Facility record report · CMS certification number 555900
VETERANS HOME OF CALIFORNIA - FRESNO
FRESNO, 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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 January 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,825,686 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $27,825,686 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $77,680,029 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$49,854,343 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,854,344 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 109,500 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 984 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 81,244 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 82,228 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 252 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 263 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 312.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446587, read from the public cost report file SNF10FY2024.zip.
Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 February 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,359,248 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $26,359,248 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $72,658,329 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$46,299,081 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,299,082 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 81,421 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 238 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 342.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403464, read from the public cost report file SNF10FY2023.zip.
Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,269,914 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $25,269,914 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $77,818,079 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$52,548,165 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $52,548,166 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 82,212 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 238 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 133.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 345.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373368, read from the public cost report file SNF10FY2022.zip.
Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,475,316 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $27,475,316 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $77,272,084 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$49,796,768 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,796,769 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 88,934 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 250 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 75.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 355.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343536, read from the public cost report file SNF10FY2021.zip.
Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 March 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,305,909 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $28,305,909 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $66,981,554 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$38,675,645 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,675,646 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 91,436 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 271 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 337.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1312811, read from the public cost report file SNF10FY2020.zip.
Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,569,161 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $31,569,161 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $73,592,617 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$42,023,456 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,023,457 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 102,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 287 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 357.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280972, read from the public cost report file SNF10FY2019.zip.
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 February 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,929,431 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $31,929,431 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $63,635,948 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$31,706,517 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,706,518 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 103,182 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 288 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 358.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251018, read from the public cost report file SNF10FY2018.zip.
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,564,815 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $31,564,815 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $69,294,745 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$37,729,930 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,729,931 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 102,874 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 364.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218215, read from the public cost report file SNF10FY2017.zip.
Cost report for 22 September 2016 to 30 June 2017 — a reporting period of 281 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,112,215 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $29,112,215 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $68,013,076 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$38,900,861 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $38,900,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 296 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 75,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 230 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 118 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 328.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181987, read from the public cost report file SNF10FY2016.zip.
Five facilities of a similar size in California, fiscal year 2025
Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.
| Facility | Total facility beds | Total patient days | Net patient revenue | Total operating expenses | Net income from service to patients | Period ended |
|---|---|---|---|---|---|---|
| EISENBERG VILLAGE | 381 | 57,387 | $14,949,399 | $24,293,777 | −$9,344,378 | 31 August 2025 |
| JOYCE EISENBERG KEEFER MED CTR DPSNF | 249 | 87,741 | $54,898,900 | $46,935,135 | $7,963,765 | 31 August 2025 |
| LAKEWOOD HEALTHCARE CENTER | 290 | 103,733 | $44,614,773 | $38,770,026 | $5,844,747 | 30 April 2025 |
| VETERANS HOME OF CA - CHULA VISTA | 297 | 72,147 | $20,984,204 | $51,410,607 | −$30,426,403 | 30 June 2025 |
| VETERANS HOME OF CA - FRESNO | 300 | 82,228 | $27,825,686 | $77,680,029 | −$49,854,343 | 30 June 2025 |
| VETERANS HOME OF CA - WEST LA | 396 | 75,411 | $29,266,426 | $82,398,411 | −$53,131,985 | 30 June 2025 |
Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 10/13/2013 |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/13/2013 |
| KREISHER, TIMOTHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/22/2024 |
| SIDHU, ASHA PRITPAL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/20/2014 |
| VIGIL, CAROLINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/16/2019 |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/13/2013 |
| KREISHER, TIMOTHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/22/2024 |
| SIDHU, ASHA PRITPAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/20/2014 |
| VIGIL, CAROLINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/16/2019 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA (enrollment ID O20140925002303).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 10/13/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| ASHA PRITPAL S SIDHU | 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. | 3/20/2014 | 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. |
| CAROLINE VIGIL | 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. | 10/16/2019 | 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. |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | 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. | 10/13/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY KREISHER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/22/2024 | 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. |
| ASHA PRITPAL S SIDHU | 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. | 3/20/2014 | 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. |
| CAROLINE VIGIL | 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. | 10/16/2019 | 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. |
| DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA | Organization | 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. | 10/13/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY KREISHER | 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. | 11/22/2024 | 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. |
Changes in ownership
- 1 July 2026: CINDY L LINDSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CINDY L LINDSEY 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: BRIAN D NANOO 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: ASHA PRITPAL S SIDHU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHA PRITPAL S SIDHU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CAROLINE VIGIL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CAROLINE VIGIL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA 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 KREISHER 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 KREISHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 15 March 2023: KATHLEEN SCHULZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: ROJIRIO DE LA CERDA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: STANLEY JONES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: CINDY L LINDSEY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: BRIAN D NANOO appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 30 January 2026 | 30 January 2026 | 9 | 3 |
| 2 | 27 February 2025 | 27 February 2025 | 10 | 3 |
| 3 | 21 March 2024 | 21 March 2024 | 10 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
29 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 9 April 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | Yes | Deficient, Provider has date of correction | 24 April 2026 |
| 9 April 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 24 April 2026 |
| 30 January 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | 23 February 2026 |
| 30 January 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 23 February 2026 |
| 30 January 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. | F | No | Deficient, Provider has date of correction | 23 February 2026 |
| 30 January 2026 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | No | Deficient, Provider has date of correction | 23 February 2026 |
| 30 January 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. | E | No | Deficient, Provider has date of correction | 23 February 2026 |
| 30 January 2026 | Health | F 0865 | Administration Deficiencies | Have a plan that describes the process for conducting QAPI and QAA activities. | D | No | Deficient, Provider has date of correction | 23 February 2026 |
| 30 January 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 23 February 2026 |
| 1 July 2025 | 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 | 17 July 2025 |
| 26 March 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 16 April 2025 |
| 27 February 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 26 March 2025 |
| 27 February 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | E | No | Deficient, Provider has date of correction | 26 March 2025 |
| 27 February 2025 | Health | F 0675 | Quality of Life and Care Deficiencies | Honor each resident's preferences, choices, values and beliefs. | D | No | Deficient, Provider has date of correction | 26 March 2025 |
| 27 February 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | No | Deficient, Provider has date of correction | 26 March 2025 |
| 27 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. | F | No | Deficient, Provider has date of correction | 26 March 2025 |
| 27 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 | 26 March 2025 |
| 27 February 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 26 March 2025 |
| 21 August 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 | 5 September 2024 |
| 21 March 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 27 April 2024 |
| 21 March 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | 27 April 2024 |
| 21 March 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 27 April 2024 |
| 21 March 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 27 April 2024 |
| 21 March 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 27 April 2024 |
| 21 March 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 27 April 2024 |
| 21 March 2024 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | No | Deficient, Provider has date of correction | 27 April 2024 |
| 21 March 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 27 April 2024 |
| 21 March 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | 27 April 2024 |
| 1 September 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 23 October 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - State |
| Legal Business Name | DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA |
| Date First Approved to Provide Medicare and Medicaid Services | 2016-09-22 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Fresno |
| Telephone Number | 5594934400 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 107.7 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-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: CINDY L LINDSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CINDY L LINDSEY 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: BRIAN D NANOO 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: ASHA PRITPAL S SIDHU appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ASHA PRITPAL S SIDHU appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CAROLINE VIGIL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CAROLINE VIGIL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA 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 KREISHER 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 KREISHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 14 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 10 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 14 February 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 15 March 2023: KATHLEEN SCHULZ no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: ROJIRIO DE LA CERDA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: STANLEY JONES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: CINDY L LINDSEY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: BRIAN D NANOO appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 March 2023: DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 28 February 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 23 March 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 5 March 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 13 February 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 18 January 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.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, VETERANS HOME OF CALIFORNIA - FRESNO — facility record report, CMS certification number 555900. https://velarionrecords.com/facility/555900/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 555900. 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.
| 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 | 6,062 | 13,032.1 | 13,755.9 | 25,279.1 | 52,067.1 |
| 2017Q2 | 30 June 2017 | 91 | 10,676 | 13,483.9 | 12,132.6 | 26,797.1 | 52,413.6 |
| 2017Q3 | 30 September 2017 | 92 | 10,834 | 11,821.6 | 12,253.2 | 27,203.3 | 51,278.1 |
| 2017Q4 | 31 December 2017 | 92 | 10,688 | 10,435.7 | 12,886.7 | 28,137.8 | 51,460.2 |
| 2018Q1 | 31 March 2018 | 90 | 10,135 | 9,405.7 | 13,368.2 | 22,437.7 | 45,211.6 |
| 2018Q2 | 30 June 2018 | 91 | 10,468 | 10,418.2 | 12,465.6 | 24,629.1 | 47,512.9 |
| 2018Q3 | 30 September 2018 | 92 | 10,690 | 11,535.2 | 11,668.7 | 27,921.4 | 51,125.3 |
| 2018Q4 | 31 December 2018 | 92 | 10,643 | 11,247.9 | 12,853.8 | 27,515.6 | 51,617.3 |
| 2019Q1 | 31 March 2019 | 90 | 10,155 | 12,019.8 | 12,556.1 | 28,507.1 | 53,083 |
| 2019Q2 | 30 June 2019 | 91 | 10,364 | 12,869.71 | 12,787.09 | 27,921.91 | 53,578.71 |
| 2019Q3 | 30 September 2019 | 92 | 10,454 | 12,648.98 | 12,672.74 | 30,846.61 | 56,168.33 |
| 2019Q4 | 31 December 2019 | 92 | 10,148 | 9,735.55 | 13,865.58 | 31,490.58 | 55,091.71 |
| 2020Q1 | 31 March 2020 | 91 | 10,114 | 9,819.93 | 13,907.58 | 31,345.79 | 55,073.3 |
| 2020Q2 | 30 June 2020 | 91 | 10,160 | 12,440 | 13,934.08 | 30,105.25 | 56,479.33 |
| 2020Q3 | 30 September 2020 | 92 | 9,445 | 12,657.75 | 12,771.23 | 25,509.52 | 50,938.5 |
| 2020Q4 | 31 December 2020 | 92 | 9,186 | 12,568.05 | 12,317 | 24,667.25 | 49,552.3 |
| 2021Q1 | 31 March 2021 | 90 | 8,651 | 11,908.4 | 11,512.1 | 23,754.65 | 47,175.15 |
| 2021Q2 | 30 June 2021 | 91 | 8,930 | 12,296.95 | 12,099.25 | 23,213.55 | 47,609.75 |
| 2021Q3 | 30 September 2021 | 92 | 9,179 | 11,914.25 | 10,594.25 | 21,227.2 | 43,735.7 |
| 2021Q4 | 31 December 2021 | 92 | 8,755 | 12,807.45 | 11,195.5 | 25,399.5 | 49,402.45 |
| 2022Q1 | 31 March 2022 | 90 | 8,453 | 12,947 | 12,931.55 | 31,502.3 | 57,380.85 |
| 2022Q2 | 30 June 2022 | 91 | 8,230 | 13,530.1 | 11,737.4 | 30,329.6 | 55,597.1 |
| 2022Q3 | 30 September 2022 | 92 | 8,173 | 12,735.1 | 11,534.5 | 25,564.65 | 49,834.25 |
| 2022Q4 | 31 December 2022 | 92 | 8,306 | 12,667.75 | 11,800.25 | 25,398.75 | 49,866.75 |
| 2023Q1 | 31 March 2023 | 90 | 7,510 | 12,312 | 11,925.58 | 22,960.25 | 47,197.83 |
| 2023Q2 | 30 June 2023 | 91 | 7,331 | 12,592.16 | 11,143.05 | 24,935.78 | 48,670.99 |
| 2023Q3 | 30 September 2023 | 92 | 8,772 | 13,346.92 | 10,264.8 | 25,949.1 | 49,560.82 |
| 2023Q4 | 31 December 2023 | 92 | 9,215 | 14,047.7 | 10,778.4 | 25,793.03 | 50,619.13 |
| 2024Q1 | 31 March 2024 | 91 | 9,035 | 13,232.6 | 9,802.82 | 27,448.38 | 50,483.8 |
| 2024Q2 | 30 June 2024 | 91 | 9,367 | 12,572.8 | 9,348.87 | 29,713.33 | 51,635 |
| 2024Q3 | 30 September 2024 | 92 | 9,061 | 13,578.2 | 8,588.75 | 30,893.38 | 53,060.33 |
| 2024Q4 | 31 December 2024 | 92 | 9,280 | 12,415.3 | 10,467.1 | 32,289.9 | 55,172.3 |
| 2025Q1 | 31 March 2025 | 90 | 8,969 | 12,922.25 | 10,386.25 | 31,025.8 | 54,334.3 |
| 2025Q2 | 30 June 2025 | 91 | 9,656 | 13,743.65 | 11,887.25 | 30,506.75 | 56,137.65 |
| 2025Q3 | 30 September 2025 | 92 | 10,006 | 14,116.5 | 11,902.1 | 31,766.65 | 57,785.25 |
| 2025Q4 | 31 December 2025 | 92 | 9,951 | 14,296.95 | 12,746.75 | 32,068.15 | 59,111.85 |
| 2026Q1 | 31 March 2026 | 90 | 9,697 | 14,758.15 | 12,583.2 | 31,154.8 | 58,496.15 |
| 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 | 2.149802 | 2.269202 | 4.170092 | 8.589096 |
| 2017Q2 | 1.26301 | 1.136437 | 2.510032 | 4.909479 |
| 2017Q3 | 1.091157 | 1.130995 | 2.510919 | 4.733072 |
| 2017Q4 | 0.976394 | 1.205717 | 2.632653 | 4.814764 |
| 2018Q1 | 0.928041 | 1.319013 | 2.213883 | 4.460937 |
| 2018Q2 | 0.995243 | 1.190829 | 2.352799 | 4.538871 |
| 2018Q3 | 1.079065 | 1.091553 | 2.611918 | 4.782535 |
| 2018Q4 | 1.056835 | 1.207723 | 2.585324 | 4.849883 |
| 2019Q1 | 1.183634 | 1.236445 | 2.807198 | 5.227277 |
| 2019Q2 | 1.241771 | 1.233799 | 2.694125 | 5.169694 |
| 2019Q3 | 1.209966 | 1.212238 | 2.950699 | 5.372903 |
| 2019Q4 | 0.959357 | 1.366336 | 3.103132 | 5.428824 |
| 2020Q1 | 0.970924 | 1.375082 | 3.099248 | 5.445254 |
| 2020Q2 | 1.224409 | 1.371465 | 2.963115 | 5.558989 |
| 2020Q3 | 1.340154 | 1.352168 | 2.700849 | 5.393171 |
| 2020Q4 | 1.368174 | 1.340845 | 2.685309 | 5.394328 |
| 2021Q1 | 1.376535 | 1.330725 | 2.745885 | 5.453144 |
| 2021Q2 | 1.377038 | 1.354899 | 2.599502 | 5.331439 |
| 2021Q3 | 1.29799 | 1.154183 | 2.312583 | 4.764757 |
| 2021Q4 | 1.462873 | 1.278755 | 2.901142 | 5.64277 |
| 2022Q1 | 1.531646 | 1.529818 | 3.72676 | 6.788223 |
| 2022Q2 | 1.643998 | 1.426173 | 3.685249 | 6.755419 |
| 2022Q3 | 1.558192 | 1.411293 | 3.12794 | 6.097424 |
| 2022Q4 | 1.525132 | 1.42069 | 3.05788 | 6.003702 |
| 2023Q1 | 1.639414 | 1.58796 | 3.05729 | 6.284664 |
| 2023Q2 | 1.717659 | 1.51999 | 3.401416 | 6.639066 |
| 2023Q3 | 1.521537 | 1.170178 | 2.958174 | 5.649888 |
| 2023Q4 | 1.524438 | 1.169658 | 2.799027 | 5.493123 |
| 2024Q1 | 1.464593 | 1.084983 | 3.038006 | 5.587582 |
| 2024Q2 | 1.342244 | 0.998064 | 3.172129 | 5.512437 |
| 2024Q3 | 1.498532 | 0.947881 | 3.409489 | 5.855902 |
| 2024Q4 | 1.337856 | 1.12792 | 3.479515 | 5.945291 |
| 2025Q1 | 1.440768 | 1.158017 | 3.459226 | 6.058011 |
| 2025Q2 | 1.423327 | 1.231074 | 3.159357 | 5.813758 |
| 2025Q3 | 1.410804 | 1.189496 | 3.17476 | 5.77506 |
| 2025Q4 | 1.436735 | 1.280952 | 3.222606 | 5.940292 |
| 2026Q1 | 1.521929 | 1.297638 | 3.212829 | 6.032397 |
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