Facility record report · CMS certification number 675925

The Mildred & Shirley L. Garrison Geriatric Educat

Lubbock, 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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 8 January 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$18,384,851	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,317,917	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,066,934	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,109,990	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$956,944	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,780	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$966,724	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $966,724 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	42,456	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,733	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	25,437	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	9,475	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	37,645	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	54	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	39	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	219	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	312	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.61	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	652.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1402012, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$15,327,653	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,850,156	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,477,497	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,534,295	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$56,798	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,939	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$53,859	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$54,585 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,079	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	337	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	607.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	110.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375172, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$14,890,808	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,909,668	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,981,140	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,581,542	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$399,598	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,569	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$402,167	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $402,167 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,805	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	343	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	862.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	110.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344623, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 May 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$12,766,457	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,704,449	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,062,008	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,825,512	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,236,496	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,553	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,238,049	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,233,379 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,083	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	354	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	745.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	96.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1315757, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$12,516,177	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,107,742	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,408,435	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,854,775	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,553,660	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$50,956	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,604,616	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,602,325 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,538	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	405	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	966.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	85.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1312668, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$13,193,566	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,345,974	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,847,592	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,285,925	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,561,667	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$22,934	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,584,601	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,584,601 (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	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,189	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	536	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	928.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	67.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1294865, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$12,110,085	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,035,732	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,074,353	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,778,346	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,296,007	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$33,420	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,329,427	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,329,427 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,402	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	455	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	817.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	80	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254184, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 April 2017 to 30 September 2017 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 May 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$5,541,178	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$922,235	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,618,943	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,085,429	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$533,514	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,498	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$545,012	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $545,012 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,609	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	199	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	878.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	83.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1224924, 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 25 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$10,345,649	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,825,523	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,520,126	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,263,881	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$256,245	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$23,759	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$280,004	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $280,004 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,668	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	373	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	660.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	84.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175032, 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 11 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$10,105,564	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,523,669	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,581,895	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,671,045	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$910,850	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$23,335	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$934,185	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $934,186 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,537	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	368	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	524.8	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	88.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140915, 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 19 December 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,753,531	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,164,478	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,589,053	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,187,846	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,598,793	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$37,865	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,560,928	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,560,928 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,112	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	358	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	385.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	95.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1149427, 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 17 November 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$9,215,888	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,396,981	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,818,907	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,543,437	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$724,530	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$83,167	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$641,363	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$641,363 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,883	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	239	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,072.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	145.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112862, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 September 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$9,014,797	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,397,250	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,617,547	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,380,188	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$762,641	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$290,921	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$471,720	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$471,720 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,901	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	590	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	223.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	60.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1078248, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$9,100,635	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$983,620	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,117,015	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,137,975	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,020,960	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$711,256	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,732,216	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,732,216 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,076	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	340	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	275.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	106.11	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1015760, 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 19 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$8,715,489	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,009,994	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$294,505	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$183,178	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$111,327 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,815	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	419	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.41	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	217.59	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	85.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417975, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 September 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$8,331,233	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,295,692	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$35,541	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$181,946	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $217,487 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,291	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	391	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.15	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	399.77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	92.82	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 388057, 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 7 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$7,413,350	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,655,169	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$241,819	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$272,113	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $30,294 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,970	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	453	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.69	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	279.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	86.03	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 354155, 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	$6,701,113	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,136,081	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$434,968	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$175,041	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$31,553	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$291,480 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,089	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	349	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	25.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	388.64	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	112	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 318804, 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 3 December 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$6,746,515	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,290,521	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$544,006	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$387,178	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$156,828 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,257	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	341	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.95	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	120.99	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 297440, read from the public cost report file SNFFY2006.zip.

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

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$6,565,835	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,009,987	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$444,152	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$127,337	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$316,815 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,907	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	593	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.97	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	68.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 266124, 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 1 December 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$6,150,327	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,523,517	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$373,190	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$340,647	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$32,543 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,961	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	603	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	17.62	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	66.27	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 237844, 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 6 May 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$5,509,825	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,127,429	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$617,604	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$861,432	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $243,828 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,022	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	330	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	27.91	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	109.16	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 216239, read from the public cost report file SNFFY2003.zip.

Cost report for 9 August 2002 to 31 December 2002 — a reporting period of 144 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 20 May 2005.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$1,229,942	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,780,632	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$550,690	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$358,712	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$191,978 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	9,658	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	49	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.1	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	197.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 217591, read from the public cost report file SNFFY2002.zip.

Five facilities of a similar size in Texas, fiscal year 2024

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
BUENA VIDA NURSING & REHAB ODESSA	117	21,914	$4,921,693	$4,897,058	$24,635	31 March 2024
HERITAGE CONVALESCENT CENTER	116	23,543	$5,803,968	$6,301,747	−$497,779	31 December 2024
HUB CITY HEALTHCARE LLC	116	37,645	$13,066,934	$12,109,990	$956,944	30 September 2024
STRATFORD HOSPITAL DISTRICT DBA LUBB	117	28,203	$6,595,839	$6,402,529	$193,310	31 December 2024
THROCKMORTON HOSPITAL DISTRICT DBA G	116	15,452	$3,832,374	$3,466,738	$365,636	31 August 2024
WILLOW SPRINGS CREEK HEALTHCARE INC	116	30,858	$8,683,077	$8,024,040	$659,037	30 September 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
BOOKER HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2015
ENSIGN SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 12/31/2014
HUB CITY HEALTHCARE INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/20/2025
KNIGHT HEALTH HOLDINGS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
MCPHERSON, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/29/2018
MEWBORN, MATTHEW	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2017
STANDARD BEARER HEALTHCARE OP, LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
THE ENSIGN GROUP INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
BURNAM, SOON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2017
HOOVER, SHAWN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2017
KEETCH, CHAD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/01/2011
MCPHERSON, MICHAEL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/29/2018
MEWBORN, MATTHEW	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/01/2017
HUB CITY HEALTHCARE INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2017
MCPHERSON, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/29/2018
MEWBORN, MATTHEW	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2017

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BOOKER HOSPITAL DISTRICT (enrollment ID O20170531001252).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BOOKER HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2015	Private equity company: No Real estate investment trust: No Holding company: No
ENSIGN SERVICES INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/31/2014	Private equity company: No Real estate investment trust: No Holding company: No
HUB CITY HEALTHCARE INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/20/2025	Private equity company: No Real estate investment trust: No Holding company: No
KNIGHT HEALTH HOLDINGS 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.	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
MATTHEW MEWBORN	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.	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.
MICHAEL G MCPHERSON	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.	1/29/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STANDARD BEARER HEALTHCARE OP, LP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
THE ENSIGN GROUP INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
CHAD KEETCH	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2011	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHAWN HOOVER	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.
SOON BURNAM	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.
MATTHEW MEWBORN	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.
MICHAEL G MCPHERSON	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.	1/29/2018	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.
HUB CITY HEALTHCARE INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
MATTHEW MEWBORN	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	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.
MICHAEL G MCPHERSON	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.	1/29/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 January 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SHAWN HOOVER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KNIGHT HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MATTHEW MEWBORN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MATTHEW MEWBORN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HUB CITY HEALTHCARE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MICHAEL G MCPHERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MICHAEL G MCPHERSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MICHAEL G MCPHERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
31 October 2022: SOON E BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: BOOKER HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	4 June 2026	4 June 2026	15	2
2	6 May 2025	6 May 2025	17	0
3	28 March 2024	28 March 2024	12	0

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

Deficiencies cited

44 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
16 June 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	17 June 2026
16 June 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	17 June 2026
16 June 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	17 June 2026
4 June 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	17 June 2026
4 June 2026	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	17 June 2026
4 June 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	17 June 2026
4 June 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	17 June 2026
4 June 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	17 June 2026
4 June 2026	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	E	No	Deficient, Provider has date of correction	17 June 2026
1 March 2026	Health	F 0678	Quality of Life and Care Deficiencies	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	J	Yes	Deficient, Provider has date of correction	2 March 2026
1 March 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J	Yes	Deficient, Provider has date of correction	2 March 2026
23 February 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	24 February 2026
22 August 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	J	Yes	Deficient, Provider has date of correction	23 August 2025
22 August 2025	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	Yes	Deficient, Provider has date of correction	23 August 2025
22 August 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	J	Yes	Deficient, Provider has date of correction	23 August 2025
3 June 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E	Yes	Deficient, Provider has date of correction	16 June 2025
6 May 2025	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	6 June 2025
6 May 2025	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	6 June 2025
6 May 2025	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	6 June 2025
6 May 2025	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E	No	Deficient, Provider has date of correction	6 June 2025
6 May 2025	Health	F 0603	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).	E	No	Deficient, Provider has date of correction	6 June 2025
6 May 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	6 June 2025
6 May 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	6 June 2025
6 May 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	6 June 2025
6 May 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	6 June 2025
6 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	6 June 2025
18 December 2024	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	E	Yes	Deficient, Provider has date of correction	31 January 2025
18 December 2024	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	D	Yes	Deficient, Provider has date of correction	31 January 2025
18 December 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	Yes	Deficient, Provider has date of correction	31 January 2025
12 September 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	30 September 2024
29 August 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	Yes	Deficient, Provider has date of correction	30 September 2024
29 August 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	D	Yes	Deficient, Provider has date of correction	30 September 2024
14 June 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Past Non-Compliance	26 April 2024
3 May 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	31 May 2024
3 May 2024	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	Yes	Deficient, Provider has date of correction	31 May 2024
28 March 2024	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	28 April 2024
28 March 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	28 April 2024
28 March 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	28 April 2024
28 March 2024	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	28 April 2024
28 March 2024	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	D	No	Deficient, Provider has date of correction	28 April 2024
28 March 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	28 April 2024
28 March 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	28 April 2024
26 September 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	10 November 2023
26 September 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	10 November 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
23 February 2026	Fine	$11,782			137570
22 August 2025	Fine	$15,167			135083

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - Hospital district
Legal Business Name	BOOKER HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2002-08-09
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Lubbock
Telephone Number	8067634455
Chain Name	THE ENSIGN GROUP
Chain ID	507
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	120
Average Number of Residents per Day	111.0
Overall Rating	2
Health Inspection Rating	1
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

Every change on this record

1 January 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SHAWN HOOVER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KNIGHT HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MATTHEW MEWBORN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MATTHEW MEWBORN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HUB CITY HEALTHCARE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MICHAEL G MCPHERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MICHAEL G MCPHERSON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: MICHAEL G MCPHERSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
8 January 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
18 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
20 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
31 October 2022: SOON E BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: BOOKER HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
10 May 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
21 March 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
18 August 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
16 April 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
21 May 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
22 November 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
25 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
19 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
11 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
17 November 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
22 September 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
19 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
23 September 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
7 August 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
3 December 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
10 November 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
1 December 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
20 May 2005: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
6 May 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, The Mildred & Shirley L. Garrison Geriatric Educat — facility record report, CMS certification number 675925. https://velarionrecords.com/facility/675925/report.

Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file SNF10FY2024.zip.
Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
Care Compare ownership: CMS file dated 1 August 2026.
Medicare enrollment ownership: CMS file dated 1 August 2026.
Nurse staffing: CMS Payroll-Based Journal, quarters 2017Q3 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 675925. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q3	30 September 2017	92	8,591	3,028.06	6,974.4	22,567.07	32,569.53
2017Q4	31 December 2017	92	9,216	2,374.21	7,987.27	24,887.46	35,248.94
2018Q1	31 March 2018	90	8,978	2,559.78	8,191.85	24,053.94	34,805.57
2018Q2	30 June 2018	91	9,069	2,365.09	8,293.83	22,409.94	33,068.86
2018Q3	30 September 2018	92	9,695	2,382.49	7,845.74	23,040.74	33,268.97
2018Q4	31 December 2018	92	9,403	2,043.89	9,020.81	21,893.48	32,958.18
2019Q1	31 March 2019	90	9,369	3,471.6	9,039.44	19,994.7	32,505.74
2019Q2	30 June 2019	91	9,040	2,545.2	10,151.1	20,396.16	33,092.46
2019Q3	30 September 2019	92	8,744	2,377.31	8,857.26	22,284.4	33,518.97
2019Q4	31 December 2019	92	9,274	2,259.67	10,562.34	23,719.02	36,541.03
2020Q1	31 March 2020	91	9,154	2,754.94	10,316.32	19,874.64	32,945.9
2020Q2	30 June 2020	91	8,252	2,965.39	8,159.02	16,651.95	27,776.36
2020Q3	30 September 2020	92	7,768	3,411.88	8,068.13	15,844.61	27,324.62
2020Q4	31 December 2020	92	7,591	3,353.75	9,747.06	16,974.28	30,075.09
2021Q1	31 March 2021	90	7,911	2,965.05	9,639.28	19,334.49	31,938.82
2021Q2	30 June 2021	91	9,242	2,467.02	9,923.82	22,327.41	34,718.25
2021Q3	30 September 2021	92	9,638	2,432.43	9,874.5	23,321.08	35,628.01
2021Q4	31 December 2021	92	9,873	2,240.67	10,853.13	26,209.2	39,303
2022Q1	31 March 2022	90	10,224	3,296.09	9,249	22,835.74	35,380.83
2022Q2	30 June 2022	91	9,737	3,367.91	8,683.4	25,255.37	37,306.68
2022Q3	30 September 2022	92	9,444	2,636.3	9,420.73	23,386.01	35,443.04
2022Q4	31 December 2022	92	9,465	1,942.6	8,676.23	20,324.31	30,943.14
2023Q1	31 March 2023	90	9,909	1,913.41	9,240.15	21,300.58	32,454.14
2023Q2	30 June 2023	91	9,568	2,154.15	9,765.69	23,075.93	34,995.77
2023Q3	30 September 2023	92	9,093	2,180.85	10,371.55	23,018.57	35,570.97
2023Q4	31 December 2023	92	9,448	2,184.54	12,319.08	19,160.45	33,664.07
2024Q1	31 March 2024	91	9,560	2,081.75	11,549.1	18,016.12	31,646.97
2024Q2	30 June 2024	91	9,047	2,142.22	10,302.17	16,540.76	28,985.15
2024Q3	30 September 2024	92	9,756	1,978.38	10,793.78	16,845.95	29,618.11
2024Q4	31 December 2024	92	9,416	1,703.29	10,573.45	17,000.29	29,277.03
2025Q1	31 March 2025	90	9,693	1,361.39	11,167.86	16,754.49	29,283.74
2025Q2	30 June 2025	91	9,547	1,515.84	11,318.3	17,213.06	30,047.2
2025Q3	30 September 2025	92	10,221	2,113.46	10,844.82	17,508.62	30,466.9
2025Q4	31 December 2025	92	10,118	2,641.85	10,040.26	17,081.85	29,763.96
2026Q1	31 March 2026	90	9,986	2,592.57	10,822.91	16,576.05	29,991.53

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q3	0.352469	0.811826	2.626827	3.791122
2017Q4	0.257618	0.866674	2.700462	3.824755
2018Q1	0.285117	0.912436	2.679209	3.876762
2018Q2	0.260788	0.914525	2.471049	3.646362
2018Q3	0.245744	0.809256	2.376559	3.43156
2018Q4	0.217366	0.959354	2.328351	3.505071
2019Q1	0.370541	0.964824	2.134134	3.469499
2019Q2	0.281549	1.122909	2.256212	3.66067
2019Q3	0.271879	1.012953	2.548536	3.833368
2019Q4	0.243656	1.13892	2.557582	3.940159
2020Q1	0.300955	1.126974	2.171143	3.599071
2020Q2	0.359354	0.988732	2.017929	3.366016
2020Q3	0.439222	1.038637	2.039728	3.517588
2020Q4	0.441806	1.284028	2.236106	3.96194
2021Q1	0.374801	1.218465	2.444001	4.037267
2021Q2	0.266936	1.073774	2.415863	3.756573
2021Q3	0.252379	1.024538	2.419701	3.696619
2021Q4	0.226949	1.099274	2.654634	3.980857
2022Q1	0.322388	0.904636	2.233543	3.460566
2022Q2	0.345888	0.891794	2.593753	3.831435
2022Q3	0.279151	0.997536	2.476282	3.752969
2022Q4	0.20524	0.916665	2.147312	3.269217
2023Q1	0.193098	0.932501	2.14962	3.275218
2023Q2	0.225141	1.020662	2.411782	3.657585
2023Q3	0.239838	1.140608	2.53146	3.911907
2023Q4	0.231217	1.303882	2.02799	3.56309
2024Q1	0.217756	1.208065	1.884531	3.310353
2024Q2	0.236788	1.138739	1.828314	3.203841
2024Q3	0.202786	1.106374	1.726727	3.035887
2024Q4	0.180893	1.122924	1.805468	3.109285
2025Q1	0.140451	1.152157	1.728514	3.021122
2025Q2	0.158777	1.185535	1.802981	3.147292
2025Q3	0.206776	1.061033	1.713005	2.980814
2025Q4	0.261104	0.992317	1.688263	2.941684
2026Q1	0.25962	1.083808	1.659929	3.003358

How each quarter is derived, and its file

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

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