Facility record report · CMS certification number 555796

MISSION CARE CENTER

ROSEMEAD, 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 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$11,798,473	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$184,921	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,613,552	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,903,060	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,710,492	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,861	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,717,353	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,717,765 (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	6,223	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	4,423	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,750	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	18,396	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	150	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	6	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	373	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	529	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.49	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	737.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	34.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435920, 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 15 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$12,434,933	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$804,090	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,630,843	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,030,997	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,599,846	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$817	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,600,663	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,600,663 (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	18,665	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	481	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	679.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	38.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392327, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$10,635,928	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$3,745	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,639,673	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,625,289	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,014,384	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,708	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,020,092	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,020,092 (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	18,361	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	615	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	684.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	29.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1364346, 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 21 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,879,340	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$477,266	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,356,606	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,215,066	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,141,540	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,284	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,142,824	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,142,824 (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	18,295	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	713	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	949.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	25.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333473, 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 30 September 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$9,535,421	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$108,751	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,644,172	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,675,680	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$968,492	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$707	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$969,199	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $969,199 (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	17,981	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	458	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,539.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	39.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1301746, 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 7 December 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$9,366,632	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$9,366,632	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,573,672	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$792,960	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,029	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$794,989	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $794,746 (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	18,825	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	633	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.01	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,038	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	29.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275223, read from the public cost report file SNF10FY2019.zip.

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

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$8,476,893	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$955,886	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,432,779	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,544,172	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$888,607	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,470	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$893,077	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $892,775 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	58	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,995	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	652	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	519.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	29.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242240, 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 30 October 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$8,629,526	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$840,977	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,470,503	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,720,824	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$749,679	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,158	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$753,837	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $753,837 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,707	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	562	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	246.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	33.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1245076, 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 15 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$8,554,082	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$589,347	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,143,429	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,140,752	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,002,677	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,680	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,012,357	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,012,357 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,834	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	449	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	222	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	39.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173291, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 December 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,899,049	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$175,706	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,723,343	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,078,913	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$644,430	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$983	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$645,413	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $645,413 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,086	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	482	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	235.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	37.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1181564, 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 7 November 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,396,930	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$162,855	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,559,785	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,421,786	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,137,999	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,510	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,140,509	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,140,508 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,548	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	552	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	134	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	31.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146014, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 May 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$8,430,995	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$53,253	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,377,742	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,154,840	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,222,902	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,858	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,226,760	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,226,760 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,539	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	559	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	189.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	31.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090053, 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 27 November 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$8,379,419	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$347,798	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,031,621	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,800,567	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,231,054	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,549	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,233,603	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,233,603 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,344	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	496	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	157.9	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	36.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081174, 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 3 June 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$7,775,517	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$149,190	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,924,707	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,723,393	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,201,314	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$265	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,201,579	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,201,579 (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	59	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,084	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	520	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	130.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	34.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1031594, 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 20 June 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$6,521,645	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,691,245	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$830,400	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$106	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $830,506 (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	59	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,111	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	376	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	117.02	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	48.17	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 430717, 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 2 August 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,979,475	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,143,217	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$836,258	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$675	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $836,933 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	59	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,260	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	391	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.74	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	94.6	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	46.7	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 384564, 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 23 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$5,630,657	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,942,346	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$688,311	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$864	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $689,175 (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	59	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,030	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	355	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	77.68	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	50.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 352264, 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 18 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$5,066,352	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,126,413	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$939,939	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,979	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $946,918 (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	59	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,661	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	341	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.71	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	101.29	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	51.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 324297, 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 8 November 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,818,550	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,322,982	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$495,568	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,793	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $499,361 (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	59	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,943	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	249	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.91	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	121.52	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	76.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 296016, read from the public cost report file SNFFY2006.zip.

Cost report for 5 May 2005 to 31 December 2005 — a reporting period of 240 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 28 November 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,186,641	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,049,524	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$137,117	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,001	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $143,118 (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	59	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,352	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	83.71	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	239.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	147.89	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 267214, read from the public cost report file SNFFY2005.zip.

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

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$6,071,460	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,149,759	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,078,299	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$971,874	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$123,745	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$230,170 (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	204	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	51,801	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	107	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	63.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	600.25	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	484.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 242796, 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 29 December 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$6,267,057	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,383,505	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,116,448	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$566,696	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$549,752 (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	59	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,779	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	159	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	65.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	118.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 203652, read from the public cost report file SNFFY2003.zip.

Cost report for 30 September 2002 to 31 December 2002 — a reporting period of 92 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 January 2005.

None of these figures is carried on this report.

CMS report record 204030, read from the public cost report file SNFFY2002.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
RAMON HEALTHCARE ASSOCIATES LLC	58	18,396	$11,613,552	$9,903,060	$1,710,492	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

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
CHIEN, NORMAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/24/2021
NELSON, TIMOTHY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/21/2013
STANDARD BEARER HEALTHCARE OP LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2022
THE ENSIGN GROUP INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2022
WEST MEADOW HEALTH HOLDINGS II LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2022
BURNAM, SOON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/30/2006
KEETCH, CHAD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/01/2011
WILLITS, ADAM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/01/2024
PORT, BARRY	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/16/2025
CHIEN, NORMAN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/24/2021
NELSON, TIMOTHY	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/21/2013
CHIEN, NORMAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/24/2021
NELSON, TIMOTHY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/21/2013

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of RAMON HEALTHCARE ASSOCIATES LLC (enrollment ID O20050505000836).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
FLAGSTONE HEALTHCARE CENTRAL LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/30/2006	Private equity company: No Real estate investment trust: No Holding company: No
THE ENSIGN GROUP INC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	1/30/2006	Private equity company: No Real estate investment trust: No Holding company: No
NORMAN T CHIEN	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.	6/24/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STANDARD BEARER HEALTHCARE OP LP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
THE ENSIGN GROUP INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
TIMOTHY NELSON	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.	8/21/2013	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.
WEST MEADOW HEALTH HOLDINGS II LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
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.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/6/2005	Private equity company: No Real estate investment trust: No Holding company: No
ADAM WILLITS	Individual	CORPORATE OFFICER	0	2/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAD KEETCH	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2011	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.
SOON BURNAM	Individual	CORPORATE OFFICER	0	1/30/2006	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.
NORMAN T CHIEN	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/24/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY NELSON	Individual	MANAGING CONTROL - GOVERNING BODY	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.	8/21/2013	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.
NORMAN T CHIEN	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.	6/24/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY NELSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	0	8/21/2013	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: TIMOTHY NELSON 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: FLAGSTONE HEALTHCARE CENTRAL LLC no longer 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: NORMAN T CHIEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NORMAN T CHIEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NORMAN T CHIEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TIMOTHY NELSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TIMOTHY NELSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHAD KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FLAGSTONE HEALTHCARE CENTRAL 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: STANDARD BEARER HEALTHCARE OP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ADAM WILLITS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WEST MEADOW HEALTH HOLDINGS II LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
31 October 2022: LEE A DANIELS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: BEVERLY B WITTEKIND no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SUZANNE D SNAPPER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SUZANNE D SNAPPER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: DAREN SHAW no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: CHRISTOPHER R CHRISTENSEN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: CHRISTOPHER R CHRISTENSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: JOHN NACKEL no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ANTOINETTE HUBENETTE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MATTHEW HUEFNER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ROY E CHRISTENSEN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	19 March 2026	19 March 2026	18	8
2	16 February 2025	16 February 2025	11	3
3	18 February 2024	18 February 2024	10	3

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

Deficiencies cited

39 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
16 June 2026	Health	F 0573	Resident Rights Deficiencies	Let each resident or the resident's legal representative access or purchase copies of all the resident's records.	D	Yes	Deficient, Provider has date of correction	8 July 2026
19 March 2026	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	10 April 2026
19 March 2026	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	Health	F 0572	Resident Rights Deficiencies	Give residents a notice of rights, rules, services and charges.	D	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	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	10 April 2026
19 March 2026	Health	F 0694	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	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	10 April 2026
19 March 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	E	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	10 April 2026
19 March 2026	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	No	Deficient, Provider has date of correction	10 April 2026
10 December 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	12 December 2025
10 December 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	12 December 2025
16 February 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.	D	No	Deficient, Provider has date of correction	11 March 2025
16 February 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	11 March 2025
16 February 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	11 March 2025
16 February 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	11 March 2025
16 February 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	11 March 2025
16 February 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	11 March 2025
16 February 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	11 March 2025
16 February 2025	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	No	Deficient, Provider has date of correction	11 March 2025
16 February 2025	Health	F 0926	Environmental Deficiencies	Have policies on smoking.	E	No	Deficient, Provider has date of correction	11 March 2025
24 January 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	3 February 2025
25 November 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	4 December 2024
18 February 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	21 March 2024
18 February 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	21 March 2024
18 February 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	21 March 2024
18 February 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	21 March 2024
18 February 2024	Health	F 0694	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	E	No	Deficient, Provider has date of correction	21 March 2024
18 February 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	21 March 2024
18 February 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	21 March 2024
18 February 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	21 March 2024
2 February 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	5 February 2024
25 October 2023	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	Yes	Deficient, Provider has date of correction	13 November 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	RAMON HEALTHCARE ASSOCIATES LLC
Date First Approved to Provide Medicare and Medicaid Services	2002-09-30
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Los Angeles
Telephone Number	6266072400
Chain Name	THE ENSIGN GROUP
Chain ID	507
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Both
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	59
Average Number of Residents per Day	53.4
Overall Rating	4
Health Inspection Rating	3
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: TIMOTHY NELSON 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: FLAGSTONE HEALTHCARE CENTRAL LLC no longer 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: NORMAN T CHIEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NORMAN T CHIEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NORMAN T CHIEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TIMOTHY NELSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: TIMOTHY NELSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHAD KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FLAGSTONE HEALTHCARE CENTRAL 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: STANDARD BEARER HEALTHCARE OP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ADAM WILLITS appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WEST MEADOW HEALTH HOLDINGS II LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
15 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
9 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
31 October 2022: LEE A DANIELS no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: BEVERLY B WITTEKIND no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SUZANNE D SNAPPER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SUZANNE D SNAPPER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: DAREN SHAW no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: CHRISTOPHER R CHRISTENSEN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: CHRISTOPHER R CHRISTENSEN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: JOHN NACKEL no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ANTOINETTE HUBENETTE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MATTHEW HUEFNER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ROY E CHRISTENSEN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
21 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
30 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
7 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
30 October 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
23 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
29 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
15 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
7 November 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
7 May 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
27 November 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
3 June 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
20 June 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
2 August 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
23 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
18 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
8 November 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
28 November 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
26 October 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
14 February 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
19 January 2005: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
29 December 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.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, MISSION CARE CENTER — facility record report, CMS certification number 555796. https://velarionrecords.com/facility/555796/report.

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

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 555796. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q1	31 March 2017	90	4,780	2,748.85	5,919	11,166.37	19,834.22
2017Q2	30 June 2017	91	4,526	3,297.5	5,951.78	11,026.25	20,275.53
2017Q3	30 September 2017	92	4,453	3,255	5,996.63	10,894.59	20,146.22
2017Q4	31 December 2017	92	4,976	2,671.73	5,677.4	11,286.42	19,635.55
2018Q1	31 March 2018	90	4,741	2,808.46	6,225.18	11,379.96	20,413.6
2018Q2	30 June 2018	91	4,838	3,035.7	6,498.27	11,770.21	21,304.18
2018Q3	30 September 2018	92	4,559	3,102.57	6,744.19	11,236.06	21,082.82
2018Q4	31 December 2018	92	4,685	2,363.87	6,892.5	11,047.66	20,304.03
2019Q1	31 March 2019	90	4,686	2,588.44	7,100.39	11,494.24	21,183.07
2019Q2	30 June 2019	91	4,649	3,078.46	6,637	11,406.74	21,122.2
2019Q3	30 September 2019	92	5,040	2,894.93	7,334.05	11,420.78	21,649.76
2019Q4	31 December 2019	92	5,098	2,885.63	6,459.82	11,574.06	20,919.51
2020Q1	31 March 2020	91	4,724	2,740.38	6,484.7	11,209.07	20,434.15
2020Q2	30 June 2020	91	4,298	2,362.27	6,392.01	10,119.12	18,873.4
2020Q3	30 September 2020	92	5,240	2,054.98	7,578.6	12,095.68	21,729.26
2020Q4	31 December 2020	92	4,546	2,655.27	7,898.8	11,595.55	22,149.62
2021Q1	31 March 2021	90	4,542	1,909.85	7,766.75	9,917.76	19,594.36
2021Q2	30 June 2021	91	5,534	1,886.22	7,891.76	11,136.75	20,914.73
2021Q3	30 September 2021	92	4,598	2,668.68	7,800.44	11,265.32	21,734.44
2021Q4	31 December 2021	92	4,704	2,348.19	7,837.94	11,224.26	21,410.39
2022Q1	31 March 2022	90	4,714	2,334.6	6,811.4	10,005.44	19,151.44
2022Q2	30 June 2022	91	4,640	2,437.12	6,369.86	9,766.09	18,573.07
2022Q3	30 September 2022	92	4,897	2,285.55	6,981.92	10,761.33	20,028.8
2022Q4	31 December 2022	92	4,692	2,572.2	7,488.48	11,104.76	21,165.44
2023Q1	31 March 2023	90	5,045	1,819.89	8,741.11	11,144.31	21,705.31
2023Q2	30 June 2023	91	4,633	1,740.33	7,565.52	10,643.53	19,949.38
2023Q3	30 September 2023	92	4,629	1,938.17	7,821.86	10,357.61	20,117.64
2023Q4	31 December 2023	92	4,533	2,097.79	7,779.69	9,800.49	19,677.97
2024Q1	31 March 2024	91	4,607	2,108.81	8,032.88	9,896.77	20,038.46
2024Q2	30 June 2024	91	4,508	1,832.39	7,331.12	10,205.39	19,368.9
2024Q3	30 September 2024	92	4,554	1,761.26	7,584.24	10,393.76	19,739.26
2024Q4	31 December 2024	92	4,622	1,757.15	7,259.76	10,841.92	19,858.83
2025Q1	31 March 2025	90	4,430	1,685.83	7,842.37	10,437.35	19,965.55
2025Q2	30 June 2025	91	4,573	1,525.05	7,858.55	10,208.6	19,592.2
2025Q3	30 September 2025	92	4,750	1,865.14	7,381.55	10,932.96	20,179.65
2025Q4	31 December 2025	92	4,764	3,084.89	7,005.37	11,143.87	21,234.13
2026Q1	31 March 2026	90	4,808	3,008.45	7,262.7	11,177	21,448.15

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q1	0.575073	1.238285	2.336061	4.149418
2017Q2	0.728568	1.31502	2.436202	4.47979
2017Q3	0.730968	1.346649	2.446573	4.52419
2017Q4	0.536923	1.140957	2.268171	3.946051
2018Q1	0.592377	1.313052	2.400329	4.305758
2018Q2	0.62747	1.343173	2.432867	4.40351
2018Q3	0.680537	1.479313	2.464589	4.62444
2018Q4	0.504561	1.471185	2.358092	4.333838
2019Q1	0.552377	1.515235	2.452889	4.520501
2019Q2	0.662177	1.427619	2.45359	4.543386
2019Q3	0.574391	1.455169	2.266028	4.295587
2019Q4	0.566032	1.267128	2.270314	4.103474
2020Q1	0.580097	1.372714	2.372792	4.325603
2020Q2	0.549621	1.487206	2.354379	4.391205
2020Q3	0.392172	1.446298	2.308336	4.146805
2020Q4	0.584089	1.737527	2.550715	4.872332
2021Q1	0.420487	1.709985	2.183567	4.314038
2021Q2	0.340842	1.42605	2.012423	3.779315
2021Q3	0.5804	1.696485	2.450048	4.726933
2021Q4	0.49919	1.666229	2.38611	4.551528
2022Q1	0.495248	1.44493	2.122495	4.062673
2022Q2	0.525241	1.372815	2.104761	4.002817
2022Q3	0.466725	1.425755	2.197535	4.090014
2022Q4	0.54821	1.59601	2.366743	4.510963
2023Q1	0.360731	1.732628	2.208981	4.302341
2023Q2	0.375638	1.632964	2.29733	4.305931
2023Q3	0.418702	1.689752	2.237548	4.346001
2023Q4	0.462782	1.716234	2.162032	4.341048
2024Q1	0.45774	1.743625	2.148203	4.349568
2024Q2	0.406475	1.626247	2.26384	4.296562
2024Q3	0.38675	1.665402	2.282336	4.334488
2024Q4	0.380171	1.570697	2.34572	4.296588
2025Q1	0.380549	1.770287	2.356061	4.506896
2025Q2	0.33349	1.718467	2.232364	4.284321
2025Q3	0.392661	1.554011	2.301676	4.248347
2025Q4	0.647542	1.470481	2.339183	4.457206
2026Q1	0.625718	1.510545	2.324667	4.46093

How each quarter is derived, and its file

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

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