Facility record report · CMS certification number 675832

RISING STAR NURSING CENTER

RISING STAR, 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 September 2024 to 31 August 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 10 December 2025.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$3,544,929	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$695,274	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,849,655	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,737,017	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$112,638	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$212,868	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$325,506	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $325,506 (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 2025
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	21,900	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,102	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	8,452	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,806	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	12,360	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	27	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	20	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	25	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	72	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	422.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	171.67	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1444262, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 September 2023 to 31 August 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$3,445,672	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$653,660	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,792,012	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,690,669	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$101,343	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$119,247	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$220,590	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $220,590 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,024	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	77	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	419.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	169.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405680, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 September 2022 to 31 August 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,184,375	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$763,681	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,420,694	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,343,244	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,077,450	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$269,818	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,347,268	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,310,715 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,018	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	110	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	120.02	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375302, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 September 2021 to 31 August 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 February 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$3,146,677	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$416,614	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,730,063	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,535,960	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$194,103	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$459,105	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$653,208	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $586,118 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,353	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	51.17	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	134.9	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	114.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343091, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 September 2020 to 31 August 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 February 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$2,473,462	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$18,894	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,454,568	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,236,787	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$217,781	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$379,544	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$597,325	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $555,849 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,190	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	116	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	128.37	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	87.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1310946, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 September 2019 to 31 August 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 February 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$2,603,282	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$34,837	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,568,445	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,199,356	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$369,089	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$439,923	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$809,012	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $764,961 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,985	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	89	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	197.82	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	134.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1280670, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 September 2018 to 31 August 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total operating expenses	$1,794,885	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,794,885	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$1,794,885	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,794,885 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,174	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	64	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	188.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	174.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254294, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 September 2017 to 31 August 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 March 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total operating expenses	$1,735,269	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,735,269	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$1,735,269	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,735,269 (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	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	10,414	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	57	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	90	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	185.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	182.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1220764, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 April 2017 to 31 August 2017 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total operating expenses	$675,603	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$675,603	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$675,603	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$675,603 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,764	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	24	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	119.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	193.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	198.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1187729, 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 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total operating expenses	$1,637,687	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,637,687	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$1,637,687	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,637,687 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	8,492	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	50	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	277.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	169.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173620, 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 21 September 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total operating expenses	$1,751,794	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,751,794	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$1,751,794	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,751,794 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,598	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	49	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	338.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1176160, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total operating expenses	$1,755,730	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,755,730	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$1,755,730	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,755,730 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,722	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	49	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	300.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1107093, 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 15 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total operating expenses	$1,491,134	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,491,134	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$1,491,134	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,491,134 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,070	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	35	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	344.86	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1076164, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 30 September 2012 — a reporting period of 273 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 December 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total operating expenses	$766,549	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$766,549	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$766,549	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$766,549 (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	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,555	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	24	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	189.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081836, read from the public cost report file SNF10FY2012.zip.

Cost report for 29 August 2011 to 31 December 2011 — a reporting period of 124 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	882	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	6	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	147	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013603, 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 27 May 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Total operating expenses	$1,186,504	CMS-2540-96 worksheet G200002 line 1500 column 200

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,710	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	18	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	170.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	595	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 401299, read from the public cost report file SNFFY2010.zip.

Cost report for 1 March 2009 to 31 December 2009 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on 23 June 2010.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	9,082	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	56	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	162.18	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 377623, 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 17 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$1,311,742	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,251,909	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$59,833	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $59,833 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,181	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	81	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.56	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	245	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	125.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 351375, 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 23 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$1,465,843	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,381,538	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$84,305	CMS-2540-96 worksheet G300000 line 500 column 100
Total other expenses	$2	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $84,303 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	11,961	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	88	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.1	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	225.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	135.92	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 320717, 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 26 July 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$1,619,509	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,354,488	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$265,021	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $265,023 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,108	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	113	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.29	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	164.76	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	107.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 289917, 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 1 August 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$1,438,545	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,280,657	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$157,888	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$37	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $157,924 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,427	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	59	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	59.08	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	333	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	210.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 260298, 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 28 July 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$1,512,129	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,339,714	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$172,415	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$53	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $172,468 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,436	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	136	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	24.47	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	180.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	106.15	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 229274, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 December 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$1,599,721	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,440,722	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$158,999	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$52	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $159,051 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,664	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	103	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	299.37	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	161.79	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 201350, read from the public cost report file SNFFY2003.zip.

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$1,534,614	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,240,471	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$294,143	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$31	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $294,174 (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	60	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,820	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	82	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	277.72	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	205.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 193171, read from the public cost report file SNFFY2002.zip.

Cost report for 1 November 2000 to 31 December 2001 — a reporting period of 425 days, on form CMS-2540-96, settled, processed by CMS on 17 March 2004.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$1,318,689	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,255,128	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$63,561	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,091	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $65,652 (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	61	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,902	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	23	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	767.81	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	691.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 171196, read from the public cost report file SNFFY2001.zip.

Five facilities of a similar size in Texas, fiscal year 2025

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
CLARENDON NURSING HOME	61	20,912	$4,331,395	$3,922,845	$408,550	31 August 2025
GRACE CARE CENTER OF HENRIETTA	60	8,088	$1,805,790	$2,167,639	−$361,849	31 August 2025
JOURDANTON NURSING AND REHAB	60	10,516	$2,715,507	$2,847,513	−$132,006	31 August 2025
NOCONA HOSPITAL DISTRICT DBA EVERGRE	60	13,257	$3,720,905	$3,138,846	$582,059	31 August 2025
RISING STAR NURSING CENTER	60	12,360	$2,849,655	$2,737,017	$112,638	31 August 2025
SHADY OAK NURSING AND REHABILITATION	61	9,963	$2,402,704	$3,148,490	−$745,786	31 March 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
DONHAM, GUYLE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
JK NEAL REALTY	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2016
MCCULLOCH COUNTY HOSPITAL DISTRICT	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/14/2025
NEAL, JOSEPH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2016
RISING STAR SENIOR CARE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2020
WHITTEN, GREGORY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/03/2020
JONES, TIMOTHY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2017
NEAL, JOSEPH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/01/2017
WHITTEN, GREGORY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/03/2020
DERRICK, MICHELE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2017
KELTZ, TERRY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/01/2017
RODDIE, KIRK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/01/2021
SCHAFFNER, MICHAEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/01/2021
JONES, TIMOTHY	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/01/2017
DONHAM, GUYLE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
NEAL, JOSEPH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2017
RISING STAR SENIOR CARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2020
WHITTEN, GREGORY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/03/2020

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MCCULLOCH COUNTY HOSPITAL DISTRICT (enrollment ID O20170707001880).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
GREGORY WHITTEN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/3/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GUYLE P DONHAM	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JK NEAL REALTY	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2016	Private equity company: No Real estate investment trust: No Holding company: No
JOSEPH A NEAL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2016	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.
MCCULLOCH COUNTY HOSPITAL DISTRICT	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
RISING STAR SENIOR CARE LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2020	Private equity company: No Real estate investment trust: No Holding company: No
GREGORY WHITTEN	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.	1/3/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSEPH A NEAL	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.	4/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY S JONES	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.	4/1/2017	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.
KIRK RODDIE	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL SCHAFFNER	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHELE DERRICK	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	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.
TERRY KELTZ	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TIMOTHY S JONES	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	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.
GREGORY WHITTEN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/3/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GUYLE P DONHAM	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSEPH A NEAL	Individual	OPERATIONAL/MANAGERIAL CONTROL	0	4/1/2017	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.
RISING STAR SENIOR CARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2020	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: KIRK RODDIE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JK NEAL REALTY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KIRK RODDIE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JK NEAL REALTY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2025: TIMOTHY S JONES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: CURTIS OWENS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JOSEPH A NEAL no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MCCULLOCH COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: ARTHUR MOSELEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: SUSAN D JOLIFF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TIMOTHY S JONES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TERRY KELTZ appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JOSEPH A NEAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JOSEPH A NEAL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GREGORY WHITTEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GREGORY WHITTEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GREGORY WHITTEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MCCULLOCH COUNTY HOSPITAL DISTRICT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MICHELE DERRICK appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GUYLE P DONHAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GUYLE P DONHAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RISING STAR SENIOR CARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RISING STAR SENIOR CARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MICHAEL SCHAFFNER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KIRK RODDIE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JK NEAL REALTY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	5 December 2025	5 December 2025	3	1
2	9 August 2024	9 August 2024	6	1
3	22 June 2023	22 June 2023	4	1

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

Deficiencies cited

13 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
5 December 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	9 December 2025
5 December 2025	Health	F 0726	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	Yes	Deficient, Provider has date of correction	9 December 2025
5 December 2025	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	E	No	Deficient, Provider has date of correction	9 December 2025
9 August 2024	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	E	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	30 August 2024
9 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	30 August 2024
22 June 2023	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E	No	Deficient, Provider has date of correction	7 July 2023
22 June 2023	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	E	No	Deficient, Provider has date of correction	23 June 2023
22 June 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	10 July 2023
22 June 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	11 July 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	MCCULLOCH COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2000-04-28
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Eastland
Telephone Number	2546436700
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	60
Average Number of Residents per Day	34.6
Overall Rating	4
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	3
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: KIRK RODDIE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JK NEAL REALTY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KIRK RODDIE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: JK NEAL REALTY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
10 December 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 July 2025: TIMOTHY S JONES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: CURTIS OWENS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JOSEPH A NEAL no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MCCULLOCH COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: ARTHUR MOSELEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: SUSAN D JOLIFF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TIMOTHY S JONES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: TERRY KELTZ appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JOSEPH A NEAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JOSEPH A NEAL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GREGORY WHITTEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GREGORY WHITTEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GREGORY WHITTEN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MCCULLOCH COUNTY HOSPITAL DISTRICT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MICHELE DERRICK appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GUYLE P DONHAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: GUYLE P DONHAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RISING STAR SENIOR CARE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: RISING STAR SENIOR CARE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: MICHAEL SCHAFFNER appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: KIRK RODDIE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
1 July 2025: JK NEAL REALTY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
21 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
20 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
23 February 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
25 February 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
26 February 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
20 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
7 March 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
18 January 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
21 September 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
17 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
6 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
5 December 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
15 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. SNF10FY2013.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
7 March 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
27 May 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
23 June 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
18 August 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
17 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
23 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
26 July 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
1 August 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
28 July 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
2 December 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
1 September 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
17 March 2004: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, RISING STAR NURSING CENTER — facility record report, CMS certification number 675832. https://velarionrecords.com/facility/675832/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 2018Q1 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 675832. 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
2018Q1	31 March 2018	90	2,648	1,151.48	3,067.16	4,755.7	8,974.34
2018Q2	30 June 2018	91	2,568	1,036.21	3,407.51	4,844.99	9,288.71
2018Q3	30 September 2018	92	2,318	926.12	3,377.85	4,478.75	8,782.72
2018Q4	31 December 2018	92	2,552	983.47	3,587.75	4,876.83	9,448.05
2019Q1	31 March 2019	90	2,624	925.33	3,180.47	5,074.53	9,180.33
2019Q2	30 June 2019	91	2,724	1,474.28	2,981.98	5,736.77	10,193.03
2019Q3	30 September 2019	92	2,732	1,406.86	3,154.25	5,691.85	10,252.96
2019Q4	31 December 2019	92	2,962	1,303.17	3,239.61	5,519.66	10,062.44
2020Q1	31 March 2020	91	2,919	1,068.21	3,475.7	6,072.97	10,616.88
2020Q2	30 June 2020	91	2,996	1,024.2	3,355	6,172.02	10,551.22
2020Q3	30 September 2020	92	2,929	1,007.61	3,347.54	5,978.82	10,333.97
2020Q4	31 December 2020	92	2,675	1,096.07	3,153.1	5,690.39	9,939.56
2021Q1	31 March 2021	90	2,382	1,130.99	3,154.62	5,391.76	9,677.37
2021Q2	30 June 2021	91	2,407	993.03	2,961.19	4,576.16	8,530.38
2021Q3	30 September 2021	92	2,622	1,574.17	2,333.69	4,992.83	8,900.69
2021Q4	31 December 2021	92	2,933	1,463.86	2,661.39	4,357.43	8,482.68
2022Q1	31 March 2022	90	2,925	1,661.43	2,509.6	3,716.96	7,887.99
2022Q2	30 June 2022	91	2,874	1,487.35	2,737.14	4,234.84	8,459.33
2022Q3	30 September 2022	92	2,739	1,294.09	2,888.97	6,132.39	10,315.45
2022Q4	31 December 2022	92	3,152	1,331.92	2,831.84	6,503.66	10,667.42
2023Q1	31 March 2023	90	3,168	1,646.06	2,467.73	5,546.93	9,660.72
2023Q2	30 June 2023	91	3,001	1,896.71	2,273.23	5,076.06	9,246
2023Q3	30 September 2023	92	2,840	1,670.79	2,216.48	5,173.86	9,061.13
2023Q4	31 December 2023	92	2,895	2,175.02	1,845.29	5,799.28	9,819.59
2024Q1	31 March 2024	91	2,792	1,763	2,359.47	6,088.89	10,211.36
2024Q2	30 June 2024	91	2,719	1,729.76	2,304.64	5,987.5	10,021.9
2024Q3	30 September 2024	92	2,765	1,780.63	2,488.52	6,301.36	10,570.51
2024Q4	31 December 2024	92	3,063	1,881.12	2,021.73	7,068.32	10,971.17
2025Q1	31 March 2025	90	2,928	1,734.69	2,129.45	6,365.1	10,229.24
2025Q2	30 June 2025	91	3,159	1,378.6	2,652.4	6,351.32	10,382.32
2025Q3	30 September 2025	92	3,322	1,314.64	2,815.66	7,342.8	11,473.1
2025Q4	31 December 2025	92	3,040	1,957.33	2,235.58	7,693.35	11,886.26
2026Q1	31 March 2026	90	3,118	2,050.86	2,075.85	7,656.23	11,782.94

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
2018Q1	0.434849	1.158293	1.795959	3.389101
2018Q2	0.403509	1.326912	1.886678	3.617099
2018Q3	0.399534	1.457226	1.932161	3.788921
2018Q4	0.385372	1.405858	1.910984	3.702214
2019Q1	0.352641	1.212069	1.933891	3.498601
2019Q2	0.541219	1.094706	2.10601	3.741935
2019Q3	0.514956	1.154557	2.0834	3.752914
2019Q4	0.439963	1.093724	1.863491	3.397178
2020Q1	0.365951	1.190716	2.080497	3.637163
2020Q2	0.341856	1.119826	2.060087	3.521769
2020Q3	0.344012	1.142895	2.04125	3.528156
2020Q4	0.409746	1.178729	2.127249	3.715723
2021Q1	0.474807	1.324358	2.263543	4.062708
2021Q2	0.412559	1.230241	1.901188	3.543988
2021Q3	0.60037	0.890042	1.904207	3.394619
2021Q4	0.4991	0.907395	1.485656	2.892151
2022Q1	0.56801	0.857983	1.270756	2.696749
2022Q2	0.517519	0.95238	1.4735	2.943399
2022Q3	0.472468	1.054754	2.238916	3.766137
2022Q4	0.422563	0.898426	2.063344	3.384334
2023Q1	0.51959	0.778955	1.750925	3.04947
2023Q2	0.632026	0.757491	1.691456	3.080973
2023Q3	0.588306	0.780451	1.821782	3.190539
2023Q4	0.751302	0.637406	2.003206	3.391914
2024Q1	0.631447	0.845082	2.180835	3.657364
2024Q2	0.636175	0.847606	2.202096	3.685877
2024Q3	0.643989	0.900007	2.278973	3.822969
2024Q4	0.614143	0.660049	2.307646	3.581838
2025Q1	0.592449	0.727271	2.173873	3.493593
2025Q2	0.436404	0.839633	2.010548	3.286584
2025Q3	0.395738	0.84758	2.210355	3.453672
2025Q4	0.643859	0.735388	2.530707	3.909954
2026Q1	0.657749	0.665763	2.455494	3.779006

How each quarter is derived, and its file

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

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