Facility record report · CMS certification number 675445

Flatonia Healthcare Center

Flatonia, Texas · Medicare and Medicaid

Finances, as filed

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

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

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,535,184	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,465,989	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,069,195	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,957,233	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$111,962	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$149	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$112,111	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $112,111 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	25,620	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	533	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	10,511	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	3,671	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	14,715	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	11	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	20	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	35	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	66	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	525.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	222.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438381, 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 20 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$3,615,773	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,371,548	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,244,225	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,105,211	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$139,014	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,183	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$158,197	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $158,197 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,958	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	29	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	111.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	560.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	343.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392726, 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	$2,521,992	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$460,695	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,061,297	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,047,958	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$13,339	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$229,815	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$243,154	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $243,154 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,217	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	42	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	180.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,875	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	219.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1364064, 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 30 September 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,246,182	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$751,885	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,494,297	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,422,980	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$71,317	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$260,955	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$332,272	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $332,272 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,833	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	31	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	89.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	624.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	381.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334717, 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 3 December 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,635,771	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$955,995	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,679,776	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,364,045	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$315,731	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$335,691	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$651,422	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $651,422 (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	70	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,534	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	63	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	366.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	198.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1306336, 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 20 November 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$2,435,947	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$123,782	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,312,165	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,105,196	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$206,969	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$76,871	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$283,840	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $283,840 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,534	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	41	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	3,603.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	281.32	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274191, 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 27 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$2,657,847	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$264,132	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,921,979	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,175,524	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$253,545	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$950	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$252,595	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$252,595 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,099	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	71	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	100.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	211.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	198.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242584, 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 16 October 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,042,272	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$91,902	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,950,370	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,375,719	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$425,349	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,556	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$421,793	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$421,793 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,691	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	99	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	79.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	268.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	168.6	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1244088, 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 17 September 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,377,468	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$3,377,468	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,386,217	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$8,749	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,775	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$5,974	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,974 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,332	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	60	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	73.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	391.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	255.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1211680, 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 8 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,509,319	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$3,509,319	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,336,777	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$172,542	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$164	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$172,706	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $172,706 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,454	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	31	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	104.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	830.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	466.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140181, read from the public cost report file SNF10FY2015.zip.

Cost report for 31 August 2014 to 31 December 2014 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$973,033	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$156,447	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$816,586	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$794,004	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$22,582	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$22,582	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $22,582 (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	82	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,882	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	15	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	98.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	801.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	325.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108732, 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 29 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$2,975,388	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$526,683	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,448,705	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,582,746	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$134,041	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$149	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$133,892	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$133,892 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,805	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	69	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	72.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	529.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	229.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1077442, 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 1 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,666,076	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$634,867	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,031,209	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,762,371	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$268,838	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,368	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$270,206	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $270,200 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,628	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	72	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	82.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	465.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	258.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044973, 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 19 February 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$3,354,552	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$474,874	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,879,678	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,124,280	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$244,602	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$244,595	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$244,595 (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	90	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,132	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	60	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	508.28	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	318.87	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024854, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,132,483	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,159,660	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$27,177	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,145	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$25,032 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,839	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	78	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	957.85	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	254.35	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415795, read from the public cost report file SNFFY2010.zip.

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

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,408,318	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,386,633	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$21,685	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,893	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $26,578 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,810	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	139	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.74	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	519	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	149.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 383867, 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 16 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,272,028	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,396,108	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$124,080	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,662	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$122,418 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,719	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	135	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	43	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	346.98	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	160.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350996, read from the public cost report file SNFFY2008.zip.

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

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,189,059	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,282,460	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$93,401	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$93,401 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,177	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	125	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	378.86	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	185.42	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 315089, 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 30 November 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,282,495	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,162,287	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$120,208	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $120,208 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,344	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	121	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	69.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	226.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	201.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 297372, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 November 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$1,902,315	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,811,664	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$909,349	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$909,349 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,927	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	97	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	61.74	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	365.37	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	226.05	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 266171, 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 21 February 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,184,573	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,791,637	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$607,064	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$607,064 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,937	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	108	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.85	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	348.17	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	203.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 243360, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 14 August 2003 — a reporting period of 225 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 11 July 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$1,480,659	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,500,017	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$19,358	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$19,358 (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	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,844	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	83	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	65	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	225.46	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	166.8	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 226382, read from the public cost report file SNFFY2003.zip.

Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 June 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,717,553	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,369,263	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$348,290	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,314	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $353,604 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,414	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	158	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	82.12	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	346.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	160.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 185527, read from the public cost report file SNFFY2001.zip.

Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 October 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$2,245,564	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,134,728	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$110,836	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$130,033	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $240,869 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,404	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	172	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	73.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	361.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	141.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 161678, read from the public cost report file SNFFY2000.zip.

Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 13 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$1,844,740	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,909,485	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$64,745	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$120,329	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $55,584 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,210	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	112	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	64.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	233.12	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	189.38	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 126694, read from the public cost report file SNFFY1999.zip.

Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$1,706,430	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,858,159	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$151,729	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,991	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$139,738 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,650	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	185	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	61.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	186.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	111.62	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75049, read from the public cost report file SNFFY1998.zip.

Cost report for 1 September 1997 to 30 June 1998 — a reporting period of 302 days, on form CMS-2540-96, reopened, processed by CMS on 17 September 2001.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$1,560,268	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,769,668	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$209,400	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,502	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$195,898 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,665	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	168	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.94	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	221.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	99.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75048, read from the public cost report file SNFFY1997.zip.

Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 September 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$1,732,049	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,990,276	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$258,227	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,785	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$239,442 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,609	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	165	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	22.32	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	293.46	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	124.9	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 7951, read from the public cost report file SNFFY1996.zip.

Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 August 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$1,530,769	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,753,199	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$222,430	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$20,690	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$201,740 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,872	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	125	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	335.77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	166.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 7949, read from the public cost report file SNFFY1995.zip.

Five facilities of a similar size in Texas, 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
DENISON NURSING & REHABILITATION	71	8,867	$2,538,499	$2,683,334	−$144,835	31 December 2024
GREEN MOUNTAIN HEALTHCARE LLC	70	17,022	$6,569,213	$6,394,052	$175,161	31 December 2024
LYTLE NURSING HOME	70	25,620	$2,526,940	$3,185,984	−$659,044	31 December 2024
OAK MANOR NURSING CENTER	70	14,715	$3,069,195	$2,957,233	$111,962	31 December 2024
ROBERT LEE CARE CENTER	70	13,657	$2,807,646	$5,267,102	−$2,459,456	30 September 2024
SWAN HEALTH AT WICHITA FALLS	72	6,220	$1,866,297	$2,697,512	−$831,215	31 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
MURRELL, EDWARD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2012
NORRIS, SHERRIE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/01/2013
MURRELL, EDWARD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 11/22/2016
KIRLEY, FRANCIS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2023
NEXION HEALTH AT FLATONIA, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2023
KIRLEY, FRANCIS	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 04/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20140915000245).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
WINNIE-STOWELL HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	8/31/2014	Private equity company: No Real estate investment trust: No Holding company: No
EDWARD R MURRELL	Individual	CORPORATE DIRECTOR	16.7	12/1/2012	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.
SHERRIE NORRIS	Individual	CORPORATE DIRECTOR	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.	3/1/2013	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.
EDWARD R MURRELL	Individual	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.	11/22/2016	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.
FRANCIS KIRLEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	4/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NEXION HEALTH AT FLATONIA, INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	4/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
FRANCIS KIRLEY	Individual	W-2 MANAGING EMPLOYEE	100	4/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 December 2023: CASSANDRA L MISTRETTA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: CASSANDRA L MISTRETTA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: SLP FLATONIA LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: FRANCIS KIRLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: FRANCIS KIRLEY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: NEXION HEALTH AT FLATONIA, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	4 December 2025	4 December 2025	9	2
2	1 August 2024	1 August 2024	3	1
3	14 June 2023	14 June 2023	3	4

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

Deficiencies cited

15 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
4 December 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	5 December 2025
4 December 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	5 December 2025
4 December 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	5 December 2025
4 December 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	5 December 2025
18 November 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	Yes	Deficient, Provider has date of correction	21 November 2025
18 November 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	Yes	Deficient, Provider has date of correction	21 November 2025
18 November 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.	D	Yes	Deficient, Provider has date of correction	21 November 2025
2 September 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	Yes	Deficient, Provider has date of correction	3 September 2025
2 September 2025	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	3 September 2025
5 October 2024	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	G	Yes	Deficient, Provider has date of correction	6 October 2024
1 August 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	2 August 2024
1 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	2 August 2024
9 January 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	Yes	Deficient, Provider has date of correction	31 January 2024
14 June 2023	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	14 June 2023
14 June 2023	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	14 June 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
2 September 2025	Fine	$14,688			134892
5 October 2024	Fine	$410			113261

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	WINNIE-STOWELL HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	1995-02-14
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Fayette
Telephone Number	3618653571
Chain Name	NEXION HEALTH
Chain ID	370
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	70
Average Number of Residents per Day	41.4
Overall Rating	1
Health Inspection Rating	2
QM Rating	1
Long-Stay QM Rating	1
Processing Date	2026-08-01

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

Every change on this record

29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
20 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 December 2023: CASSANDRA L MISTRETTA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: CASSANDRA L MISTRETTA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: SLP FLATONIA LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: FRANCIS KIRLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: FRANCIS KIRLEY appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
1 December 2023: NEXION HEALTH AT FLATONIA, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv
9 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
30 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
3 December 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
20 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
16 October 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
27 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
17 September 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
8 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
25 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
16 April 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
29 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
1 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
19 February 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
17 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
27 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
16 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
17 June 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
30 November 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
10 November 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
21 February 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
11 July 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
27 June 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
29 June 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
10 March 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
28 October 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
13 February 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
24 September 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
17 September 2001: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
9 September 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
26 August 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
31 August 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1995.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, Flatonia Healthcare Center — facility record report, CMS certification number 675445. https://velarionrecords.com/facility/675445/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 675445. 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	3,634	1,819.83	2,076.35	7,194.89	11,091.07
2017Q2	30 June 2017	91	3,559	1,784.13	2,201.47	7,414.74	11,400.34
2017Q3	30 September 2017	92	4,497	1,916.01	3,062.22	10,033.68	15,011.91
2017Q4	31 December 2017	92	4,994	1,489.06	5,008.24	10,029.68	16,526.98
2018Q1	31 March 2018	90	4,375	1,729.46	3,441.93	9,449.88	14,621.27
2018Q2	30 June 2018	91	3,521	1,035.51	2,632.64	8,084.7	11,752.85
2018Q3	30 September 2018	92	3,390	1,111.17	2,208.35	7,182.55	10,502.07
2018Q4	31 December 2018	92	2,829	799.49	1,426.89	4,106.18	6,332.56
2019Q1	31 March 2019	90	2,945	1,311.67	1,939.84	5,474.06	8,725.57
2019Q2	30 June 2019	91	2,856	1,357.88	2,083.14	5,358.78	8,799.8
2019Q3	30 September 2019	92	3,037	1,481.04	1,862.78	5,668.22	9,012.04
2019Q4	31 December 2019	92	2,819	1,522.01	2,080.99	5,885.17	9,488.17
2020Q2	30 June 2020	91	2,771	1,265	1,881.03	4,565.83	7,711.86
2020Q3	30 September 2020	92	3,498	1,321.6	2,416	5,109.76	8,847.36
2020Q4	31 December 2020	92	3,671	1,259.65	2,722	5,475.86	9,457.51
2021Q1	31 March 2021	90	3,131	1,287.97	2,006.32	5,116.01	8,410.3
2021Q2	30 June 2021	91	2,968	753.39	1,956.52	6,885.48	9,595.39
2021Q3	30 September 2021	92	2,943	858.32	2,141.48	5,588.59	8,588.39
2021Q4	31 December 2021	92	2,785	1,440.87	2,206.17	5,633.62	9,280.66
2022Q1	31 March 2022	90	2,320	1,146.48	2,102.47	4,622.22	7,871.17
2022Q2	30 June 2022	91	2,327	1,336.45	1,703.92	4,716.39	7,756.76
2022Q3	30 September 2022	92	2,442	1,869.53	2,085.94	4,525.16	8,480.63
2022Q4	31 December 2022	92	2,409	686.42	2,097.75	5,428.07	8,212.24
2023Q2	30 June 2023	91	2,460	1,316.66	1,936.19	4,972.28	8,225.13
2023Q3	30 September 2023	92	2,551	1,717.84	1,604.17	4,668.57	7,990.58
2023Q4	31 December 2023	92	2,765	1,733.46	1,418.62	5,162.36	8,314.44
2024Q1	31 March 2024	91	3,186	1,923	1,359.63	6,052.42	9,335.05
2024Q2	30 June 2024	91	3,560	1,810.77	1,549.38	8,418.94	11,779.09
2024Q3	30 September 2024	92	3,824	1,688.79	1,932.82	10,281.29	13,902.9
2024Q4	31 December 2024	92	4,139	1,689.05	2,106.31	11,349.77	15,145.13
2025Q1	31 March 2025	90	4,226	1,829.66	2,204.92	11,428.1	15,462.68
2025Q2	30 June 2025	91	4,360	2,113.67	2,598.8	11,268.03	15,980.5
2025Q3	30 September 2025	92	4,874	2,609.18	3,007.4	12,681.73	18,298.31
2025Q4	31 December 2025	92	4,412	2,619.37	1,855.11	12,105.98	16,580.46
2026Q1	31 March 2026	90	3,723	2,189.37	1,835.84	11,012.51	15,037.72

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	0.500779	0.571368	1.979882	3.052028
2017Q2	0.501301	0.618564	2.083377	3.203242
2017Q3	0.426064	0.680947	2.231194	3.338205
2017Q4	0.29817	1.002851	2.008346	3.309367
2018Q1	0.395305	0.786727	2.159973	3.342005
2018Q2	0.294095	0.747697	2.296137	3.33793
2018Q3	0.327779	0.651431	2.118746	3.097956
2018Q4	0.282605	0.50438	1.45146	2.238445
2019Q1	0.445389	0.658689	1.858764	2.962842
2019Q2	0.475448	0.729391	1.876324	3.081162
2019Q3	0.487665	0.613362	1.866388	2.967415
2019Q4	0.539911	0.738201	2.08768	3.365793
2020Q2	0.456514	0.678827	1.647719	2.78306
2020Q3	0.377816	0.69068	1.460766	2.529262
2020Q4	0.343135	0.741487	1.491654	2.576276
2021Q1	0.411361	0.640792	1.633986	2.686139
2021Q2	0.253838	0.659205	2.319906	3.232948
2021Q3	0.291648	0.727652	1.898943	2.918243
2021Q4	0.517368	0.792162	2.022844	3.332373
2022Q1	0.494172	0.906237	1.992336	3.392746
2022Q2	0.574323	0.732239	2.026811	3.333373
2022Q3	0.765573	0.854193	1.853055	3.472821
2022Q4	0.28494	0.870797	2.253246	3.408983
2023Q2	0.535228	0.787069	2.021252	3.343549
2023Q3	0.673399	0.62884	1.830094	3.132332
2023Q4	0.626929	0.513063	1.867038	3.007031
2024Q1	0.603578	0.426751	1.899692	2.930022
2024Q2	0.508643	0.435219	2.364871	3.308733
2024Q3	0.441629	0.505445	2.688622	3.635696
2024Q4	0.408082	0.508893	2.742153	3.659128
2025Q1	0.432953	0.521751	2.704236	3.65894
2025Q2	0.484787	0.596055	2.584411	3.665252
2025Q3	0.535326	0.617029	2.601914	3.75427
2025Q4	0.593692	0.420469	2.743876	3.758037
2026Q1	0.588066	0.493108	2.957967	4.03914

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
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
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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