Velarion Records

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Facility record report · CMS certification number 675942

TOWERS NURSING HOME

SMITHVILLE, 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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 November 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$12,609,546CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,709,696CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,899,850CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,616,344CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$283,506CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$800,336CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,083,842CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,083,842 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,800CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,498CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days22,841CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days15,029CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components41,368CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges100CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges153CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges183CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components436CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days149.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1442813, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 December 2024.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$11,749,294CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$857,734CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,891,560CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,525,979CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$365,581CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$773,407CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,138,988CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,138,988 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components42,346CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components374CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days195.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1401267, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$10,097,141CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$10,097,141CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,858,576CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,761,435CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,125,239CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$363,804CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $363,804 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,310CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components319CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.58CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days215.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days129.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1371029, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$9,414,547CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$9,414,547CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,379,518CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$964,971CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,435,985CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$471,014CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $471,014 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,861CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components313CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.15CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days239.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days124.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339671, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,526,539CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$8,526,539CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,447,502CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,920,963CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,388,181CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$467,218CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $467,218 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,751CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components210CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days331.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days170.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1309177, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 February 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,833,306CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$8,833,306CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,115,248CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$281,942CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$489,805CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$207,863CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $207,863 (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 components115CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,722CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components185CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days123.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days349.54CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days193.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1279617, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 December 2019.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,937,716CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,937,716CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,168,079CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$230,363CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$554,257CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$323,894CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $323,894 (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 components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,205CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components181CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days231.24CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days166.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1248503, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,678,143CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,678,143CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,740,553CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$62,410CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$305,330CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$242,920CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $242,920 (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 components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,511CMS-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 days94.28CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days414.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days217.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1217874, read from the public cost report file SNF10FY2017.zip.

Cost report for 27 June 2016 to 30 June 2017 — a reporting period of 368 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$5,792,062CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,792,062CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,793,112CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,050CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,050CMS-2540-10 worksheet G300000 line 2500 column 100
Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,549CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components210CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days289.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days150.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1189080, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 July 2015 to 26 June 2016 — a reporting period of 361 days, on form CMS-2540-10, settled, processed by CMS on 22 February 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$4,851,899CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$484,655CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,367,244CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,501,319CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,134,075CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$421,094CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$712,981CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$712,981 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components28,653CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components154CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days287.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days186.06CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1153285, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 February 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$5,007,335CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$431,507CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,575,828CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,609,045CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,033,217CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,992CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,030,225CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,037,521 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,228CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components107CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,790.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days291.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118491, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 January 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$6,182,711CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$170,343CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,012,368CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,567,419CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$555,051CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,191CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$552,860CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$552,860 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,689CMS-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 days60.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days636.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days253.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1117999, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 February 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,495,049CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,404,912CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,090,137CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,190,067CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$5,099,930CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,721CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$5,094,209CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$5,094,209 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,115CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components98CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,099.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days327.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1055125, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 February 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$4,666,526CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,666,526CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,041,361CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,374,835CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,203CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,348,632CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,348,632 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,511CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components88CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days70.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,041.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days392.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024652, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$4,457,652CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,102,412CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$644,760CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$168,114CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$476,646 (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 2011
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,172CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components74CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.34CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days829.89CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days448.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433008, read from the public cost report file SNFFY2010.zip.

Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 February 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,941,962CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,159,747CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$217,785CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$169,380CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$48,405 (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 components114CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,680CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components77CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days60.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,170.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days463.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 394620, read from the public cost report file SNFFY2009.zip.

Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 February 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$5,013,969CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,073,655CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$59,686CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$180,429CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$7,327CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $113,416 (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 components114CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,843CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components78CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days66.27CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days797.61CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days485.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 364504, read from the public cost report file SNFFY2008.zip.

Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,663,945CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,762,753CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$98,808CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$245,037CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$9,740CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $136,489 (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 components114CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,233CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components81CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days70.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days745.84CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days472.01CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350484, read from the public cost report file SNFFY2007.zip.

Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,689,250CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,603,885CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$85,365CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$121,288CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,119CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $200,534 (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 components114CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,629CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components81CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days62.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,119.35CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days476.9CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 332297, read from the public cost report file SNFFY2006.zip.

Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 June 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,520,950CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,418,638CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$102,312CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$27,667CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$62,727CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $67,252 (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 components114CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,113CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components77CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days69.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days991.69CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days507.96CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 285822, read from the public cost report file SNFFY2005.zip.

Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 January 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$4,152,126CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,242,165CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$90,039CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$20,416CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,230CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$75,853 (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 components114CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,120CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components67CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days70.32CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,486.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days554.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 240584, read from the public cost report file SNFFY2004.zip.

Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 8 February 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,239,421CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,164,352CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$75,069CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$17,646CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$7,115CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $85,600 (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 components114CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,458CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components115CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days76.48CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days787.9CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days308.33CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 206755, read from the public cost report file SNFFY2003.zip.

Cost report for 17 December 2002 to 30 June 2003 — a reporting period of 195 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on 6 January 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,054,171CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,987,803CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$66,368CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$15,504CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$23,293CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $58,579 (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 components114CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,881CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components61CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days62.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days717.79CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days309.52CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 166436, read from the public cost report file SNFFY2003.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
BRAZOS HEALTHCARE CENTER12018,034$4,252,864$4,042,157$210,70731 August 2025
COURTYARD NURSING & REHABILITATION12012,630$3,754,390$4,218,432−$464,04231 July 2025
PRAIRIE LIVING CENTER12131,071$6,955,002$7,163,456−$208,45431 August 2025
SMITHVILLE HOSP AUTH-TOWERS NURS HM12041,368$10,899,850$10,616,344$283,50630 June 2025
SONGBIRD LODGE12128,297$7,034,218$6,789,515$244,70331 March 2025
THE LAKES AT TEXAS CITY12019,116$5,966,909$6,149,004−$182,09531 August 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
SMITHVILLE HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 06/27/2016
CHUDLEIGH, JAMESADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
DEKOWSKI, DONOVANADP OF THE SNFIndividualNOT APPLICABLEsince 06/27/2016
GRAY, COLEADP OF THE SNFIndividualNOT APPLICABLEsince 03/17/2025
MIGL, GINAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
OGNOWSKI, DUSTINADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/27/2016
REGENCY IHS OF SMITHVILLE TOWERS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/16/2025
REGENCY IHS REHAB LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/27/2016
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/16/2025
SMITHVILLE HOSPITAL AUTHORITYADP OF THE SNFOrganizationNOT APPLICABLEsince 06/16/2025
WILSON, LINDACORPORATE OFFICERIndividualNOT APPLICABLEsince 07/19/2023
REGENCY IHS OF SMITHVILLE TOWERS LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/27/2016
CSV RHEA MANAGEMENT HOLDCO, LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/27/2016
DWD TX HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/27/2016
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/27/2016
REG BRIDGE OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/27/2016
REG HG OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/27/2016
REG OPERATOR HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/27/2016
REGENCY INTEGRATED HEALTH SERVICES LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/27/2016
REGENCY TEXAS HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 06/27/2016
BAIRD, DANIELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/13/2021
BUNTE, MARKMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/27/2020
CLAPP, BARBARAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 06/01/2021
CORTESE, DARENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/10/2021
FULCHER, ANNMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/22/2015
GIBSON, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/01/2021
MANDELBAUM, ELLIOTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2025
WILSON, LINDAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 07/19/2023
DEKOWSKI, DONOVANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/27/2016
GRAY, COLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/17/2025
REGENCY IHS OF SMITHVILLE TOWERS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/27/2016
REGENCY INTEGRATED HEALTH SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/27/2016
SMITHVILLE HOSPITAL AUTHORITYOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/27/2016

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SMITHVILLE HOSPITAL AUTHORITY (enrollment ID O20160715000910).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
SMITHVILLE HOSPITAL AUTHORITYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
COLE DONALD GRAYIndividualADP 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.3/17/2025
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.
DONOVAN R DEKOWSKIIndividualADP 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.6/27/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DUSTIN OGNOWSKIIndividualADP 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.
GINA MIGLIndividualADP 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.
JAMES CHUDLEIGHIndividualADP 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.
REGENCY IHS CLINICAL CONSULTING, 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.6/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY IHS OF SMITHVILLE TOWERS 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.6/16/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY IHS REHAB 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.6/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY INTEGRATED HEALTH SERVICES 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.6/16/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SMITHVILLE HOSPITAL AUTHORITYOrganizationADP 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.6/16/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
LINDA O WILSONIndividualCORPORATE OFFICER07/19/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
REGENCY IHS OF SMITHVILLE TOWERS LLCOrganizationDIRECT OWNERSHIP INTEREST06/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
CSV RHEA MANAGEMENT HOLDCO, LLCOrganizationINDIRECT OWNERSHIP INTEREST1006/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
DWD TX HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST06/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganizationINDIRECT OWNERSHIP INTEREST06/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
REG BRIDGE OPCO LLCOrganizationINDIRECT OWNERSHIP INTEREST06/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
REG HG OPCO LLCOrganizationINDIRECT OWNERSHIP INTEREST06/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
REG OPERATOR HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTEREST06/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationINDIRECT OWNERSHIP INTEREST06/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY TEXAS HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST06/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
ANN FULCHERIndividualMANAGING 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.1/22/2015
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.
BARBARA B CLAPPIndividualMANAGING 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.6/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANIEL S BAIRDIndividualMANAGING 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.4/13/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAREN A CORTESEIndividualMANAGING 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.8/10/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ELLIOT J MANDELBAUMIndividualMANAGING 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.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 O WILSONIndividualMANAGING 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.7/19/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK BUNTEIndividualMANAGING 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.10/27/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PATRICIA GIBSONIndividualMANAGING 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.8/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
COLE DONALD GRAYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/17/2025
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.
DONOVAN R DEKOWSKIIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.6/27/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
REGENCY IHS OF SMITHVILLE TOWERS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1006/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL06/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No
SMITHVILLE HOSPITAL AUTHORITYOrganizationOPERATIONAL/MANAGERIAL CONTROL1006/27/2016
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
131 July 202531 July 202581
26 June 20246 June 202480
319 April 202319 April 202310

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

Deficiencies cited

17 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
11 June 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DYesDeficient, Provider has date of correction19 June 2026
11 June 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction19 June 2026
1 April 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correction8 April 2026
1 April 2026HealthF 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 correction8 April 2026
29 January 2026HealthF 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.DYesDeficient, Provider has date of correction30 January 2026
31 July 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction1 August 2025
31 July 2025HealthF 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 correction1 August 2025
31 July 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction1 August 2025
20 August 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.KYesPast Non-Compliance9 August 2024
6 June 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction7 June 2024
6 June 2024HealthF 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 correction7 June 2024
6 June 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correction7 June 2024
6 June 2024HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DNoDeficient, Provider has date of correction7 June 2024
6 June 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction7 June 2024
6 June 2024HealthF 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 correction7 June 2024
6 June 2024HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.ENoDeficient, Provider has date of correction7 June 2024
3 August 2023HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DYesDeficient, Provider has date of correction4 August 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
20 August 2024Fine$15,239113143

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 TypeNon profit - Corporation
Legal Business NameSMITHVILLE HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services2002-12-17
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishBastrop
Telephone Number5122374606
Chain NameWELLSENTIAL HEALTH
Chain ID670
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day111.3
Overall Rating4
Health Inspection Rating4
QM Rating5
Long-Stay QM Rating5
Short-Stay QM Rating3
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, TOWERS NURSING HOME — facility record report, CMS certification number 675942. https://velarionrecords.com/facility/675942/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 675942. 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 2017908,0132,184.896,600.6914,031.3122,816.89
2017Q230 June 2017918,0192,105.996,618.8913,977.2822,702.16
2017Q330 September 2017928,2942,250.516,145.3113,954.3322,350.15
2017Q431 December 2017928,3041,949.737,415.2815,446.6824,811.69
2018Q131 March 2018908,0031,564.937,101.2816,047.5324,713.74
2018Q230 June 2018917,7291,923.436,956.3914,716.4823,596.3
2018Q330 September 2018927,858594.127,657.615,558.7923,810.51
2018Q431 December 2018927,3621,179.278,062.0215,697.9724,939.26
2019Q131 March 2019907,3171,344.517,955.3113,898.1923,198.01
2019Q230 June 2019917,6911,882.058,509.2714,143.9824,535.3
2019Q330 September 2019927,8381,336.819,316.7515,202.4825,856.04
2019Q431 December 2019929,0251,563.339,202.5619,386.9730,152.86
2020Q230 June 2020919,2872,451.637,992.1420,765.9131,209.68
2020Q330 September 2020929,0552,047.918,092.7519,09329,233.66
2020Q431 December 2020929,1061,549.638,355.6417,631.3227,536.59
2021Q131 March 2021908,4071,896.997,919.6617,526.8827,343.53
2021Q230 June 2021919,2971,184.288,578.1318,002.8227,765.23
2021Q330 September 2021929,4411,828.946,902.0717,975.5226,706.53
2021Q431 December 2021929,8732,593.396,652.0418,910.628,156.03
2022Q131 March 2022909,8792,6256,698.8517,950.4827,274.33
2022Q230 June 2022919,9192,590.597,905.1715,976.2926,472.05
2022Q330 September 2022929,9032,554.37,544.3719,982.5230,081.19
2022Q431 December 20229210,6952,608.968,223.7321,593.0332,425.72
2023Q131 March 20239010,5032,696.548,049.9720,971.731,718.21
2023Q230 June 20239110,6643,097.178,279.5820,355.5931,732.34
2023Q330 September 20239210,8313,163.027,334.6322,45932,956.65
2023Q431 December 20239210,6662,855.896,767.2622,420.2232,043.37
2024Q131 March 20249110,5113,092.388,106.6420,924.332,123.32
2024Q230 June 20249110,4422,597.238,783.4819,865.3831,246.09
2024Q330 September 20249210,4171,837.379,127.1219,702.4430,666.93
2024Q431 December 20249210,9441,725.39,096.1719,232.3130,053.78
2025Q131 March 20259010,1922,034.078,677.8118,081.6228,793.5
2025Q230 June 20259110,4382,190.838,019.0617,724.2127,934.1
2025Q330 September 20259210,5842,402.87,178.1116,679.9426,260.85
2025Q431 December 20259210,1982,048.117,630.1116,663.8726,342.09
2026Q131 March 20269010,0142,063.078,291.3115,567.9325,922.31
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
2017Q10.2726680.8237481.7510682.847484
2017Q20.2626250.8254011.743022.831046
2017Q30.2713420.7409341.6824612.694737
2017Q40.2347940.8929771.8601492.98792
2018Q10.1955430.8873272.0051893.088059
2018Q20.2488590.9000381.904063.052956
2018Q30.0756070.9744971.9799943.030098
2018Q40.1601831.0950862.1322973.387566
2019Q10.1837521.0872371.8994383.170426
2019Q20.2447081.1063931.839033.190131
2019Q30.1705551.1886641.9395873.298806
2019Q40.1732221.0196742.1481413.341037
2020Q20.2639850.8605732.2360193.360577
2020Q30.2261630.8937332.1085593.228455
2020Q40.1701770.9175971.9362313.024005
2021Q10.2256440.9420322.0847963.252472
2021Q20.1273830.9226771.9364122.986472
2021Q30.1937230.7310741.9039852.828782
2021Q40.2626750.6737611.9153852.851821
2022Q10.2657150.678091.8170342.760839
2022Q20.2611750.7969721.6106752.668822
2022Q30.2579320.7618272.0178253.037584
2022Q40.2439420.7689322.0189843.031858
2023Q10.256740.7664451.9967343.019919
2023Q20.2904320.7764051.9088142.975651
2023Q30.2920340.6771892.0735853.042808
2023Q40.2677560.634472.1020273.004254
2024Q10.2942040.7712531.9907053.056162
2024Q20.2487290.8411681.902452.992347
2024Q30.1763820.8761751.8913742.943931
2024Q40.1576480.8311561.7573382.746142
2025Q10.1995750.8514331.7740992.825108
2025Q20.209890.7682561.6980472.676193
2025Q30.2270220.6782041.5759582.481184
2025Q40.2008340.7481971.6340332.583064
2026Q10.2060190.8279721.5546172.588607

How each quarter is derived, and its file

  • 2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv
  • 2017Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin; they are read as hrs_lpnadmin. CMS's file labels its last six hours columns hrs_medaide, hrs_medaide_emp, hrs_rn_donadmin, hrs_na_trn, hrs_natrn_emp, hrs_natrn_ctr; they are read by position as Hrs_MedAide_emp, Hrs_MedAide_ctr, Hrs_NAtrn, Hrs_NAtrn_emp, Hrs_NAtrn_ctr, Hrs_MedAide, the order in which each total equals its employee and contract parts on every row. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv
  • 2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv
  • 2017Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv
  • 2018Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv
  • 2018Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv
  • 2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv
  • 2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv
  • 2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv
  • 2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv
  • 2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv
  • 2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv
  • 2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv
  • 2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv
  • 2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv
  • 2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv
  • 2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv
  • 2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv
  • 2021Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. The file's `incomplete` column flags 0 of this facility's days as 1; those days are included as filed. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv
  • 2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv
  • 2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
  • 2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
  • 2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
  • 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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