Velarion Records

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Facility record report · CMS certification number 675928

Sienna Nursing and Rehabilitation

Odessa, 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 April 2024 to 31 March 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 October 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$8,044,916CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$443,606CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,601,310CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,983,851CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$382,541CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,172,026CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$789,485CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $789,485 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components138CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components50,370CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,121CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days28,772CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,130CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components33,023CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges34CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges158CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges81CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components273CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days182.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440573, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 April 2023 to 31 March 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 January 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,069,969CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$648,415CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,421,554CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,380,311CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,958,757CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$954,889CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,003,868CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,003,868 (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
FigureAs filedWhere it comes from
Total facility beds, all components138CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,155CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components135CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days318.92CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days230.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446326, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 April 2022 to 31 March 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,321,654CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$711,179CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,610,475CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,808,607CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,198,132CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,664,687CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,533,445CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,533,445 (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
FigureAs filedWhere it comes from
Total facility beds, all components138CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,977CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components138CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days323.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days209.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366504, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2022 to 31 March 2022 — a reporting period of 89 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 26 October 2022.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$1,620,950CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$82,744CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,538,206CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,640,493CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$102,287CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$429,795CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$327,508CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $327,508 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components138CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components6,996CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components29CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days99.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days332.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days241.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335662, read from the public cost report file SNF10FY2022.zip.

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

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,015,326CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$556,537CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,458,789CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,836,773CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,377,984CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$976,790CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$401,194CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$401,194 (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
FigureAs filedWhere it comes from
Total facility beds, all components138CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,302CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components104CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days106.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days422.58CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days272.13CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329439, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 February 2020 to 31 December 2020 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on 22 September 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$5,177,096CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$304,081CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,873,015CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,447,360CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$574,345CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$862,979CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$288,634CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $288,634 (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
FigureAs filedWhere it comes from
Total facility beds, all components138CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,964CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components145CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days269.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days165.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300807, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 June 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,969,459CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$456,801CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,512,658CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,732,902CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$220,244CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,199CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$205,045CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$205,045 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,516CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components101CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days447.45CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days292.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1258062, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$6,421,389CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$514,292CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,907,097CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,971,787CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$64,690CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,611CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$61,079CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$61,079 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,424CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components99CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days85.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days528.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days307.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1222346, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$6,095,543CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$331,116CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,764,427CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,514,052CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$250,375CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,794CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$253,169CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $253,169 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,646CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components125CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days101.42CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days355.28CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days245.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1201811, 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 18 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$6,680,554CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$266,854CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,413,700CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,230,264CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$183,436CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,161CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$188,597CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $188,597 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,049CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components116CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days71.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days984.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days284.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169443, 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 25 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$6,196,693CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$105,637CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,091,056CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,645,131CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$445,925CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,618CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$450,543CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $450,545 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,034CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components117CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days97.46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days743.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days256.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1134888, 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 2 February 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$5,895,783CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$383,032CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,512,751CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,392,163CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$120,588CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,969CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$123,557CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $123,560 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,447CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components120CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days610.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days262.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118430, 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 23 July 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$6,556,170CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$77,460CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,633,630CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,112,889CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$520,741CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,839CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$523,580CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $523,580 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,166CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components148CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days96.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days597.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days244.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1070273, 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 25 June 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$7,039,235CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$439,298CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,599,937CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,027,535CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$572,402CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,842CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$576,244CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $576,244 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,748CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components190CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days118.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days826.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days203.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1038826, read from the public cost report file SNF10FY2012.zip.

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

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$6,767,814CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$662,197CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,105,617CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,583,568CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$522,049CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,572CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$524,621CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $524,621 (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
FigureAs filedWhere it comes from
Total facility beds, all components143CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,731CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components232CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days62.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days642CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days166.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014726, 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 1 August 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$5,531,074CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,089,539CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$441,535CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,992CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $443,527 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,996CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components246CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days62.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days530.37CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days146.33CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414032, 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 25 May 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,540,312CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,441,981CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$98,331CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,181CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $99,512 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,710CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components175CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days73.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days604.31CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days181.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 370506, 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 14 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,355,706CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,357,748CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$2,042CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,416CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $374 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,708CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components149CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days57.36CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days400.78CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days159.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 349723, 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
FigureAs filedWhere it comes from
Net patient revenue$3,317,729CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,151,899CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$165,830CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,489CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $168,319 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,603CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components142CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.1CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days474.79CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days180.3CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 320362, 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 13 August 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$3,120,030CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,022,656CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$97,374CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,124CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $99,498 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,537CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components168CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days60.45CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days235.27CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days134.15CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 291810, 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 14 July 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$2,672,833CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,699,560CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$26,727CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,188CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$24,539 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,325CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components113CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days52.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days629CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days197.57CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 258637, 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 4 August 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,187,071CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,974,989CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$212,082CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,114CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $214,196 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,817CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components147CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days64.43CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days510.52CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days168.82CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 230010, 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, as submitted, processed by CMS on 29 June 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,782,226CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,790,792CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$8,566CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,934CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$2,632 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,785CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components149CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.62CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days364.02CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days152.92CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 185902, read from the public cost report file SNFFY2003.zip.

Cost report for 3 September 2002 to 31 December 2002 — a reporting period of 119 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$538,781CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$766,279CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$227,498CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$227,498 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components4,671CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components41CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.13CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days330.3CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days113.93CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173667, read from the public cost report file SNFFY2002.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
ADVANCED HEALTHCARE & REHAB CENTER O13940,799$11,004,583$11,753,548−$748,96531 August 2025
COLONIAL MANOR NURSING CENTER- CLEBU13718,010$5,582,599$7,641,167−$2,058,56831 August 2025
FORUM PARKWAY HEALTH & REHABILITATIO13934,911$10,696,115$10,843,741−$147,62631 August 2025
PRINCETON MEDICAL LODGE13843,111$14,017,796$14,271,971−$254,17531 August 2025
SIENNA NURSING AND REHABILITATION13833,023$7,601,310$7,983,851−$382,54131 March 2025
UVALDE CNTY HOSP AUTH-WN&RC OF ALICE13623,939$5,715,419$7,251,312−$1,535,89330 June 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
BLAKE, GARYADP OF THE SNFIndividualNOT APPLICABLEsince 09/01/2022
GONZALEZ, LAURAADP OF THE SNFIndividualNOT APPLICABLEsince 05/20/2025
ODESSA III ENTERPRISES, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/20/2025
ORTEGA, SCOTTYADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
HUGGINS, LINDACORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/01/2022
WILLIG, ZACHARYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
THOMPSON, JOHNNYCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
BOWERS, SEANMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 07/01/2024
CISNEROS, ALFREDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/18/2008
COBB, TRAVISMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/05/2022
COOPER, STEPHENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/11/2022
HARDIN, SHERRIEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/04/2024
KERZEE, RICHARDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/24/2007
KORENEK, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/05/2018
SOECHTING, PAULMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/22/2024
STRACK, JOEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/11/2022
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2022
ODESSA III ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20220706002097).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1004/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
GARY R BLAKEIndividualADP OF THE SNFCMS 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.9/1/2022
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.
LAURA GONZALEZIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/20/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ODESSA III ENTERPRISES, LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/20/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SCOTTY R. ORTEGAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LINDA F HUGGINSIndividualCORPORATE DIRECTOR04/1/2022
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.
ZACHARY WILLIGIndividualCORPORATE DIRECTOR01/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHNNY THOMPSONIndividualCORPORATE OFFICER01/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ALFRED CISNEROSIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.2/18/2008
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.
JOE STRACKIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.2/11/2022
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.
PATRICIA A KORENEKIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/5/2018
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.
PAUL SOECHTINGIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/22/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RICHARD KERZEEIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.9/24/2007
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.
SEAN BOWERSIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHERRIE HARDINIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.9/4/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHEN COOPERIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/11/2022
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.
TRAVIS COBBIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.10/5/2022
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.
GARY R BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL509/1/2022
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.
MALISA A BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL09/1/2022
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.
ODESSA III ENTERPRISES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1009/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
123 April 202623 April 2026168
223 January 202523 January 2025124
313 December 202313 December 202394

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

Deficiencies cited

37 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
23 April 2026HealthF 0575Resident Rights DeficienciesPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.BNoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.BNoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.ENoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0585Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FNoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0850Administration DeficienciesHire a qualified full-time social worker in a facility with more than 120 beds.ENoDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction24 April 2026
23 April 2026HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.ENoDeficient, Provider has date of correction24 April 2026
19 February 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.EYesDeficient, Provider has date of correction20 February 2026
24 June 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KYesDeficient, Provider has date of correction25 June 2025
24 June 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EYesDeficient, Provider has date of correction25 June 2025
24 June 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KYesDeficient, Provider has date of correction25 June 2025
24 June 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.KYesDeficient, Provider has date of correction25 June 2025
24 June 2025HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FYesDeficient, Provider has date of correction15 July 2025
23 January 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correction25 January 2025
23 January 2025HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DYesDeficient, Provider has date of correction25 January 2025
23 January 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.EYesDeficient, Provider has date of correction25 January 2025
23 January 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction25 January 2025
10 September 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction4 October 2024
13 August 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction16 September 2024
13 August 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correction16 September 2024
21 June 2024HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EYesDeficient, Provider has date of correction19 July 2024
13 December 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correction14 December 2023
13 December 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction14 December 2023
13 December 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction14 December 2023
13 December 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction12 January 2024
13 December 2023HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.FNoDeficient, Provider has date of correction12 January 2024
9 August 2023HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correction7 September 2023
9 August 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction7 September 2023
9 August 2023HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EYesDeficient, Provider has date of correction7 September 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
24 June 2025Fine$241,722134036

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameWEST WHARTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2002-09-03
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishEctor
Telephone Number4323334511
Chain NameCREATIVE SOLUTIONS IN HEALTHCARE
Chain ID169
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds138
Average Number of Residents per Day89.7
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating4
Processing Date2026-08-01

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

Every change on this record

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, Sienna Nursing and Rehabilitation — facility record report, CMS certification number 675928. https://velarionrecords.com/facility/675928/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 675928. 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
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 2017907,8233,954.095,015.814,295.4723,265.36
2017Q230 June 2017917,5554,065.354,634.7312,057.7920,757.87
2017Q330 September 2017927,6824,055.015,138.6211,629.1520,822.78
2018Q131 March 2018908,0672,021.877,282.5313,029.2922,333.69
2018Q230 June 2018917,4022,742.685,911.113,320.8221,974.6
2018Q330 September 2018927,3482,281.836,090.8312,843.421,216.06
2018Q431 December 2018927,6442,929.315,492.5512,158.5720,580.43
2019Q131 March 2019907,3992,563.025,311.7612,146.1120,020.89
2019Q230 June 2019917,4312,690.955,528.8911,988.7620,208.6
2019Q330 September 2019927,6162,941.255,104.2711,419.5219,465.04
2019Q431 December 2019927,1022,744.95,297.4911,963.620,005.99
2020Q131 March 2020916,5392,237.822,981.927,657.1112,876.85
2020Q230 June 2020916,7883,733.934,693.3213,334.4921,761.74
2020Q330 September 2020926,1003,834.313,382.587,495.0314,711.92
2020Q431 December 2020926,6772,741.54,220.388,110.1415,072.02
2021Q131 March 2021906,7433,401.295,423.769,431.2118,256.26
2021Q230 June 2021916,9674,222.694,127.7610,517.7418,868.19
2021Q330 September 2021927,2693,874.883,297.249,929.5817,101.7
2021Q431 December 2021927,3333,773.364,204.613,734.5421,712.5
2022Q131 March 2022906,9722,945.834,326.9211,584.7618,857.51
2022Q230 June 2022917,2043,721.114,872.2813,175.1521,768.54
2022Q330 September 2022927,1183,240.664,988.2712,820.4721,049.4
2022Q431 December 2022927,0153,927.394,881.1514,022.1322,830.67
2023Q131 March 2023907,2142,499.945,831.5713,226.5721,558.08
2023Q230 June 2023917,4892,559.415,474.3613,066.4821,100.25
2023Q330 September 2023927,6002,637.535,402.0812,138.3720,177.98
2023Q431 December 2023927,6282,728.145,672.6612,019.9820,420.78
2024Q131 March 2024917,8652,975.575,132.2211,062.5219,170.31
2024Q230 June 2024918,2422,970.765,245.6712,079.7920,296.22
2024Q330 September 2024928,0153,542.934,320.3914,359.3222,222.64
2024Q431 December 2024928,3494,567.884,293.0717,452.9326,313.88
2025Q131 March 2025908,1733,951.644,727.9117,359.7226,039.27
2025Q230 June 2025918,4343,568.744,645.0717,149.5125,363.32
2025Q330 September 2025928,8104,350.13,993.2518,944.6327,287.98
2025Q431 December 2025928,3784,113.724,605.0717,121.4925,840.28
2026Q131 March 2026908,0724,063.874,244.315,211.2823,519.45
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q10.5054440.6411611.8273642.973969
2017Q20.5381010.6134651.5960012.747567
2017Q30.5278590.6689171.5138182.710594
2018Q10.2506350.9027561.6151342.768525
2018Q20.3705320.7985811.7996242.968738
2018Q30.3105380.828911.7478772.887324
2018Q40.3832170.7185441.5906032.692364
2019Q10.3464010.7179021.6415882.705891
2019Q20.3621250.744031.6133442.719499
2019Q30.3861940.6702041.4994122.555809
2019Q40.3864970.7459151.684542.816952
2020Q10.3422270.4560211.1709911.969238
2020Q20.5500780.6914141.9644213.205913
2020Q30.6285750.5545211.2286932.41179
2020Q40.4105890.6320771.2146382.257304
2021Q10.5044180.8043541.3986672.707439
2021Q20.6060990.5924731.5096512.708223
2021Q30.5330690.4536031.3660172.35269
2021Q40.5145720.5733811.8729772.96093
2022Q10.4225230.6206141.6616122.704749
2022Q20.5165340.676331.8288663.02173
2022Q30.4552770.7007971.8011342.957207
2022Q40.5598560.6958161.9988783.25455
2023Q10.346540.8083681.8334592.988367
2023Q20.3417560.7309871.7447562.817499
2023Q30.3470430.71081.5971542.654997
2023Q40.3576480.7436631.5757712.677082
2024Q10.3783310.6525391.4065512.43742
2024Q20.3604420.6364561.4656382.462536
2024Q30.4420370.5390381.7915562.772631
2024Q40.5471170.5142022.0904223.15174
2025Q10.4834990.5784792.1240333.186011
2025Q20.4231370.5507552.0333783.007271
2025Q30.4937680.4532632.1503553.097387
2025Q40.4910150.5496622.0436253.084302
2026Q10.5034530.5258051.884452.913708

How each quarter is derived, and its file

  • 2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv
  • 2017Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin; they are read as hrs_lpnadmin. CMS's file labels its last six hours columns hrs_medaide, hrs_medaide_emp, hrs_rn_donadmin, hrs_na_trn, hrs_natrn_emp, hrs_natrn_ctr; they are read by position as Hrs_MedAide_emp, Hrs_MedAide_ctr, Hrs_NAtrn, Hrs_NAtrn_emp, Hrs_NAtrn_ctr, Hrs_MedAide, the order in which each total equals its employee and contract parts on every row. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv
  • 2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv
  • 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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