Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Facility record report · CMS certification number 675949

AVIR AT COWHORN CREEK

TEXARKANA, Texas · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 January 2025 to 31 August 2025 — a reporting period of 242 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on 6 May 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$5,623,155CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$488,317CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,134,838CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,173,979CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$960,859CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$206,212CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,167,071CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,167,071 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components18,468CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,723CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days6,064CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days7,233CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components16,020CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges52CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges13CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges83CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components148CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.37CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days466.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days108.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448931, read from the public cost report file SNF10FY2025.zip.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 March 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,458,979CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$612,490CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,071,469CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,778,225CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$293,244CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$219,936CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$513,180CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $513,180 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,514CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components113CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days63.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,532CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days225.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448468, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 March 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,630,933CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,076,761CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,707,694CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,171,115CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$536,579CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$274,127CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$810,706CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $810,706 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,230CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components165CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,314.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days134.73CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405500, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 June 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,962,228CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,094,026CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,056,254CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,030,615CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$25,639CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$211,391CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$237,030CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $237,030 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,424CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components147CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days90.68CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days678.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1354259, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 June 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,524,407CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,225,759CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,750,166CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,437,329CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$312,837CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,701,349CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,014,186CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,014,186 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,123CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components95CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days79.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days598.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days180.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1321926, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 February 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$3,553,355CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,053,789CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,607,144CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,498,519CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$108,625CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$610,656CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$719,281CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $719,281 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,494CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components139CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,316.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days118.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342508, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 April 2019 to 31 December 2019 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 February 2022.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$3,234,552CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$273,828CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,508,380CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,226,139CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$282,241CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$856CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$283,097CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $283,097 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,989CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components125CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days820CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311093, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 April 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$2,869,362CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,779,661CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,649,023CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,585,684CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$63,339CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,440CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$64,779CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $64,779 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,323CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components188CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.21CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days766.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254822, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 November 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$3,148,560CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,142,765CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,291,325CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,346,731CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$55,406CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$55,406CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$55,406 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,713CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components284CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days149.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days79.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1246538, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$2,924,726CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$598,865CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,523,591CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,783,477CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$259,886CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$259,886CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$259,886 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,245CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components234CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days204.39CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days77.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1203731, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 June 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$3,470,326CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$398,527CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,868,853CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,992,137CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$123,284CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$123,284CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$123,284 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,264CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components283CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days942.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days64.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1159231, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 March 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$5,040,006CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$784,031CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,255,975CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,065,145CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$190,830CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$190,830CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $190,830 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,455CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components299CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,153CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1121462, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 August 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,410,119CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$3,087CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,413,206CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,255,061CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$158,145CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$35CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$158,180CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $158,180 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,184CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components274CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days420.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days70.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108316, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 December 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$4,949,463CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$548,297CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,401,166CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,109,650CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$291,516CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$291,516CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $291,516 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,731CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components301CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days443.13CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081460, read from the public cost report file SNF10FY2012.zip.

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

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$4,340,546CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$18,044CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,322,502CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,264,575CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$57,927CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,237CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$69,164CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $69,164 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,817CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components301CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days421.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014790, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 August 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,173,978CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,810,146CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$363,832CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,853CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $371,685 (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 components76CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,533CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components353CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.96CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days451.29CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days52.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414509, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,523,217CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,969,727CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$553,490CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,663CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $555,153 (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 components76CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components17,230CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components337CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.08CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days429.17CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days51.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381288, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 16 November 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,604,810CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,140,115CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$464,695CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,544CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $472,239 (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 components76CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,792CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components370CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.51CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days435.67CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days53.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 359143, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 July 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,234,440CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,884,559CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$349,881CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,361CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $352,242 (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 components76CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,104CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components227CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.23CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days197.6CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days106.19CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322198, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 July 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$4,826,510CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,381,963CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,444,547CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $1,444,547 (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 components76CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,079CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components223CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.81CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days195.1CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days99.01CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 289374, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 September 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$3,292,421CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,332,610CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$40,189CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$40,182 (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 components76CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,324CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components213CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days109.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 262447, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 7 November 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$2,965,852CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,650,668CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$315,184CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $315,184 (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 components76CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,341CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components237CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days30.23CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days85.83CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 236326, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 May 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,645,825CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,382,404CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$263,421CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $263,421 (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 components76CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,157CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components199CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days91.24CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 216241, 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
ANDERSON NURSING CENTER763,260$579,069$534,051$45,01831 March 2025
AVIR AT WOODLANDS7623,295$6,747,206$6,158,556$588,65030 June 2025
CITY OF ENNIS DBA WATERTON7616,020$5,134,838$4,173,979$960,85931 August 2025
CROWELL NURSING CENTER8017,646$3,976,078$3,600,411$375,66731 August 2025
FOCUSED CARE AT LAMESA8016,317$3,566,903$3,790,395−$223,49231 August 2025
PECAN CREEK HEALTHCARE CENTER7613,368$2,864,951$2,712,656$152,29531 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
GUADALUPE COUNTY HOSPITAL BOARD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 09/01/2025
5524 COWHORN CREEK PROPERTY OWNER, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 09/01/2025
BETTS, BRITNEYADP OF THE SNFIndividualNOT APPLICABLEsince 09/01/2025
FERGUSON, CLAYADP OF THE SNFIndividualNOT APPLICABLEsince 09/01/2025
WELLTOWER INCADP OF THE SNFOrganizationNOT APPLICABLEsince 09/01/2025
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 09/01/2025
WELLTOWER OP, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 09/01/2025
GANN, KODYCORPORATE OFFICERIndividualNOT APPLICABLEsince 09/01/2025
DAGAN, AMITAIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 09/14/2025
FREUND, NOCHUMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 09/14/2025
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 09/14/2025
GOLDBERGER, FAIGYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 09/14/2025
5524 COWHORN CREEK OPCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/01/2025
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of GUADALUPE COUNTY HOSPITAL BOARD (enrollment ID O20251023002615).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
GUADALUPE COUNTY HOSPITAL BOARDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1009/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
5524 COWHORN CREEK PROPERTY OWNER, 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.9/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
BRITNEY BETTSIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/1/2025
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.
CLAY WALT FERGUSONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/1/2025
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.
WELLTOWER INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/1/2025
Private equity company: No
Real estate investment trust: Yes
Holding company: No
WELLTOWER NNN GROUP, 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.9/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
WELLTOWER OP, 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.9/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
KODY GANNIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/1/2025
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.
5524 COWHORN CREEK OPCO LLCOrganizationOPERATIONAL/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.9/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
AARON TRAVITSKYIndividualOPERATIONAL/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.9/1/2025
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.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
112 February 202612 February 2026281
24 December 20244 December 2024210
316 November 202316 November 2023163

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

Deficiencies cited

65 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
13 April 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction14 April 2026
12 February 2026HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.ENoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionDNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.ENoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 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 correction13 February 2026
12 February 2026HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.DNoDeficient, Provider has date of correction13 February 2026
12 February 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction13 February 2026
15 August 2025HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DYesDeficient, Provider has date of correction18 August 2025
15 August 2025HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EYesDeficient, Provider has date of correction18 August 2025
15 August 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KYesDeficient, Provider has date of correction16 August 2025
15 August 2025HealthF 0675Quality of Life and Care DeficienciesHonor each resident's preferences, choices, values and beliefs.KYesDeficient, Provider has date of correction16 August 2025
15 August 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction18 August 2025
15 August 2025HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DYesDeficient, Provider has date of correction18 August 2025
15 August 2025HealthF 0838Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DYesDeficient, Provider has date of correction18 August 2025
9 April 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EYesDeficient, Provider has date of correction10 April 2025
9 April 2025HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DYesDeficient, Provider has date of correction10 April 2025
9 April 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction10 April 2025
4 December 2024HealthF 0553Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.ENoDeficient, Provider has date of correction6 December 2024
4 December 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction6 December 2024
4 December 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correction6 December 2024
4 December 2024HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BNoDeficient, Provider has date of correction6 December 2024
4 December 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction6 December 2024
4 December 2024HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DYesDeficient, Provider has date of correction6 December 2024
4 December 2024HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction6 December 2024
4 December 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction6 December 2024
4 December 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction6 December 2024
4 December 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction6 December 2024
4 December 2024HealthF 0809Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.ENoDeficient, Provider has date of correction6 December 2024
4 December 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 correction6 December 2024
29 October 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction31 October 2024
29 October 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction30 October 2024
29 October 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction30 October 2024
29 October 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correction30 October 2024
29 October 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction1 November 2024
29 October 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction30 October 2024
13 March 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction15 March 2024
13 March 2024HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DYesDeficient, Provider has date of correction15 March 2024
16 November 2023HealthF 0575Resident Rights DeficienciesPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.CYesDeficient, Provider has date of correction17 November 2023
16 November 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction17 November 2023
16 November 2023HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction22 November 2023
16 November 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction22 November 2023
16 November 2023HealthF 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 correction17 November 2023
16 November 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction17 November 2023
16 November 2023HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DNoDeficient, Provider has date of correction17 November 2023
16 November 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction17 November 2023
16 November 2023HealthF 0712Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.ENoDeficient, Provider has date of correction17 November 2023
16 November 2023HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction21 November 2023
16 November 2023HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction17 November 2023
16 November 2023HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DNoDeficient, Provider has date of correction17 November 2023
16 November 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction17 November 2023
16 November 2023HealthF 0940Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.DNoDeficient, Provider has date of correction17 November 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
15 August 2025Fine$30,105134734
15 August 2025Payment Denial13 September 20255

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 TypeGovernment - Hospital district
Legal Business NameGUADALUPE COUNTY HOSPITAL BOARD
Date First Approved to Provide Medicare and Medicaid Services2002-12-16
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishBowie
Telephone Number9032231188
Chain NameAVIR HEALTH GROUP
Chain ID719
Special Focus StatusSFF Candidate
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds76
Average Number of Residents per Day67.8
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating4
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, AVIR AT COWHORN CREEK — facility record report, CMS certification number 675949. https://velarionrecords.com/facility/675949/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 675949. 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
2017Q230 June 2017915,6621,956.257,326.5212,062.0521,344.82
2017Q330 September 2017926,3632,114.258,022.3816,496.6926,633.32
2017Q431 December 2017926,7262,176.378,030.7313,212.2723,419.37
2018Q131 March 2018906,7183,349.726,899.8712,777.2523,026.84
2018Q230 June 2018916,2104,328.656,007.7613,098.7323,435.14
2018Q330 September 2018925,1082,964.256,727.7411,254.5220,946.51
2018Q431 December 2018925,1892,436.57,107.9411,342.3120,886.75
2019Q230 June 2019915,2242,593.835,411.3410,896.7618,901.93
2019Q330 September 2019924,9792,373.84,257.5312,196.4418,827.77
2019Q431 December 2019925,1971,991.34,073.8311,117.717,182.83
2020Q230 June 2020914,8211,205.066,355.910,970.8518,531.81
2020Q330 September 2020923,6231,639.515,246.97,847.6214,734.03
2020Q431 December 2020923,5562,020.494,011.068,510.1714,541.72
2021Q131 March 2021903,7611,233.474,900.326,344.4812,478.27
2021Q230 June 2021914,4321,537.034,928.157,797.214,262.38
2021Q330 September 2021924,6531,642.25,230.628,872.7215,745.54
2021Q431 December 2021924,5841,730.094,822.349,224.5415,776.97
2022Q131 March 2022904,4581,763.545,045.1410,784.7717,593.45
2022Q230 June 2022915,1922,020.023,647.999,640.6515,308.66
2022Q330 September 2022925,2231,853.355,617.6712,674.3220,145.34
2022Q431 December 2022925,4121,423.475,250.0812,696.2719,369.82
2023Q131 March 2023904,9011,744.964,868.912,885.0619,498.92
2023Q230 June 2023915,7762,277.995,635.2512,285.0220,198.26
2023Q330 September 2023925,8182,428.695,525.7112,081.9920,036.39
2023Q431 December 2023925,9232,471.265,441.9312,807.5220,720.71
2024Q131 March 2024916,1722,557.465,384.0814,201.4322,142.97
2024Q230 June 2024915,6342,456.975,075.9312,917.2820,450.18
2024Q330 September 2024926,2552,520.355,259.7215,802.2223,582.29
2024Q431 December 2024926,5202,275.795,276.615,377.9222,930.31
2025Q131 March 2025906,4071,821.115,782.0514,707.0522,310.21
2025Q230 June 2025916,5331,907.15,795.613,336.421,039.1
2025Q330 September 2025926,5241,302.386,255.7812,863.3120,421.47
2025Q431 December 2025926,4472,180.916,093.9714,707.3722,982.25
2026Q131 March 2026906,1052,345.735,729.7311,856.9719,932.43
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
2017Q20.3455051.2939812.1303513.769838
2017Q30.3322731.2607862.5925964.185655
2017Q40.3235761.1939831.9643583.481916
2018Q10.4986191.0270721.9019433.427633
2018Q20.6970450.9674332.1092963.773775
2018Q30.5803151.3170992.2033124.100726
2018Q40.4695511.3698092.1858374.025198
2019Q20.4965221.0358612.0859043.618287
2019Q30.4767620.8550972.4495763.781436
2019Q40.3831630.7838812.1392533.306298
2020Q20.2499611.3183782.2756383.843976
2020Q30.4525281.448222.1660564.066804
2020Q40.5681921.127972.3931864.089348
2021Q10.3279631.302931.6869133.317806
2021Q20.3468031.1119471.7592963.218046
2021Q30.3529341.1241391.9068823.383954
2021Q40.3774191.0519942.0123343.441747
2022Q10.395591.1317052.4191953.946489
2022Q20.3890640.7026171.8568282.948509
2022Q30.3548441.0755642.4266363.857044
2022Q40.2630210.9700812.3459483.57905
2023Q10.3560420.993452.6290683.978559
2023Q20.3943890.9756322.1269083.496929
2023Q30.4174440.9497612.0766573.443862
2023Q40.4172310.9187792.1623373.498347
2024Q10.4143650.872342.3009453.587649
2024Q20.4360970.9009462.2927373.62978
2024Q30.4029340.8408822.5263343.77015
2024Q40.3490480.8092942.3585773.516919
2025Q10.2842380.9024582.2954663.482162
2025Q20.2919180.8871272.041393.220435
2025Q30.1996290.9588871.9716913.130207
2025Q40.3382830.9452412.2812733.564798
2026Q10.3842310.9385311.9421743.264935

How each quarter is derived, and its file

  • 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
  • 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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