683.309578
2026Q10.6159820.3692.2715033.256485

How each quarter is derived, and its file

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

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