Facility record report · CMS certification number 555772

Joshua Tree Post Acute

Yucca Valley, 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 23 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$6,587,636	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$400,893	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,186,743	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,865,053	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$678,310	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$158,555	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$836,865	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$836,865 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	21,228	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,274	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,880	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	317	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	18,471	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	7	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	18	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	4	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	29	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	182	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	937.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	636.93	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440027, 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 9 September 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,251,903	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$296,011	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,547,914	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,626,581	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$78,667	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$194	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$78,473	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$78,473 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,472	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	92	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	224.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	218.53	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	222.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394301, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 August 2022 to 31 December 2022 — a reporting period of 152 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$2,433,365	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$582,016	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,015,381	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,771,411	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$243,970	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$243,970	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $243,970 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	7,585	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	40	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	103.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	288.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	189.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1356569, 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 19 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,315,850	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$70,701	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,386,551	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,204,335	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$817,784	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$661,464	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$156,320	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$156,320 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,677	CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1332884, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 November 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,702,742	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$83,838	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,786,580	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,088,845	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$302,265	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$440,885	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$138,620	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $137,709 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,415	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	66	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	705.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	233.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304830, 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 23 November 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,469,573	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$569,506	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,900,067	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,202,549	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$302,482	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$763	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$301,719	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$301,719 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,499	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	9	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	2,166.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274275, 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 19 September 2019.

None of these figures is carried on this report.

CMS report record 1243078, 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 23 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,962,245	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$324,421	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,637,824	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,894,927	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$257,103	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$259,677	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,574	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,574 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,846	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	105	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	347.47	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	189.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210392, 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 21 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,413,832	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$984,258	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,429,574	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,815,918	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$386,344	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$269,899	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$116,445	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$116,445 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,437	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	98	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	431.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	208.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174324, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,594,611	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$502,085	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,092,526	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,687,091	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$594,565	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$157,614	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$436,951	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$436,951 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,386	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	87	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	373.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	234.32	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142315, 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 23 September 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$3,971,906	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$786,929	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,184,977	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,461,511	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$276,534	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$132,122	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$144,412	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$144,412 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,842	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	89	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	13.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	335.53	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	222.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110650, 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, as submitted, processed by CMS on 20 June 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,402,904	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$350,496	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,052,408	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,430,371	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$377,963	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,031	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$375,932	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$484,377 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,678	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	87	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	14.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	404.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	226.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1066423, 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 16 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,227,833	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$268,959	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,958,874	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,273,130	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$314,256	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$191,441	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$122,815	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$122,816 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,319	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	122	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	251.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	158.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046654, 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 24 January 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$2,823,498	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$392,033	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,431,465	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,914,616	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$483,151	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,988	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$456,163	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$546,584 (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	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,025	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	208	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	98.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	77.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1023683, 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 17 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,034,378	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,232,553	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$198,175	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,149	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$17,084	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$213,110 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,217	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	135	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	224.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	142.35	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415771, 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 9 September 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,034,983	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,062,863	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$27,880	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$10,180	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$41,144	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$58,844 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,453	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	59	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	575.76	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	312.76	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 387486, 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 28 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,419,285	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,979,210	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$440,075	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,904	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$180,726	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $264,253 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,064	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	73	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	111.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	339.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	274.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 352908, 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 13 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,088,296	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,733,428	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$354,868	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,959	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$164,853	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $202,974 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,259	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	47	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	18.62	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,122.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	431.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323821, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,689,175	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,679,285	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$9,890	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$92,788	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$800	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $101,878 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,530	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	70	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,159.18	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	279	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 291142, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 September 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,530,051	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,590,667	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$60,616	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$83,077	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$800	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $21,661 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,309	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	67	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	81.6	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	421	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	288.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 262441, 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 4 August 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,414,086	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,323,553	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$90,533	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$9,141	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $99,674 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,364	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	51	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.4	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	422.19	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	379.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 229992, 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 1 September 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,340,590	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,296,276	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$44,314	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$21,094	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $65,408 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,439	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	98	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.14	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	226.41	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	198.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 191737, 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 10 February 2005.

None of these figures is carried on this report.

CMS report record 206942, read from the public cost report file SNFFY2002.zip.

Cost report for 8 June 2001 to 31 December 2001 — a reporting period of 206 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 8 June 2004.

None of these figures is carried on this report.

CMS report record 180638, read from the public cost report file SNFFY2001.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
LOS BANOS POST ACUTE	59	22,587	$8,219,066	$7,847,979	$371,087	31 December 2024
MAPLE HEALTHCARE CENTER	59	17,991	$7,507,563	$7,817,076	−$309,513	31 December 2024
RED BLUFF HEALTH CARE CENTER	58	18,606	$7,582,888	$6,980,848	$602,040	31 December 2024
ROYAL TERRACE HEALTHCARE	58	18,528	$8,577,552	$8,665,162	−$87,610	31 December 2024
SAN JOSE HEALTHCARE & WELLNESS	58	18,736	$9,477,142	$9,278,773	$198,369	31 August 2024
VALLEY CARE CENTER	58	18,471	$6,186,743	$6,865,053	−$678,310	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
ROCKWELL HEALTHCARE LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 08/01/2022
GOLBOO, SEPEHR	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Individual	8%	since 08/01/2022
FIGALAN, EDGAR EMMANUEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/20/2025
GOLBOO, SEPEHR	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2022
SIRON, RACHELLE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2022
BYINGTON, DONALD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 08/01/2022
POWELL, EVANGELINE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 08/01/2022
SIRON, RACHELLE	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 08/01/2023
BYINGTON, DONALD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2022
FIGALAN, EDGAR EMMANUEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/20/2025
POWELL, EVANGELINE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2022
ROCKWELL HEALTHCARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/01/2022
SIRON, RACHELLE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of JOSHUA TREE PACC, LLC (enrollment ID O20221206003346).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ROCKWELL HEALTHCARE LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	8/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
SEPEHR GOLBOO	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	8	8/1/2022	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.
EDGAR EMMANUEL T FIGALAN	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.	1/20/2025	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.
RACHELLE SIRON	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.	8/1/2022	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.
SEPEHR GOLBOO	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.	8/1/2022	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.
DONALD BYINGTON	Individual	CORPORATE DIRECTOR	100	8/1/2022	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.
EVANGELINE B POWELL	Individual	CORPORATE OFFICER	100	8/1/2022	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.
RACHELLE SIRON	Individual	INDIRECT OWNERSHIP INTEREST	3	8/1/2023	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.
DONALD BYINGTON	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	8/1/2022	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.
EDGAR EMMANUEL T FIGALAN	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.	1/20/2025	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.
EVANGELINE B POWELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	8/1/2022	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.
RACHELLE SIRON	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.	8/1/2022	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.
ROCKWELL HEALTHCARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	8/1/2022	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: JBG PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES B GAMETT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES B GAMETT no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AARON CHESLEY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AARON CHESLEY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRAVIS JENNINGS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRAVIS JENNINGS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SWEETWATER CARE OPCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AJC HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DONALD BYINGTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DONALD BYINGTON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RACHELLE SIRON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RACHELLE SIRON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RACHELLE SIRON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SEPEHR GOLBOO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SEPEHR GOLBOO appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EVANGELINE B POWELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EVANGELINE B POWELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ROCKWELL HEALTHCARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ROCKWELL HEALTHCARE LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EDGAR EMMANUEL T FIGALAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EDGAR EMMANUEL T FIGALAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	13 November 2025	13 November 2025	10	7
2	20 September 2024	20 September 2024	6	3
3	29 March 2024	29 March 2024	8	12

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

Deficiencies cited

24 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
13 November 2025	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	26 November 2025
13 November 2025	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C	No	Deficient, Provider has date of correction	26 November 2025
13 November 2025	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	E	No	Deficient, Provider has date of correction	26 November 2025
13 November 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	26 November 2025
13 November 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	26 November 2025
13 November 2025	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	26 November 2025
13 November 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	26 November 2025
13 November 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.	D	No	Deficient, Provider has date of correction	26 November 2025
13 November 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	26 November 2025
13 November 2025	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	F	No	Deficient, Provider has date of correction	26 November 2025
20 September 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	11 October 2024
20 September 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	11 October 2024
20 September 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	11 October 2024
20 September 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	11 October 2024
20 September 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	11 October 2024
14 August 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	23 August 2024
2 May 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	14 May 2024
29 March 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	19 April 2024
29 March 2024	Health	F 0685	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D	No	Deficient, Provider has date of correction	19 April 2024
29 March 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	19 April 2024
29 March 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	19 April 2024
25 January 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	16 February 2024
6 October 2023	Health	F 0642	Resident Assessment and Care Planning Deficiencies	Ensure a qualified health professional conducts resident assessments.	E	Yes	Deficient, Provider has date of correction	6 November 2023
6 October 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	Yes	Deficient, Provider has date of correction	6 November 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
17 October 2023	Fine	$9,527			129081
6 October 2023	Fine	$24,224			130023
6 October 2023	Payment Denial		9 November 2023	11

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	JOSHUA TREE PACC, LLC
Date First Approved to Provide Medicare and Medicaid Services	2001-06-08
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	San Bernardino
Telephone Number	7608534760
Chain Name	ROCKWELL HEALTHCARE
Chain ID	897
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	47
Average Number of Residents per Day	55.6
Overall Rating	4
Health Inspection Rating	4
QM Rating	3
Long-Stay QM Rating	4
Short-Stay QM Rating	1
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: JBG PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES B GAMETT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JAMES B GAMETT no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AARON CHESLEY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AARON CHESLEY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRAVIS JENNINGS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TRAVIS JENNINGS no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SWEETWATER CARE OPCO LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: AJC HEALTHCARE LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DONALD BYINGTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DONALD BYINGTON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RACHELLE SIRON appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RACHELLE SIRON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RACHELLE SIRON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SEPEHR GOLBOO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SEPEHR GOLBOO appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EVANGELINE B POWELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EVANGELINE B POWELL appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ROCKWELL HEALTHCARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ROCKWELL HEALTHCARE LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EDGAR EMMANUEL T FIGALAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EDGAR EMMANUEL T FIGALAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: enrollment_id changed from O20181128001411 to O20221206003346. Skilled_Nursing_Facility_Enrollments_:_2026-07-01.csv
23 September 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
9 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
14 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
3 May 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
19 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
17 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
23 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
19 September 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
23 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
21 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
23 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
23 September 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
20 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
16 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
24 January 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
17 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
9 September 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
28 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
13 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
6 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
14 September 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
4 August 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
10 February 2005: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
1 September 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
8 June 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.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, Joshua Tree Post Acute — facility record report, CMS certification number 555772. https://velarionrecords.com/facility/555772/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 2017Q3 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 555772. 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
2017Q3	30 September 2017	92	4,952	924.5	4,638.5	12,360.25	17,923.25
2018Q2	30 June 2018	91	5,114	492.25	4,369.96	13,305.28	18,167.49
2018Q3	30 September 2018	92	4,880	1,014.25	4,126.75	12,883.99	18,024.99
2018Q4	31 December 2018	92	5,157	468.34	2,097.57	5,845.31	8,411.22
2019Q1	31 March 2019	90	4,980	700.73	2,698.1	8,229.16	11,627.99
2019Q2	30 June 2019	91	4,905	1,191.6	2,142.78	8,197.18	11,531.56
2019Q3	30 September 2019	92	4,892	1,236.88	1,681.23	8,786.54	11,704.65
2019Q4	31 December 2019	92	4,880	1,182.96	1,812.2	7,869.06	10,864.22
2020Q1	31 March 2020	91	4,561	1,469.26	3,201.17	8,121.49	12,791.92
2020Q2	30 June 2020	91	4,492	1,010.81	3,203.22	6,052.32	10,266.35
2020Q3	30 September 2020	92	3,040	901.98	3,287.9	4,458.2	8,648.08
2020Q4	31 December 2020	92	3,643	1,604.31	2,344.2	5,019.4	8,967.91
2021Q1	31 March 2021	90	3,436	1,783.83	2,657.38	4,339.44	8,780.65
2021Q2	30 June 2021	91	3,492	632.02	3,202.95	4,270.94	8,105.91
2021Q3	30 September 2021	92	3,682	606	3,236.7	4,296.78	8,139.48
2021Q4	31 December 2021	92	4,382	601	3,039.84	4,530.53	8,171.37
2022Q1	31 March 2022	90	5,297	840	2,775.5	6,251.42	9,866.92
2022Q2	30 June 2022	91	5,031	520.32	3,304.02	7,311.86	11,136.2
2022Q3	30 September 2022	92	5,032	683.65	1,215.21	2,662.34	4,561.2
2022Q4	31 December 2022	92	4,724	728	4,149.12	5,914.4	10,791.52
2023Q1	31 March 2023	90	4,938	878.65	4,875.87	8,730.74	14,485.26
2023Q2	30 June 2023	91	5,129	905.65	4,846.53	12,231.71	17,983.89
2023Q3	30 September 2023	92	5,310	583.81	4,954.9	12,053.29	17,592
2023Q4	31 December 2023	92	5,175	589.27	4,861	11,752.54	17,202.81
2024Q1	31 March 2024	91	4,722	1,102.53	4,579.86	11,223.41	16,905.8
2024Q2	30 June 2024	91	4,356	979.98	4,820.06	10,494.42	16,294.46
2024Q3	30 September 2024	92	4,670	1,513.5	5,024.04	10,044.24	16,581.78
2024Q4	31 December 2024	92	4,791	1,457	4,694.1	11,165.11	17,316.21
2025Q1	31 March 2025	90	4,889	1,281.74	5,257.98	11,508.17	18,047.89
2025Q2	30 June 2025	91	5,114	1,516.14	4,734.11	11,075.23	17,325.48
2025Q3	30 September 2025	92	5,112	1,783.62	4,956.2	13,033.88	19,773.7
2025Q4	31 December 2025	92	4,946	1,239.61	4,989.2	12,787.69	19,016.5
2026Q1	31 March 2026	90	5,006	1,175.52	4,972.77	12,357.39	18,505.68

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
2017Q3	0.186692	0.936692	2.496012	3.619396
2018Q2	0.096255	0.854509	2.601736	3.552501
2018Q3	0.207838	0.845645	2.640162	3.693645
2018Q4	0.090816	0.406742	1.133471	1.63103
2019Q1	0.140709	0.541787	1.652442	2.334938
2019Q2	0.242936	0.436856	1.671189	2.350981
2019Q3	0.252837	0.343669	1.796104	2.39261
2019Q4	0.24241	0.371352	1.612512	2.226275
2020Q1	0.322135	0.701857	1.780638	2.804631
2020Q2	0.225024	0.713094	1.347355	2.285474
2020Q3	0.296704	1.081546	1.466513	2.844763
2020Q4	0.440382	0.643481	1.37782	2.461683
2021Q1	0.519159	0.773393	1.262934	2.555486
2021Q2	0.180991	0.917225	1.223064	2.32128
2021Q3	0.164584	0.87906	1.166969	2.210614
2021Q4	0.137152	0.693711	1.033895	1.864758
2022Q1	0.15858	0.523976	1.180181	1.862737
2022Q2	0.103423	0.656732	1.453361	2.213516
2022Q3	0.13586	0.241496	0.529082	0.906439
2022Q4	0.154107	0.878307	1.25199	2.284403
2023Q1	0.177936	0.987418	1.768072	2.933426
2023Q2	0.176574	0.944927	2.384814	3.506315
2023Q3	0.109945	0.933126	2.269923	3.312994
2023Q4	0.113869	0.939324	2.271022	3.324214
2024Q1	0.233488	0.969898	2.376834	3.58022
2024Q2	0.224972	1.106534	2.409187	3.740693
2024Q3	0.32409	1.075812	2.150801	3.550702
2024Q4	0.304112	0.979775	2.330434	3.614321
2025Q1	0.262168	1.075471	2.35389	3.69153
2025Q2	0.296469	0.925716	2.165669	3.387853
2025Q3	0.348908	0.969523	2.549664	3.868095
2025Q4	0.250629	1.008734	2.585461	3.844824
2026Q1	0.234822	0.993362	2.468516	3.6967

How each quarter is derived, and its file

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
2018Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv
2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv
2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv
2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv
2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv
2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv
2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv
2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv
2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv
2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv
2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv
2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv
2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv
2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv
2021Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. The file's `incomplete` column flags 0 of this facility's days as 1; those days are included as filed. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv
2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv
2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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