Facility record report · CMS certification number 675978

Sunset Valley Rehabilitation and Healthcare Center

LITTLEFIELD, Texas · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$2,466,141	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$388,746	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,854,887	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,783,744	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$928,857	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$189,787	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$739,070	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$739,070 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	29,280	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	918	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	10,978	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	2,718	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	14,614	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	16	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	49	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	23	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	88	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	224.04	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	166.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436040, 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 30 May 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$2,912,987	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$617,247	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,530,234	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,137,320	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$607,086	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$320,484	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$286,602	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$286,602 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,938	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	90	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	141.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	192	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	177.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1379929, 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 4 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$2,831,204	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$759,934	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,591,138	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,720,041	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$128,903	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$335,133	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$206,230	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $206,230 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,268	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	72	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	242.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	259.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	212.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361173, 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 25 July 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,090,574	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$521,053	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,611,627	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,574,471	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$37,156	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$565,865	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$603,021	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $603,021 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,232	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	61	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	146	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	360.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	249.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1327873, 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 27 August 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$3,209,078	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$471,816	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,680,894	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,970,308	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$289,414	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$169,137	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$120,277	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$120,277 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,168	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	90	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	83.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	443.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	179.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1297372, 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 23 September 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$3,628,316	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$380,253	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,248,063	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,327,500	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$79,437	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$257,452	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$178,015	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $178,015 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,537	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	64	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	98.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	450.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	289.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1269351, 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 5 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,855,779	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$353,121	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,502,658	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,401,213	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$101,445	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$219	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$101,664	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $101,664 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,172	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	60	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	86.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	400.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	319.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239634, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 March 2017 to 31 December 2017 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$2,646,645	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$192,683	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,453,962	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,756,835	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$302,873	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$157	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$302,716	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$302,716 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,578	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	50	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	471.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	331.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209259, 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 17 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$2,770,275	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$20,171	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,750,104	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,641,425	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$108,679	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,753	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$110,432	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $110,432 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,700	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	55	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	664.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	303.64	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169233, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$2,722,968	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$40,146	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,763,114	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,716,832	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$46,282	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,522	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$47,804	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $47,804 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,901	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	83	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	507.03	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	203.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1137768, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 February 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$2,668,884	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$47,896	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,716,780	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,742,909	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$26,129	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$418	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$25,711	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$25,711 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,698	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	71	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	81.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	324.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	221.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118433, 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 June 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,064,262	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$54,440	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,118,702	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,020,232	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$98,470	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$587	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$99,057	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $99,057 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,742	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	107	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	284.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	165.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1067122, 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
Figure	As filed	Where it comes from
Total patient revenue	$3,410,533	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$319,558	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,090,975	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,993,574	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$97,401	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$445	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$97,846	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $97,846 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,695	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	92	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	111.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	302.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	192.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1041578, 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
Figure	As filed	Where it comes from
Total patient revenue	$2,892,907	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$410,324	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,482,583	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,743,406	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$260,823	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$244	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$260,579	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$260,579 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,622	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	104	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	338.54	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	159.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014284, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 July 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,376,119	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,486,240	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$110,121	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$828	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$109,293 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,268	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	82	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	107.07	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	639	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	198.39	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 410531, 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 2 June 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,714,390	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,517,550	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$196,840	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$540	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $197,380 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,690	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	85	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	77.59	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	511.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	208.12	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 372090, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,110,194	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,289,588	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$179,394	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,323	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$178,071 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	17,253	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	72	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.48	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	686.7	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	239.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 349332, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$2,176,303	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,195,433	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$19,130	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$271	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$18,859 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,889	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	97	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	77.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	487.45	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	194.73	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 320134, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,108,563	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,255,717	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$147,154	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$251	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$146,903 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,405	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	177	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	192.61	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	109.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 291813, 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 24 July 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,276,413	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,110,053	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$166,360	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$515	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $166,875 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,231	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	90	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	165.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	589.97	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	235.9	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 259567, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$1,966,652	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,094,065	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$127,413	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$401	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$127,012 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,323	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	80	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	102.46	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,285.4	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	229.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 230012, read from the public cost report file SNFFY2004.zip.

Cost report for 25 June 2003 to 31 December 2003 — a reporting period of 189 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 4 August 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$1,164,667	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,227,796	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$63,129	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$536	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$62,593 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	80	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,208	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	82	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	168	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	248.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	124.49	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 189361, 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.

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
ARBOR GRACE WELLNESS	80	14,614	$2,854,887	$3,783,744	−$928,857	31 December 2024
BCHD DBA ST JOSEPH MANOR	81	20,118	$10,089,852	$8,724,395	$1,365,457	31 December 2024
BEAUMONT HEALTH CARE CENTER	82	5,451	$1,397,035	$1,343,532	$53,503	31 August 2024
CROWELL NURSING CENTER	80	16,886	$3,689,890	$3,596,523	$93,367	31 August 2024
FOCUSED CARE AT LAMESA	80	17,684	$3,850,814	$3,974,823	−$124,009	31 August 2024
TEXAN NURSING & REHAB OF GONZALES	80	15,322	$3,484,870	$3,158,909	$325,961	31 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 manager	Role	Type	Ownership percentage	Association
SMITH, DAWNE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	100%	since 03/01/2017
LITTLEFIELD SMITH, LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 01/01/2008
SHEPPEL LITTLEFIELD, LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 01/01/2008
SMITH FAMILY 2001 TRUST	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 01/01/2008
THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 01/01/2008
GEORGE, CINDY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2017
LITTLEFIELD SMITH, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2008
PARAMOUNT HEALTHCARE CONSULTANTS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2017
RIOJAS, DIANA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/26/2023
SHEPPEL LITTLEFIELD, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2008
SMITH FAMILY 2001 TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2008
THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2008
SHEPPEL, RUSSELL	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/13/2025
SMITH, BRADLEY	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/13/2025
RIOJAS, DIANA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/26/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PDM OPERATORS LLC (enrollment ID O20170522001873).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
DAWNE R SMITH	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	3/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LITTLEFIELD SMITH, LLC	Organization	5% OR GREATER MORTGAGE INTEREST	57.5	1/1/2008	Private equity company: No Real estate investment trust: No Holding company: No
SHEPPEL LITTLEFIELD, LLC	Organization	5% OR GREATER MORTGAGE INTEREST	42.5	1/1/2008	Private equity company: No Real estate investment trust: No Holding company: No
SMITH FAMILY 2001 TRUST	Organization	5% OR GREATER MORTGAGE INTEREST	57.5	1/1/2008	Private equity company: No Real estate investment trust: No Holding company: No
THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST	Organization	5% OR GREATER MORTGAGE INTEREST	42.5	1/1/2008	Private equity company: No Real estate investment trust: No Holding company: No
CINDY LEA GEORGE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DIANA RIOJAS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/26/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LITTLEFIELD SMITH, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2008	Private equity company: No Real estate investment trust: No Holding company: No
PARAMOUNT HEALTHCARE CONSULTANTS, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
SHEPPEL LITTLEFIELD, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2008	Private equity company: No Real estate investment trust: No Holding company: No
SMITH FAMILY 2001 TRUST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2008	Private equity company: No Real estate investment trust: No Holding company: No
THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2008	Private equity company: No Real estate investment trust: No Holding company: No
DIANA RIOJAS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/26/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 August 2025: ROSIE RENDON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DAWNE R SMITH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SHEPPEL LITTLEFIELD, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SHEPPEL LITTLEFIELD, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LITTLEFIELD SMITH, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LITTLEFIELD SMITH, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CINDY LEA GEORGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: PARAMOUNT HEALTHCARE CONSULTANTS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SMITH FAMILY 2001 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SMITH FAMILY 2001 TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DIANA RIOJAS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DIANA RIOJAS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 January 2023: ALLINE BURLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ROSIE RENDON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	26 February 2026	26 February 2026	10	5
2	22 November 2024	22 November 2024	8	2
3	10 October 2023	10 October 2023	20	0

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

Deficiencies cited

38 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
26 February 2026	Health	F 0576	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	E	No	Deficient, Provider has date of correction	2 March 2026
26 February 2026	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C	No	Deficient, Provider has date of correction	2 March 2026
26 February 2026	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E	No	Deficient, Provider has date of correction	2 March 2026
26 February 2026	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	E	No	Deficient, Provider has date of correction	2 March 2026
26 February 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	2 March 2026
26 February 2026	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	2 March 2026
26 February 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	2 March 2026
26 February 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	2 March 2026
26 February 2026	Health	F 0926	Environmental Deficiencies	Have policies on smoking.	D	No	Deficient, Provider has date of correction	2 March 2026
22 December 2025	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	Yes	Deficient, Provider has date of correction	21 January 2026
15 January 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	30 January 2025
22 November 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	10 December 2024
22 November 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	10 December 2024
22 November 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	D	No	Deficient, Provider has date of correction	20 December 2024
22 November 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	10 December 2024
22 November 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	10 December 2024
26 August 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	J	Yes	Deficient, Provider has date of correction	27 August 2024
26 August 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	J	Yes	Deficient, Provider has date of correction	27 August 2024
5 June 2024	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	Yes	Deficient, Provider has date of correction	5 July 2024
5 June 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	5 July 2024
5 June 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	5 July 2024
5 June 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	D	Yes	Deficient, Provider has date of correction	8 June 2024
28 February 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	29 March 2024
28 February 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	E	Yes	Deficient, Provider has date of correction	29 March 2024
1 November 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	15 November 2023
10 October 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	10 November 2023
10 October 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	10 November 2023
10 October 2023	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	10 November 2023
10 October 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	10 November 2023
10 October 2023	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	10 November 2023
10 October 2023	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	10 November 2023
10 October 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	10 November 2023
10 October 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	E	No	Deficient, Provider has date of correction	10 November 2023
10 October 2023	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	10 November 2023
10 October 2023	Health	F 0791	Quality of Life and Care Deficiencies	Provide or obtain dental services for each resident.	D	No	Deficient, Provider has date of correction	14 November 2023
10 October 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	10 November 2023
29 August 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	Yes	Deficient, Provider has date of correction	1 October 2023
29 August 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	G	Yes	Deficient, Provider has date of correction	1 October 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
26 August 2024	Fine	$15,944			113148
29 August 2023	Fine	$28,490			111325
29 August 2023	Payment Denial		30 September 2023	1

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	PDM OPERATORS LLC
Date First Approved to Provide Medicare and Medicaid Services	2003-06-25
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Lamb
Telephone Number	8063856600
Chain Name	PARAMOUNT HEALTHCARE CONSULTANTS
Chain ID	396
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	80
Average Number of Residents per Day	42.7
Overall Rating	1
Health Inspection Rating	2
QM Rating	1
Long-Stay QM Rating	1
Short-Stay QM Rating	1
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 August 2025: ROSIE RENDON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DAWNE R SMITH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SHEPPEL LITTLEFIELD, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SHEPPEL LITTLEFIELD, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LITTLEFIELD SMITH, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: LITTLEFIELD SMITH, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CINDY LEA GEORGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: PARAMOUNT HEALTHCARE CONSULTANTS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SMITH FAMILY 2001 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: SMITH FAMILY 2001 TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DIANA RIOJAS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: DIANA RIOJAS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
30 May 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
4 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
1 January 2023: ALLINE BURLEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
1 January 2023: ROSIE RENDON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
25 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
27 August 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
23 September 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
5 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
26 February 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
17 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
2 February 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
23 June 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
23 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
19 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
2 June 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
14 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
23 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
13 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
24 July 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
4 August 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
4 August 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, Sunset Valley Rehabilitation and Healthcare Center — facility record report, CMS certification number 675978. https://velarionrecords.com/facility/675978/report.

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

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 675978. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q3	30 September 2017	92	4,998	300	5,165.15	8,765.11	14,230.26
2018Q1	31 March 2018	90	4,926	472.25	4,861.84	7,659.75	12,993.84
2018Q2	30 June 2018	91	4,782	1,430.65	4,841.43	7,993.96	14,266.04
2018Q3	30 September 2018	92	4,695	1,192.73	4,530.88	7,461.73	13,185.34
2018Q4	31 December 2018	92	4,885	1,168.9	4,660.13	7,630.1	13,459.13
2019Q1	31 March 2019	90	4,664	1,156.87	4,443.83	6,763.62	12,364.32
2019Q2	30 June 2019	91	4,599	1,179.7	4,500.73	6,821.85	12,502.28
2019Q3	30 September 2019	92	4,657	1,129.55	4,468.51	6,395.42	11,993.48
2019Q4	31 December 2019	92	4,715	1,151.05	4,509.57	7,063.81	12,724.43
2020Q2	30 June 2020	91	3,967	1,476.18	3,843.5	6,994.2	12,313.88
2020Q3	30 September 2020	92	3,947	1,048.29	3,826.74	7,419.57	12,294.6
2020Q4	31 December 2020	92	3,854	1,199.37	4,496.75	8,974.41	14,670.53
2021Q1	31 March 2021	90	3,555	938.59	2,927.25	6,332.99	10,198.83
2021Q2	30 June 2021	91	3,733	1,129.35	3,406.25	5,687.16	10,222.76
2021Q3	30 September 2021	92	3,849	990.51	3,714.83	5,933.35	10,638.69
2021Q4	31 December 2021	92	4,151	927.94	2,201.5	4,632.78	7,762.22
2022Q1	31 March 2022	90	3,891	766.6	2,618.5	5,522.87	8,907.97
2022Q2	30 June 2022	91	3,714	1,155.83	3,539.04	4,983.75	9,678.62
2022Q3	30 September 2022	92	3,815	1,190.7	3,614.56	5,250.06	10,055.32
2022Q4	31 December 2022	92	3,854	863.52	3,449.08	5,470.6	9,783.2
2023Q1	31 March 2023	90	3,885	1,503.99	3,011.18	4,838.4	9,353.57
2023Q2	30 June 2023	91	4,184	1,701.25	3,163.84	6,172.57	11,037.66
2023Q3	30 September 2023	92	4,012	1,268.25	3,848.96	6,459.44	11,576.65
2023Q4	31 December 2023	92	3,948	1,276.25	3,507.79	6,426.53	11,210.57
2024Q1	31 March 2024	91	3,629	1,351.52	3,003.07	5,701.39	10,055.98
2024Q2	30 June 2024	91	3,714	1,261.75	3,459.09	5,543.75	10,264.59
2024Q3	30 September 2024	92	3,748	1,311.25	3,740.2	5,527.14	10,578.59
2024Q4	31 December 2024	92	3,506	1,300	3,311.53	5,317.85	9,929.38
2025Q1	31 March 2025	90	3,195	1,302	3,585.74	5,347.34	10,235.08
2025Q2	30 June 2025	91	3,065	1,182.75	3,537.83	5,275.38	9,995.96
2025Q3	30 September 2025	92	3,521	1,009	3,976.23	5,184.06	10,169.29
2025Q4	31 December 2025	92	4,148	846.75	4,582.6	6,051.63	11,480.98
2026Q1	31 March 2026	90	3,844	1,155.74	3,743.22	6,930.22	11,829.18

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q3	0.060024	1.033443	1.753723	2.847191
2018Q1	0.095869	0.986975	1.554963	2.637808
2018Q2	0.299174	1.012428	1.671677	2.983279
2018Q3	0.254043	0.965044	1.589293	2.808379
2018Q4	0.239284	0.953967	1.561945	2.755195
2019Q1	0.248042	0.952794	1.450176	2.651012
2019Q2	0.256512	0.978632	1.483333	2.718478
2019Q3	0.242549	0.959525	1.373292	2.575366
2019Q4	0.244125	0.956431	1.498157	2.698713
2020Q2	0.372115	0.968868	1.763096	3.104079
2020Q3	0.265592	0.969531	1.8798	3.114923
2020Q4	0.311201	1.166775	2.328596	3.806572
2021Q1	0.26402	0.823418	1.781432	2.868869
2021Q2	0.302531	0.91247	1.523482	2.738484
2021Q3	0.257342	0.965142	1.54153	2.764014
2021Q4	0.223546	0.530354	1.116064	1.869964
2022Q1	0.197019	0.672963	1.419396	2.289378
2022Q2	0.311209	0.952892	1.341882	2.605983
2022Q3	0.31211	0.94746	1.376163	2.635733
2022Q4	0.224058	0.894935	1.41946	2.538454
2023Q1	0.387127	0.775079	1.245405	2.407611
2023Q2	0.406609	0.756176	1.47528	2.638064
2023Q3	0.316114	0.959362	1.61003	2.885506
2023Q4	0.323265	0.888498	1.627794	2.839557
2024Q1	0.372422	0.82752	1.571064	2.771006
2024Q2	0.339728	0.931365	1.492663	2.763756
2024Q3	0.349853	0.997919	1.474691	2.822463
2024Q4	0.370793	0.944532	1.516786	2.832111
2025Q1	0.407512	1.122297	1.673659	3.203468
2025Q2	0.385889	1.154268	1.721168	3.261325
2025Q3	0.286566	1.12929	1.472326	2.888182
2025Q4	0.204135	1.104773	1.458927	2.767835
2026Q1	0.300661	0.973783	1.802867	3.07731

How each quarter is derived, and its file

2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv
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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