Facility record report · CMS certification number 555711

COMMUNITY CARE ON PALM

RIVERSIDE, California · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$7,850,323	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,263,876	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,114,199	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,600,525	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$513,674	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$103,821	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$617,495	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $617,495 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	18,666	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,702	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	1,206	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	12,518	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	17,426	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	22	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	43	CMS-2540-10 worksheet S300001 line 800 column 1000
Total discharges, all components	65	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	168.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	28.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	268.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438316, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$7,315,836	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,559,795	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,875,631	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,226,996	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$648,635	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$71,627	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$720,262	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $720,262 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,070	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	33	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	124.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,439.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	547.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394569, 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 8 August 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,092,084	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$97,735	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,189,819	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,964,381	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$225,438	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$67,168	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$292,606	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $292,606 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,740	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	52	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	227.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,540.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	341.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391639, 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 28 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,962,069	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$297,713	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,259,782	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,089,429	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$170,353	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$66,110	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$236,463	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $236,463 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,984	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	56	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	108.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	477.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	303.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334565, 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 27 September 2022.

None of these figures is carried on this report.

CMS report record 1334268, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2020.

None of these figures is carried on this report.

CMS report record 1270987, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,503,621	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$423,440	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,080,181	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,954,341	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$125,840	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,332	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$132,172	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $132,172 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,398	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	65	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days	190.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	283.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239386, read from the public cost report file SNF10FY2018.zip.

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

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,941,214	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$233,275	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,707,939	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,733,977	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$26,038	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$64,823	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$38,785	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $38,785 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,234	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	111	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	110	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	185.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	164.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209927, 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 22 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,653,923	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$54,688	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,599,235	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,817,961	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$218,726	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$125,421	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$93,305	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$93,305 (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
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,150	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	59	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,020.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	290.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174437, 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 25 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,765,665	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$146,916	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,618,749	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,631,448	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$12,699	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,296	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,403	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,403 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,247	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	127	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	121.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	209.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	135.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142528, 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
Figure	As filed	Where it comes from
Total patient revenue	$3,398,626	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$111,202	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,287,424	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,371,839	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$84,415	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$93,349	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$8,934	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $8,934 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,994	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	60	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	144.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	545.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	299.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1103356, 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 22 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,400,578	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$214,313	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,186,265	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,112,431	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$73,834	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$17,241	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$91,075	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $80,693 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,389	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	29	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	179.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,337.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	634.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1076762, 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 28 June 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,288,870	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$231,996	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,056,874	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,995,001	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$61,873	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,092	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$77,965	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $77,965 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,361	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	34	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	325	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	747.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	540.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1040655, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 November 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$2,971,175	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$93,059	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,878,116	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,846,212	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$31,904	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,001	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$45,905	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $41,913 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,525	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	26	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days	1,571.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	712.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1021185, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 June 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,879,547	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,921,456	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$41,909	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,962	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,553	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$31,500 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,429	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	18	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	125.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,143.87	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,023.83	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 409277, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,804,213	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,800,735	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$3,478	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,756	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,577	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $14,657 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,452	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	22	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	297	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,561.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	838.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 383844, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 5 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,768,631	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,823,492	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$54,861	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,102	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,981	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$48,740 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,549	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	15	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	147	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,691.7	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,236.6	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 353868, read from the public cost report file SNFFY2008.zip.

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

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,865,643	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,832,472	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$33,171	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$14,022	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$5,722	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $41,471 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,528	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	28	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,256	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	661.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 314825, read from the public cost report file SNFFY2007.zip.

Cost report for 1 December 2005 to 31 December 2006 — a reporting period of 395 days, on form CMS-2540-96, settled, processed by CMS on 21 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,905,665	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,706,876	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$198,789	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$14,581	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,330	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $210,040 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,089	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	45	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	7.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,340.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	446.42	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292405, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 30 November 2005 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on 15 September 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,175,600	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,294,305	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$118,705	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$22,607	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$8,837	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$104,935 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,672	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	23	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	3	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,217.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	724.87	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 262813, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 19 July 2005.

None of these figures is carried on this report.

CMS report record 228289, 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 16 July 2004.

None of these figures is carried on this report.

CMS report record 187234, 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 20 August 2003.

Net income, stated at moderate confidence: −$60,933 (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.

CMS report record 157304, 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 12 February 2003.

Net income, stated at moderate confidence: −$116,544 (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.

CMS report record 123104, 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 24 September 2001.

None of these figures is carried on this report.

CMS report record 75013, read from the public cost report file SNFFY2000.zip.

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 November 2000.

None of these figures is carried on this report.

CMS report record 7887, 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 25 September 2000.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$1,390,693	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,620,619	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$229,926	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,593	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$8,428	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$232,761 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	51	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,931	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	58	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	1	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	436.74	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	257.43	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 7885, read from the public cost report file SNFFY1998.zip.

Cost report for 15 November 1997 to 31 December 1997 — a reporting period of 46 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 30 November 1998.

None of these figures is carried on this report.

CMS report record 7883, read from the public cost report file SNFFY1998.zip.

Five facilities of a similar size in California, fiscal year 2024

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
CEDARWOOD POST ACUTE	51	17,617	$9,773,439	$9,099,206	$674,233	31 December 2024
COMMUNITY CARE ON PALM	51	17,426	$9,114,199	$8,600,525	$513,674	31 December 2024
KATHERINE HEALTHCARE	51	15,772	$7,851,810	$7,746,145	$105,665	31 December 2024
PLEASANT HILL POST ACUTE	51	17,476	$15,816,023	$11,888,694	$3,927,329	31 December 2024
PROVIDENCE ST ELIZABETH CARE CENTER	52	13,187	$6,488,226	$8,508,621	−$2,020,395	31 December 2024
VILLA SERENA HEALTHCARE CENTER	52	17,790	$8,485,130	$7,556,973	$928,157	31 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
BERCOVICH, EZEQUIEL	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	100%	since 01/01/2021
BAK, ABRAHAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/13/2020
BERCOVICH, EZEQUIEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2021
GASTWIRTH, MENACHEM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/13/2020
JETTI, ANOOP	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/17/2023
NGUYEN, DEREK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
BERCOVICH, EZEQUIEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2021
JANNAT, SHAHRZAD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2021
JETTI, ANOOP	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/17/2023
NGUYEN, DEREK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of COMMUNITY CARE ON PALM RIVERSIDE,LLC (enrollment ID O20210406000747).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
EZEQUIEL BERCOVICH	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2021	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.
ABRAHAM BAK	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/13/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANOOP JETTI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/17/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEREK HOA-THANH NGUYEN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	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.
EZEQUIEL BERCOVICH	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2021	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.
MENACHEM GASTWIRTH	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/13/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/16/1966	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.
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.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/16/1966	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.
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.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/16/1966	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.
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.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/16/1966	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.
ANOOP JETTI	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/17/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DEREK HOA-THANH NGUYEN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	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.
EZEQUIEL BERCOVICH	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2021	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.
SHAHRZAD JANNAT	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	1/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 January 2026: EZEQUIEL BERCOVICH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MENACHEM GASTWIRTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EZEQUIEL BERCOVICH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EZEQUIEL BERCOVICH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ABRAHAM BAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANOOP JETTI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANOOP JETTI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEREK HOA-THANH NGUYEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEREK HOA-THANH NGUYEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	16 April 2026	16 April 2026	12	3
2	11 April 2025	11 April 2025	10	1
3	14 March 2024	14 March 2024	22	1

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

Deficiencies cited

44 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
16 April 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	15 May 2026
16 April 2026	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	E	No	Deficient, Provider has date of correction	15 May 2026
16 April 2026	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	No	Deficient, Provider has date of correction	15 May 2026
16 April 2026	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	15 May 2026
16 April 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	15 May 2026
16 April 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	15 May 2026
16 April 2026	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	15 May 2026
16 April 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	15 May 2026
16 April 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	15 May 2026
22 December 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	Yes	Deficient, Provider has date of correction	16 January 2026
25 November 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	23 December 2025
25 November 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	Yes	Deficient, Provider has date of correction	23 December 2025
11 April 2025	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	No	Deficient, Provider has date of correction	29 April 2025
11 April 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	29 April 2025
11 April 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	29 April 2025
11 April 2025	Health	F 0802	Nutrition and Dietary Deficiencies	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	E	No	Deficient, Provider has date of correction	29 April 2025
11 April 2025	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure 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.	E	No	Deficient, Provider has date of correction	29 April 2025
11 April 2025	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	E	No	Deficient, Provider has date of correction	29 April 2025
11 April 2025	Health	F 0808	Nutrition and Dietary Deficiencies	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.	D	No	Deficient, Provider has date of correction	29 April 2025
11 April 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	29 April 2025
5 November 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	25 November 2024
4 September 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	26 September 2024
27 June 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Deficient, Provider has date of correction	5 July 2024
27 June 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	Yes	Deficient, Provider has date of correction	5 July 2024
24 April 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	9 May 2024
14 March 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0678	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	D	No	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure 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.	E	No	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	E	No	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0838	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	F	No	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	5 April 2024
14 March 2024	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	No	Deficient, Provider has date of correction	5 April 2024
9 February 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	Yes	Deficient, Provider has date of correction	16 February 2024
4 January 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	Yes	Deficient, Provider has date of correction	14 January 2024
4 January 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	Yes	Deficient, Provider has date of correction	14 January 2024
4 January 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	Yes	Deficient, Provider has date of correction	14 January 2024
1 December 2023	Health	F 0626	Resident Rights Deficiencies	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	D	Yes	Deficient, Provider has date of correction	14 December 2023
28 November 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	9 December 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
28 November 2023	Fine	$33,540			129430

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	COMMUNITY CARE ON PALM RIVERSIDE,LLC
Date First Approved to Provide Medicare and Medicaid Services	1997-09-06
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Riverside
Telephone Number	9516869001
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	51
Average Number of Residents per Day	48.1
Overall Rating	4
Health Inspection Rating	3
QM Rating	5
Long-Stay QM Rating	4
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 January 2026: EZEQUIEL BERCOVICH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MENACHEM GASTWIRTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EZEQUIEL BERCOVICH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EZEQUIEL BERCOVICH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ABRAHAM BAK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANOOP JETTI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANOOP JETTI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEREK HOA-THANH NGUYEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEREK HOA-THANH NGUYEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
11 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
8 August 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
28 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
27 September 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
14 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
2 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
22 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
25 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
24 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
22 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
28 June 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
30 November 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
30 June 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
27 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
5 August 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
17 June 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
21 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
15 September 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
19 July 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
16 July 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
20 August 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
12 February 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
24 September 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
27 November 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
25 September 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
30 November 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1998.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, COMMUNITY CARE ON PALM — facility record report, CMS certification number 555711. https://velarionrecords.com/facility/555711/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.zip.
Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
Care Compare ownership: CMS file dated 1 August 2026.
Medicare enrollment ownership: CMS file dated 1 August 2026.
Nurse staffing: CMS Payroll-Based Journal, quarters 2017Q1 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 555711. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	4,420	1,085.07	4,596.97	11,839.53	17,521.57
2017Q2	30 June 2017	91	4,413	971.49	4,765.02	12,000.66	17,737.17
2017Q3	30 September 2017	92	4,562	436.59	4,612.59	11,894.49	16,943.67
2017Q4	31 December 2017	92	4,609	535.78	4,561.15	11,687.71	16,784.64
2018Q2	30 June 2018	91	4,567	747.66	4,494.37	12,024.35	17,266.38
2018Q3	30 September 2018	92	4,658	730.51	4,743.32	12,604.04	18,077.87
2019Q1	31 March 2019	90	4,494	1,053.53	4,243.12	12,496.86	17,793.51
2019Q2	30 June 2019	91	4,500	1,173.05	4,156.29	12,557.23	17,886.57
2019Q3	30 September 2019	92	4,634	790.44	4,374.51	12,820.46	17,985.41
2019Q4	31 December 2019	92	4,648	769.13	4,528.59	12,926.36	18,224.08
2020Q1	31 March 2020	91	4,639	726.83	4,570.66	12,914.03	18,211.52
2020Q2	30 June 2020	91	3,960	725.46	4,712.24	11,562.58	17,000.28
2020Q3	30 September 2020	92	4,352	548.17	5,174.89	12,419.72	18,142.78
2020Q4	31 December 2020	92	4,456	714.53	4,832.6	12,497.23	18,044.36
2021Q1	31 March 2021	90	4,150	666.36	4,400.89	12,181.47	17,248.72
2021Q2	30 June 2021	91	4,260	683.13	4,132.34	11,962.76	16,778.23
2021Q3	30 September 2021	92	4,277	756.96	4,762.41	11,763.79	17,283.16
2021Q4	31 December 2021	92	4,928	609.33	5,573.03	13,678.64	19,861
2022Q1	31 March 2022	90	4,230	1,024.41	5,994.85	13,138.06	20,157.32
2022Q2	30 June 2022	91	4,352	1,079.4	5,555.57	11,861.55	18,496.52
2022Q3	30 September 2022	92	4,580	1,333.29	5,898.67	12,753.34	19,985.3
2022Q4	31 December 2022	92	4,627	1,166.23	4,503.26	12,225.43	17,894.92
2023Q1	31 March 2023	90	4,474	1,294.95	4,718.94	12,377.01	18,390.9
2023Q2	30 June 2023	91	4,511	1,243.7	5,035.18	12,101.1	18,379.98
2023Q3	30 September 2023	92	4,557	1,205.63	5,133.05	11,574.96	17,913.64
2023Q4	31 December 2023	92	4,533	1,189.23	4,768.93	11,044.17	17,002.33
2024Q1	31 March 2024	91	4,258	944.06	4,940.98	10,535.37	16,420.41
2024Q2	30 June 2024	91	4,477	1,271.39	4,917.49	10,778.92	16,967.8
2024Q3	30 September 2024	92	4,451	1,260.1	4,935.89	11,782.32	17,978.31
2024Q4	31 December 2024	92	4,218	1,193.62	4,758.69	10,571.12	16,523.43
2025Q1	31 March 2025	90	4,325	1,115.16	4,762.99	10,870.32	16,748.47
2025Q2	30 June 2025	91	4,405	1,207.43	4,664.3	11,115.64	16,987.37
2025Q3	30 September 2025	92	4,374	1,303.48	4,657.27	11,157.01	17,117.76
2025Q4	31 December 2025	92	4,462	1,593.36	4,545.35	11,731.73	17,870.44
2026Q1	31 March 2026	90	4,327	3,006.72	5,193.13	11,437.54	19,637.39

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.245491	1.040038	2.678627	3.964156
2017Q2	0.220143	1.079769	2.719388	4.0193
2017Q3	0.095701	1.011089	2.607297	3.714088
2017Q4	0.116246	0.989618	2.535845	3.64171
2018Q2	0.163709	0.984097	2.632877	3.780683
2018Q3	0.156829	1.018317	2.705891	3.881037
2019Q1	0.23443	0.944174	2.780788	3.959393
2019Q2	0.260678	0.92362	2.790496	3.974793
2019Q3	0.170574	0.944003	2.766608	3.881185
2019Q4	0.165475	0.974309	2.781059	3.920843
2020Q1	0.156678	0.985268	2.783796	3.925743
2020Q2	0.183197	1.18996	2.919843	4.293
2020Q3	0.125958	1.189083	2.853796	4.168837
2020Q4	0.160352	1.084515	2.804585	4.049452
2021Q1	0.160569	1.060455	2.935294	4.156318
2021Q2	0.160359	0.970033	2.80816	3.938552
2021Q3	0.176984	1.113493	2.750477	4.040954
2021Q4	0.123647	1.130891	2.775698	4.030235
2022Q1	0.242177	1.417222	3.105924	4.765324
2022Q2	0.248024	1.276556	2.72554	4.250119
2022Q3	0.291111	1.287919	2.784572	4.363603
2022Q4	0.252049	0.973257	2.642194	3.867499
2023Q1	0.289439	1.054747	2.76643	4.110617
2023Q2	0.275704	1.1162	2.682576	4.07448
2023Q3	0.264567	1.12641	2.540039	3.931016
2023Q4	0.262349	1.052047	2.436393	3.75079
2024Q1	0.221714	1.160399	2.474253	3.856367
2024Q2	0.283983	1.09839	2.407621	3.789993
2024Q3	0.283105	1.10894	2.647118	4.039162
2024Q4	0.282982	1.128186	2.506193	3.917361
2025Q1	0.25784	1.101269	2.513369	3.872479
2025Q2	0.274104	1.058865	2.523414	3.856384
2025Q3	0.298006	1.064762	2.550757	3.913525
2025Q4	0.357095	1.01868	2.629254	4.005029
2026Q1	0.694874	1.200169	2.643296	4.538338

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