Facility record report · CMS certification number 675998

LEGACY AT TOWN CREEK

PALESTINE, 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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 February 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$11,170,933	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$11,170,933	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,201,038	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$30,105	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$30,105	CMS-2540-10 worksheet G300000 line 2500 column 100

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	199	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	72,834	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,772	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	25,754	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	19,477	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	48,003	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	57	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	78	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	209	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	344	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	330.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447777, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$11,582,828	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$11,582,828	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,597,375	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$14,547	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,547	CMS-2540-10 worksheet G300000 line 2500 column 100

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,899	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	351	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	457.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	88.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375494, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$9,314,212	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$9,314,212	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,401,969	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,087,757	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,087,757	CMS-2540-10 worksheet G300000 line 2500 column 100

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	42,786	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	356	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	239.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.19	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344789, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,881,486	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$9,881,486	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,903,334	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$21,848	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$21,848	CMS-2540-10 worksheet G300000 line 2500 column 100

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	44,110	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	261	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	387.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	169	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314067, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 June 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$10,480,998	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$10,480,998	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,508,191	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$27,193	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$27,193	CMS-2540-10 worksheet G300000 line 2500 column 100

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	51,735	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	260	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.05	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	650	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	198.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1285513, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 March 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$12,963,786	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$12,963,786	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,998,108	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$34,322	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$42,187	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$7,865	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $7,865 (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	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	60,540	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	425	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.49	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	286.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	142.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252686, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 April 2018 to 30 September 2018 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 March 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$8,850,250	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,735,415	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,114,835	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,930,307	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$184,528	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$30,275	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$214,803	CMS-2540-10 worksheet G300000 line 2600 column 100

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,309	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	162	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	353.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	193.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221818, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 February 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$11,029,857	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,351,374	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,678,483	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,895,580	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,217,097	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$697,548	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,519,549	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,519,553 (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	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	60,034	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	224	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,183.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	268.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183912, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 January 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$10,858,639	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,414,842	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,443,797	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,142,208	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,698,411	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$963,974	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$734,437	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$734,428 (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	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,802	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	201	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,500.61	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	312.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151836, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$11,026,804	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,324,165	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,702,639	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,113,642	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,411,003	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$374,867	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,036,136	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,036,134 (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	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,034	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	144	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	75.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,044.12	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	430.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1117482, read from the public cost report file SNF10FY2014.zip.

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

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$10,389,436	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$10,389,436	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,852,981	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$463,545	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$143,536	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$320,009	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$320,007 (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	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	62,748	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	126	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	5,532	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	498	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1124519, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 January 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$10,937,680	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$927,246	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,010,434	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,920,092	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$90,342	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$144,404	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$234,746	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $234,746 (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	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	65,115	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	270	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	74.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	296.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	241.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1054417, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$10,381,647	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$817,981	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,563,666	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,701,501	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$137,835	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$154,457	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$16,622	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $16,622 (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	199	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	65,213	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	276	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	67.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	296.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	236.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024008, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 February 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$8,865,051	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,891,771	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$26,720	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$148,461	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $121,741 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	199	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	60,715	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	272	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.46	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	298.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	223.22	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 425110, read from the public cost report file SNFFY2010.zip.

Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 December 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$7,629,932	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,633,955	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$4,023	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$146,241	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $142,218 (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	205	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	55,824	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	234	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	69.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	297.04	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	238.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 422577, read from the public cost report file SNFFY2009.zip.

Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 January 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$7,349,089	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,182,830	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$166,259	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$149,088	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $315,347 (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	161	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	56,115	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	229	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	75.26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	297.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	245.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 362494, read from the public cost report file SNFFY2008.zip.

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

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$7,026,767	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,675,978	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$350,789	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$139,216	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $490,005 (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	161	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	57,254	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	212	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	108.61	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	298.7	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	270.07	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 331203, read from the public cost report file SNFFY2007.zip.

Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$6,956,735	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,739,030	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$217,705	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$165,738	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $383,443 (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	161	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	56,770	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	240	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	64.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	296.98	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	236.54	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 300948, read from the public cost report file SNFFY2006.zip.

Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 January 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$6,590,811	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,537,584	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$53,227	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$215,966	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $269,193 (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	161	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	57,033	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	233	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	66.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	296.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	244.78	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 270491, read from the public cost report file SNFFY2005.zip.

Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 January 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$6,141,664	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,238,921	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$97,257	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$318,275	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $221,018 (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	161	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	56,043	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	228	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	70.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	298.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	245.8	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 241931, read from the public cost report file SNFFY2004.zip.

Cost report for 8 January 2004 to 30 June 2004 — a reporting period of 174 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 19 October 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$5,709,172	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,982,576	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$273,404	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$355,021	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $81,617 (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	1,610	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	56,373	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	175	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	118.63	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	349.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	322.13	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 234950, read from the public cost report file SNFFY2004.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
AMISTAD NURSING AND REHABILITATION C	200	32,590	$7,800,340	$7,864,131	−$63,791	31 March 2024
HARKER HEIGHTS NURSING & REHABILITAT	199	47,704	$10,361,759	$12,649,873	−$2,288,114	30 June 2024
HOPKINS CO HOS DIS-LONGVIEW HILL NRC	198	42,840	$9,563,270	$9,933,905	−$370,635	31 December 2024
LEGACY AT TOWN CREEK	199	48,003	$11,170,933	$11,201,038	−$30,105	30 September 2024
SENIOR REHABILITION & SKILLED NURSIN	199	27,181	$6,847,436	$9,026,608	−$2,179,172	30 September 2024
TWIN PINES NURSING AND REHABILITATIO	200	37,437	$8,257,532	$9,536,393	−$1,278,861	31 March 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
LIBERTY COUNTY HOSPITAL DISTRICT NO 1	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 04/01/2018
ADEWALE, ADEBAYO	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
BAUDER FAMILY INVESTMENTS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2025
BAUDER, KELLY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
BAUDER, MADISON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
BAUDER, PARKER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
BAUDER, WILLIAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
BOULWARE ST JAMES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2025
BOULWARE, STEVEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
BOULWARE, THOMAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
FRANKLIN, BRADLEY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
PMG REALCO- PALESTINE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2025
STEVEN BOULWARE FAMILY INVESTMENTS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2025
WALKER, KATIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2025
STRATTON, CHARLES	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2018
BOULWARE, DOUGLAS	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/24/2026
BOULWARE, SANDRA	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/24/2026
ADEWALE, ADEBAYO	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2025
FRANKLIN, BRADLEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2025
PMG OPCO- PALESTINE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (enrollment ID O20180419000223).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
LIBERTY COUNTY HOSPITAL DISTRICT NO 1	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	4/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
ADEBAYO SHAKIR ADEWALE	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BAUDER FAMILY INVESTMENTS, 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.	10/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
BOULWARE ST JAMES 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.	10/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
BRADLEY FRANKLIN	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KATIE B WALKER	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KELLY P BAUDER	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MADISON R BAUDER	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PARKER C BAUDER	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PMG REALCO- PALESTINE 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.	10/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
STEVEN BOULWARE FAMILY INVESTMENTS 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.	10/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
STEVEN D BOULWARE	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS C BOULWARE	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM M BAUDER	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHARLES BRUCE STRATTON	Individual	CORPORATE OFFICER	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.	4/1/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ADEBAYO SHAKIR ADEWALE	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRADLEY FRANKLIN	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.	10/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PMG OPCO- PALESTINE LLC	Organization	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.	10/1/2025	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: LARRY BELTRAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SOUTHWEST LTC- PALESTINE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BAUDER FAMILY INVESTMENTS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM M BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MADISON R BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRADLEY FRANKLIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRADLEY FRANKLIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELLY P BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BOULWARE ST JAMES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PARKER C BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEVEN D BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PMG OPCO- PALESTINE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KATIE B WALKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ADEBAYO SHAKIR ADEWALE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ADEBAYO SHAKIR ADEWALE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEVEN BOULWARE FAMILY INVESTMENTS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PMG REALCO- PALESTINE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THOMAS C BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	6 August 2025	6 August 2025	6	2
2	31 July 2024	31 July 2024	7	1
3	26 April 2023	26 April 2023	25	1

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
7 January 2026	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	Yes	Deficient, Provider has date of correction	8 January 2026
8 October 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	G	Yes	Deficient, Provider has date of correction	9 October 2025
6 August 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	10 September 2025
6 August 2025	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 September 2025
6 August 2025	Health	F 0813	Nutrition and Dietary Deficiencies	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	D	No	Deficient, Provider has date of correction	10 September 2025
6 August 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	10 September 2025
31 July 2024	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	B	No	Deficient, Provider has date of correction	12 August 2024
31 July 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	No	Deficient, Provider has date of correction	12 August 2024
31 July 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	12 August 2024
31 July 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	12 August 2024
31 July 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.	F	No	Deficient, Provider has date of correction	12 August 2024
31 July 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	12 August 2024
31 July 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	D	Yes	Deficient, Provider has date of correction	12 August 2024
6 June 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	K	Yes	Deficient, Provider has date of correction	7 June 2024
6 June 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	K	Yes	Deficient, Provider has date of correction	7 June 2024
6 June 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.	E	Yes	Deficient, Provider has date of correction	7 June 2024
6 June 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	K	Yes	Deficient, Provider has date of correction	7 June 2024
6 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.	G	Yes	Deficient, Provider has date of correction	7 June 2024
6 June 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	7 June 2024
22 January 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	Yes	Deficient, Provider has date of correction	14 February 2024
22 January 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.	E	Yes	Deficient, Provider has date of correction	14 February 2024
8 August 2023	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	9 August 2023
26 April 2023	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	12 May 2023
26 April 2023	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	E	No	Deficient, Provider has date of correction	19 May 2023
26 April 2023	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	19 May 2023
26 April 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	E	No	Deficient, Provider has date of correction	20 May 2023
26 April 2023	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.	E	No	Deficient, Provider has date of correction	16 May 2023
26 April 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	19 May 2023
26 April 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.	E	No	Deficient, Provider has date of correction	27 April 2023
26 April 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	15 May 2023
26 April 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	19 May 2023
26 April 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	12 May 2023
26 April 2023	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	12 May 2023
26 April 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	12 May 2023
26 April 2023	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	E	No	Deficient, Provider has date of correction	19 May 2023
26 April 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	27 May 2023
26 April 2023	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	1 May 2023
26 April 2023	Health	F 0926	Environmental Deficiencies	Have policies on smoking.	D	No	Deficient, Provider has date of correction	15 May 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
8 October 2025	Fine	$10,358			135323
6 June 2024	Fine	$284,250			113023

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	Government - Hospital district
Legal Business Name	LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Date First Approved to Provide Medicare and Medicaid Services	2004-01-08
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Anderson
Telephone Number	9037278500
Chain Name	SOUTHWEST LTC
Chain ID	481
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	199
Average Number of Residents per Day	77.2
Overall Rating	1
Health Inspection Rating	2
QM Rating	2
Long-Stay QM Rating	2
Short-Stay QM Rating	2
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: LARRY BELTRAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SOUTHWEST LTC- PALESTINE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BAUDER FAMILY INVESTMENTS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM M BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MADISON R BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRADLEY FRANKLIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BRADLEY FRANKLIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KELLY P BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: BOULWARE ST JAMES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PARKER C BAUDER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEVEN D BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PMG OPCO- PALESTINE LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KATIE B WALKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ADEBAYO SHAKIR ADEWALE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ADEBAYO SHAKIR ADEWALE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEVEN BOULWARE FAMILY INVESTMENTS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PMG REALCO- PALESTINE LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THOMAS C BOULWARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
13 February 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
22 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
22 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
4 June 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
17 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
25 March 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
16 October 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
15 February 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
25 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
25 May 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
20 January 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
27 January 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
24 January 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
27 February 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
27 December 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
15 January 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
30 December 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
24 January 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
16 January 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
31 January 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
19 October 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.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, LEGACY AT TOWN CREEK — facility record report, CMS certification number 675998. https://velarionrecords.com/facility/675998/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 2017Q1 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 675998. 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
2017Q1	31 March 2017	90	14,608	4,236	12,839.5	39,473.2	56,548.7
2017Q2	30 June 2017	91	14,656	4,182.75	12,879.5	39,988.75	57,051
2017Q3	30 September 2017	92	15,457	4,329.25	13,185.25	40,983.25	58,497.75
2017Q4	31 December 2017	92	16,143	4,416	12,612.5	39,121	56,149.5
2018Q1	31 March 2018	90	15,523	4,428.75	12,380.75	35,970.25	52,779.75
2018Q2	30 June 2018	91	15,532	4,347	12,721.5	34,309.2	51,377.7
2018Q3	30 September 2018	92	15,689	3,769.5	13,456.6	35,230.51	52,456.61
2018Q4	31 December 2018	92	15,891	4,339.14	14,299.77	36,813.8	55,452.71
2019Q1	31 March 2019	90	15,167	3,062.07	14,809.55	40,090.26	57,961.88
2019Q2	30 June 2019	91	14,721	4,341.01	14,131.37	40,424.44	58,896.82
2019Q3	30 September 2019	92	14,644	5,591.82	13,212.97	40,674.88	59,479.67
2019Q4	31 December 2019	92	13,788	4,675.83	12,133.17	33,286.95	50,095.95
2020Q1	31 March 2020	91	12,600	5,426.47	10,929.55	31,099.71	47,455.73
2020Q2	30 June 2020	91	12,747	6,874.34	9,805.6	29,456.82	46,136.76
2020Q3	30 September 2020	92	12,423	6,845.45	9,293.84	27,769.79	43,909.08
2020Q4	31 December 2020	92	12,053	5,836.42	11,958.48	32,907.55	50,702.45
2021Q1	31 March 2021	90	10,482	4,976.62	9,840.23	27,081.28	41,898.13
2021Q2	30 June 2021	91	10,502	4,624.61	9,051.18	21,964.58	35,640.37
2021Q3	30 September 2021	92	11,040	4,305.65	9,504.89	24,832.03	38,642.57
2021Q4	31 December 2021	92	10,570	3,829.6	9,703.76	23,301.34	36,834.7
2022Q1	31 March 2022	90	9,882	3,440.45	8,564.55	20,780.54	32,785.54
2022Q2	30 June 2022	91	11,368	3,653.24	8,468.09	26,369.67	38,491
2022Q3	30 September 2022	92	10,888	4,050.16	12,089.84	27,409.39	43,549.39
2022Q4	31 December 2022	92	11,741	4,191.66	12,128.43	29,810.88	46,130.97
2023Q1	31 March 2023	90	11,720	4,419.29	12,440.02	32,473.73	49,333.04
2023Q2	30 June 2023	91	11,807	5,507.27	10,858.63	33,282.19	49,648.09
2023Q3	30 September 2023	92	11,704	5,617.72	8,510.25	28,923.79	43,051.76
2023Q4	31 December 2023	92	12,608	4,409.7	11,067.99	30,056.58	45,534.27
2024Q1	31 March 2024	91	12,609	5,267.86	11,314.41	29,647.83	46,230.1
2024Q2	30 June 2024	91	11,982	5,200.46	10,035.95	31,414.86	46,651.27
2024Q3	30 September 2024	92	10,900	5,368.09	8,116.14	36,559.38	50,043.61
2024Q4	31 December 2024	92	9,282	4,138.39	7,161.41	24,977.73	36,277.53
2025Q1	31 March 2025	90	8,741	2,849.99	7,108.22	21,757.64	31,715.85
2025Q2	30 June 2025	91	8,370	2,648.93	7,120.23	19,308.99	29,078.15
2025Q3	30 September 2025	92	8,072	2,670.46	7,506.69	21,199.97	31,377.12
2025Q4	31 December 2025	92	7,919	2,451.1	7,545.63	16,732.91	26,729.64
2026Q1	31 March 2026	90	6,949	1,890.75	7,623.95	13,895.6	23,410.3

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
2017Q1	0.289978	0.878936	2.702163	3.871077
2017Q2	0.285395	0.878787	2.72849	3.892672
2017Q3	0.280083	0.853028	2.651436	3.784547
2017Q4	0.273555	0.781298	2.423403	3.478257
2018Q1	0.285302	0.797575	2.317223	3.4001
2018Q2	0.279874	0.819051	2.208936	3.307861
2018Q3	0.240264	0.857709	2.245555	3.343528
2018Q4	0.273056	0.899866	2.316645	3.489567
2019Q1	0.20189	0.976432	2.643256	3.821578
2019Q2	0.294886	0.959946	2.746039	4.000871
2019Q3	0.381851	0.902279	2.77758	4.061709
2019Q4	0.339123	0.87998	2.414197	3.633301
2020Q1	0.430672	0.867425	2.468231	3.766328
2020Q2	0.539291	0.769248	2.310883	3.619421
2020Q3	0.55103	0.748116	2.235353	3.534499
2020Q4	0.48423	0.992158	2.730237	4.206625
2021Q1	0.474778	0.938774	2.583599	3.99715
2021Q2	0.440355	0.861853	2.091466	3.393675
2021Q3	0.390005	0.86095	2.249278	3.500233
2021Q4	0.362308	0.918047	2.204479	3.484834
2022Q1	0.348153	0.866682	2.102868	3.317703
2022Q2	0.321362	0.744906	2.31964	3.385908
2022Q3	0.371984	1.110382	2.517394	3.99976
2022Q4	0.35701	1.032998	2.539041	3.929049
2023Q1	0.377073	1.061435	2.770796	4.209304
2023Q2	0.466441	0.919677	2.818852	4.204971
2023Q3	0.479983	0.727123	2.471274	3.67838
2023Q4	0.349754	0.877855	2.383929	3.611538
2024Q1	0.417786	0.897328	2.351323	3.666437
2024Q2	0.434023	0.837586	2.621838	3.893446
2024Q3	0.492485	0.7446	3.354072	4.591157
2024Q4	0.445851	0.771537	2.690986	3.908374
2025Q1	0.326049	0.813204	2.489148	3.628401
2025Q2	0.316479	0.850685	2.306928	3.474092
2025Q3	0.33083	0.929967	2.626359	3.887156
2025Q4	0.309521	0.952851	2.113008	3.375381
2026Q1	0.27209	1.097129	1.999655	3.368873

How each quarter is derived, and its file

2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv
2017Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin; they are read as hrs_lpnadmin. CMS's file labels its last six hours columns hrs_medaide, hrs_medaide_emp, hrs_rn_donadmin, hrs_na_trn, hrs_natrn_emp, hrs_natrn_ctr; they are read by position as Hrs_MedAide_emp, Hrs_MedAide_ctr, Hrs_NAtrn, Hrs_NAtrn_emp, Hrs_NAtrn_ctr, Hrs_MedAide, the order in which each total equals its employee and contract parts on every row. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv
2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv
2017Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv
2018Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv
2018Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv
2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv
2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv
2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv
2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv
2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv
2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv
2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv
2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv
2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv
2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv
2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv
2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv
2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv
2021Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. The file's `incomplete` column flags 0 of this facility's days as 1; those days are included as filed. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv
2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv
2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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