Velarion Records

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

Facility record report · CMS certification number 675958

Avir at Citizens Trail

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 June 2024 to 31 December 2024 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$2,191,350CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$468,187CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,659,537CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,612,324CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$47,213CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$149,084CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$196,297CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $196,297 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components24,396CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days710CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,357CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days2,767CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components11,834CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges11CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges5CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges43CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components59CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days64.55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,671.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days200.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436035, 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 13 May 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,287,455CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$618,365CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,905,820CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,662,120CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$243,700CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$481,891CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$725,591CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $725,591 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,988CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components77CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days74.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days742.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days285.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1377663, 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 14 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,198,215CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$162,504CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,360,719CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,039,405CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$321,314CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$261,232CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$582,546CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $582,546 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,345CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components93CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days88.79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days866.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days186.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1356601, 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 14 June 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$2,932,894CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$627,367CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,560,261CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,487,606CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$72,655CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$295,743CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$368,398CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $368,398 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,240CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components71CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days79.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days690.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days200.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1319673, 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 28 October 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$3,418,790CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$642,470CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,061,260CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,694,488CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$366,772CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$394,577CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$761,349CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $761,349 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,545CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components99CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days86.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days776.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days167.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1303392, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 March 2022.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$7,856,938CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,937,927CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,919,011CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,441,591CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$522,580CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$6,971CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$529,551CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$529,551 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,209CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components153CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days256.02CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311302, 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 27 January 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$10,738,630CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,374,834CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,363,796CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,556,115CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$192,319CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,152CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$189,167CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$189,167 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,790CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components237CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days230.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days125.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249938, 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 17 December 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$11,678,223CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,870,042CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,808,181CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,849,349CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$41,168CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$3,158CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$44,326CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$44,326 (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 components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,342CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components332CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days170.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days97.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1216106, 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 19 June 2018.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$12,003,558CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,307,071CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,696,487CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,602,920CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$93,567CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$2,912CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$90,655CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $90,655 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,931CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components290CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days42.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days178.26CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1194203, 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 18 April 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$12,405,157CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,789,611CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,615,546CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,610,282CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$5,264CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$190,649CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$195,913CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $195,913 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,352CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components366CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days45.85CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days88.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1155976, 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 26 October 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$12,085,745CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,824,481CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,261,264CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,064,177CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$197,087CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,693CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$211,780CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $211,780 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,915CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components281CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days280.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1145493, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 April 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$9,980,196CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,262,390CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,717,806CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,621,148CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$96,658CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,674CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$110,332CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $110,332 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,123CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components238CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days268.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089067, 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 23 July 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$8,522,463CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,961,217CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,561,246CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,419,611CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$141,635CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,206CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$155,841CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $155,841 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,317CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components232CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days190.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1041237, 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$5,275,147CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,451,739CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,823,408CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,913,646CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$90,238CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$24,689CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$65,549CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$65,549 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components123CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,858CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components136CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days371.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days197.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1013470, read from the public cost report file SNF10FY2011.zip.

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

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$3,833,610CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,603,564CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,230,046CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$25,183CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,255,229 (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 components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,346CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components111CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,378.75CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days255.37CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414034, 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 16 July 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,011,972CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,857,256CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$154,716CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$33,751CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $188,467 (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 components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,000CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components63CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days107.09CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days945.54CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days460.32CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381913, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,463,553CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,507,860CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$44,307CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,587CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$35,720 (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 components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,825CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components129CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days52.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days589.86CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days207.95CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 351382, 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 24 June 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$3,420,269CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,425,281CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$5,012CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,444CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$3,568 (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 components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,638CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components99CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.58CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days910.09CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days269.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 317039, 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 1 August 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$3,370,520CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,421,069CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$50,549CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$71,783CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $21,234 (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 components123CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,812CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components100CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days70.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days776.58CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days268.12CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 290835, 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 15 September 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$2,919,216CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,223,108CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$303,892CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$49,568CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$254,324 (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 components174CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,749CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components135CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days341.93CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days190.73CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 263128, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 23 December 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,053,226CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,999,606CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$53,620CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,724CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $72,344 (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 components174CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,359CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components162CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.72CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days248.84CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days119.5CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 240034, read from the public cost report file SNFFY2004.zip.

Cost report for 3 April 2003 to 31 December 2003 — a reporting period of 272 days, not a full year, 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$2,224,292CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,501,596CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$277,304CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$140CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$277,164 (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 components174CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components27,736CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components190CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days41.04CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days189.98CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days145.98CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 216243, read from the public cost report file SNFFY2003.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
ALVARADO MEADOWS NURSING & REHABILIT11520,523$1,681,375$2,004,682−$323,30731 December 2024
AVALON PLACE KIRBYVILLE11416,689$3,836,907$4,125,475−$288,56830 September 2024
CHRISTIAN CARE CENTER11411,834$2,659,537$2,612,324$47,21331 December 2024
FAIR PARK HEALTH & REHABILITATION CE1143,634$781,670$1,496,450−$714,78031 March 2024
GSS-DENTON VLG11526,994$7,744,572$10,495,065−$2,750,49331 December 2024
WILLIS NURSING AND REHAB11415,183$3,484,548$3,842,476−$357,92831 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 06/01/2024
1008 CITIZENS TRAIL PROPERTY OWNER LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2025
BRADFORD, JEFFREYADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2024
FERGUSON, CLAYADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2024
JOHNSON, JUSTINADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2024
SLIMMER, CHRISTOPHERADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2024
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2025
WELLTOWER OP, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/01/2025
HOLT, ERINCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/25/2020
KEETON, WENDYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/29/2012
KISSLING, MONICACORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/27/2017
MCBEAN, PATRICIACORPORATE DIRECTORIndividualNOT APPLICABLEsince 08/30/2021
OWENS, ANGELACORPORATE DIRECTORIndividualNOT APPLICABLEsince 06/22/2016
TROMPLER, KELLYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/22/2022
SANDERSON, CLARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/29/2012
1008 CITIZENS TRAIL OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/01/2025
BRADFORD, JEFFREYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2024
FANNIN COUNTY HOSPITAL AUTHORITYOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2024
FERGUSON, CLAYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2024
JOHNSON, JUSTINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2024
SLIMMER, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20240813001578).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
FANNIN COUNTY HOSPITAL AUTHORITYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
1008 CITIZENS TRAIL 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.8/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CHRISTOPHER M SLIMMERIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.6/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JEFFREY BRADFORDIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JUSTIN B JOHNSONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.8/1/2025
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.8/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
ANGELA OWENSIndividualCORPORATE DIRECTOR06/22/2016
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ERIN HOLTIndividualCORPORATE DIRECTOR02/25/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KELLY TROMPLERIndividualCORPORATE DIRECTOR02/22/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MONICA KISSLINGIndividualCORPORATE DIRECTOR06/27/2017
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PATRICIA MCBEANIndividualCORPORATE DIRECTOR08/30/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WENDY KEETONIndividualCORPORATE DIRECTOR010/29/2012
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.
CLARK R SANDERSONIndividualCORPORATE OFFICER010/29/2012
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.
1008 CITIZENS TRAIL 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.8/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CHRISTOPHER M SLIMMERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CLAY WALT FERGUSONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FANNIN COUNTY HOSPITAL AUTHORITYOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JEFFREY BRADFORDIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JUSTIN B JOHNSONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
120 November 202520 November 2025262
221 August 202421 August 202454
312 July 202312 July 2023213

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

Deficiencies cited

52 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
20 November 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 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 correction21 November 2025
20 November 2025HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.ENoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correction21 November 2025
20 November 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.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 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 correction21 November 2025
20 November 2025HealthF 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 correction21 November 2025
20 November 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.FNoDeficient, Provider has date of correction21 November 2025
20 November 2025HealthF 0926Environmental DeficienciesHave policies on smoking.DNoDeficient, Provider has date of correction21 November 2025
21 August 2024HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correction22 August 2024
21 August 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correction22 August 2024
21 August 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 correction22 August 2024
21 August 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction22 August 2024
21 August 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 correction22 August 2024
17 July 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.JYesPast Non-Compliance8 October 2023
17 July 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.JYesPast Non-Compliance8 October 2023
24 February 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.KYesDeficient, Provider has date of correction13 March 2024
24 February 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.KYesDeficient, Provider has date of correction13 March 2024
24 February 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.KYesDeficient, Provider has date of correction13 March 2024
24 February 2024HealthF 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.DYesDeficient, Provider has date of correction13 March 2024
24 February 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction13 March 2024
12 July 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.ENoDeficient, Provider has date of correction9 August 2023
12 July 2023HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correction9 August 2023
12 July 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction9 August 2023
12 July 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 correction9 August 2023
12 July 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correction9 August 2023
12 July 2023HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correction9 August 2023
12 July 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction9 August 2023
12 July 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JNoDeficient, Provider has date of correction9 August 2023
12 July 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction9 August 2023
12 July 2023HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correction9 August 2023
12 July 2023HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FNoDeficient, Provider has date of correction9 August 2023
12 July 2023HealthF 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 correction9 August 2023
12 July 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction9 August 2023
12 July 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction9 August 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
17 July 2024Fine$16,055113040
24 February 2024Fine$104,696112386

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameFANNIN COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services2003-04-03
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishBowie
Telephone Number9038389526
Chain NameAVIR HEALTH GROUP
Chain ID719
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds114
Average Number of Residents per Day52.1
Overall Rating1
Health Inspection Rating1
QM Rating2
Long-Stay QM Rating3
Short-Stay QM Rating1
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 Citizens Trail — facility record report, CMS certification number 675958. https://velarionrecords.com/facility/675958/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 675958. 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 2017918,5361,120.165,534.710,575.6117,230.47
2017Q330 September 2017928,1141,092.895,315.7510,535.3716,944.01
2017Q431 December 2017927,8211,250.914,794.059,969.2216,014.18
2018Q131 March 2018907,6231,196.815,645.638,828.8415,671.28
2018Q230 June 2018917,2729104,860.548,790.2614,560.8
2018Q330 September 2018927,505900.844,708.49,431.9915,041.23
2018Q431 December 2018927,4991,235.244,800.448,893.7514,929.43
2019Q131 March 2019907,2471,367.654,387.658,688.3214,443.62
2019Q230 June 2019915,6161,285.078,348.596,153.8815,787.54
2019Q330 September 2019924,9341,593.397,600.559,312.6118,506.55
2019Q431 December 2019925,0871,532.466,194.828,013.4715,740.75
2020Q230 June 2020914,1891,572.475,633.834,225.1811,431.48
2020Q330 September 2020924,2671,567.525,173.024,244.810,985.34
2020Q431 December 2020923,6011,873.574,694.025,142.7911,710.38
2021Q131 March 2021903,2342,001.083,716.394,043.39,760.77
2021Q230 June 2021913,1101,875.693,849.93,302.729,028.31
2021Q330 September 2021923,7162,115.523,547.483,036.518,699.51
2021Q431 December 2021924,1661,802.944,331.664,252.8310,387.43
2022Q131 March 2022904,1181,716.363,996.864,571.8310,285.05
2022Q230 June 2022914,0411,253.114,582.944,378.2810,214.33
2022Q330 September 2022924,4931,270.925,363.394,100.0310,734.34
2022Q431 December 2022924,9631,335.695,704.537,528.9414,569.16
2023Q131 March 2023904,8901,396.125,992.169,413.4216,801.7
2023Q230 June 2023916,0021,535.556,224.9510,129.8117,890.31
2023Q330 September 2023925,7642,390.435,419.249,264.8217,074.49
2023Q431 December 2023925,4912,725.895,881.79,508.1118,115.7
2024Q131 March 2024914,8243,180.664,484.129,387.7817,052.56
2024Q230 June 2024914,6863,317.664,784.748,738.6516,841.05
2024Q330 September 2024925,0373,222.054,819.458,204.8416,246.34
2024Q431 December 2024925,2653,447.414,908.998,297.7216,654.12
2025Q131 March 2025905,1283,820.714,425.928,530.5816,777.21
2025Q230 June 2025914,6762,611.595,210.357,961.8215,783.76
2025Q330 September 2025924,6282,110.654,838.887,607.4814,557.01
2025Q431 December 2025924,6612,326.174,994.517,967.0615,287.74
2026Q131 March 2026904,6882,268.585,300.948,977.0716,546.59
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
2017Q20.1312280.6483951.2389422.018565
2017Q30.1346920.6551331.2984192.088244
2017Q40.1599420.6129711.2746732.047587
2018Q10.1570.7406051.1581842.055789
2018Q20.1251380.6683911.2087822.00231
2018Q30.1200320.6273681.2567612.004161
2018Q40.1647210.6401441.1859911.990856
2019Q10.1887190.6054441.1988851.993048
2019Q20.2288231.4865721.0957762.811172
2019Q30.3229411.5404441.8874363.750821
2019Q40.301251.2177751.5752843.094309
2020Q20.3753811.344911.0086372.728928
2020Q30.3673591.2123320.9947972.574488
2020Q40.5202921.3035321.4281563.25198
2021Q10.6187631.1491621.2502473.018173
2021Q20.6031161.237911.0619682.902994
2021Q30.56930.954650.8171452.341095
2021Q40.4327751.0397651.0208432.493382
2022Q10.4167950.9705831.1102062.497584
2022Q20.3100991.134111.0834642.527674
2022Q30.2828671.1937210.9125372.389125
2022Q40.269131.1494121.5170142.935555
2023Q10.2855051.2253911.9250353.43593
2023Q20.255841.0371461.6877392.980725
2023Q30.4147170.9401871.6073592.962264
2023Q40.4964291.0711531.7315813.299162
2024Q10.6593410.9295441.9460573.534942
2024Q20.7079941.0210711.8648423.593907
2024Q30.6396760.956811.6289143.2254
2024Q40.6547790.9323821.5760153.163176
2025Q10.7450680.8630891.663533.271687
2025Q20.5585091.1142751.7026993.375483
2025Q30.4560611.0455661.6437943.145421
2025Q40.4990711.0715531.7093033.279927
2026Q10.4839121.1307471.9149043.529563

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

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