Facility record report · CMS certification number 676006

RICHMOND HEALTH CARE CENTER

RICHMOND, 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 September 2024 to 31 August 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 February 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$5,587,942	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,305,088	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,282,854	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,462,685	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,179,831	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$289,582	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$890,249	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$890,249 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	33,580	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	865	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	15,656	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	3,247	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	19,768	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	14	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	78	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	62	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	154	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	61.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	200.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	128.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447859, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2024 to 31 August 2024 — a reporting period of 243 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 4 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$4,111,494	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,083,972	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,027,522	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,853,602	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$826,080	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$149	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$825,931	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$825,931 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,069	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	117	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	175.03	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	111.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1404604, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 June 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,996,225	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,545,102	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,451,123	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,544,864	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,093,741	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$54,840	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,038,901	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,038,901 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,548	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	159	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	266.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	129.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1386882, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,310,314	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,070,541	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,239,773	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,066,693	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$826,920	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$325,312	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$501,608	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$501,608 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,562	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	176	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	90.62	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	141.53	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	94.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359380, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$3,684,365	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$950,870	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,733,495	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,200,853	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,467,358	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$353,008	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,114,350	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,114,350 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,868	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	110	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	240.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	107.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328983, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 July 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,308,536	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,099,692	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,208,844	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,421,896	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,213,052	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$252,632	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$960,420	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$960,420 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,450	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	107	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	215.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	125.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1289042, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 May 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,683,404	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,818,043	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,865,361	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,634,328	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$768,967	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,326	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$761,641	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$761,641 (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	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,893	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	150	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	223.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	125.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1284895, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,528,191	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,032,059	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,496,132	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,598,483	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$102,351	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$153	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$102,198	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$102,198 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,648	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	63.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	222.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	150.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1243943, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$6,438,074	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,029,250	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,408,824	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,594,703	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$185,879	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,147	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$183,732	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$183,732 (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	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,081	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	123	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	84.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	278.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	171.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210601, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 June 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$6,251,858	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,246,194	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,005,664	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,860,363	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$854,699	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,740	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$851,959	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$851,959 (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	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,763	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	133	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	74.95	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	263	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1194207, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 December 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$5,898,440	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,551,211	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,347,229	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,418,187	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,070,958	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,646	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,069,312	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,069,312 (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	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,620	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	146	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	248.4	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	134.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1181546, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 August 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,342,404	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,391,540	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,950,864	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,152,025	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,798,839	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$1,798,839	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,798,839 (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	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,225	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	143	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	59.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	205.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	134.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1108081, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$3,754,451	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,078,694	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,675,757	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,501,814	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$826,057	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	−$826,057	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$826,057 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,285	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	79	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	340.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	218.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074263, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,449,023	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$963,477	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,485,546	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,761,450	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$275,904	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$170	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$275,734	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$275,734 (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	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,612	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	99	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	294.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	198.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045283, read from the public cost report file SNF10FY2012.zip.

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

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$3,674,993	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$421,678	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,253,315	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,570,045	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$316,730	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$50,816	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$265,914	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$265,914 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,902	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	85	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	75.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	296.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	210.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014795, read from the public cost report file SNF10FY2011.zip.

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

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,667,495	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,811,850	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$144,355	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,924	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$137,431 (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	92	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,428	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	95	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	92.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	296.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	225.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414511, read from the public cost report file SNFFY2010.zip.

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

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,217,557	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,994,416	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$223,141	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,125	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $230,266 (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	92	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,899	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	122	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	55.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	294.71	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	204.09	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381289, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 6 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$4,300,043	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,040,045	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$259,998	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$25,189	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $285,187 (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	92	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,168	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	122	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	76.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	296.73	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	230.89	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 354029, read from the public cost report file SNFFY2008.zip.

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

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,171,606	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,777,995	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$393,611	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$26,159	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $419,770 (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	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	28,804	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	119	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	104.06	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	295.55	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	242.05	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 320095, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 August 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,657,131	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,403,935	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$253,196	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$36,279	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $289,475 (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	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,238	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	96	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	176.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	297.17	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	273.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292008, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,983,753	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,171,832	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$188,079	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$782	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$187,297 (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	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,529	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	110	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.82	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	294.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	232.08	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 265197, read from the public cost report file SNFFY2005.zip.

Cost report for 1 April 2004 to 31 December 2004 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 13 March 2006.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,853,382	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,841,867	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$11,515	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,358	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $12,873 (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	99	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,109	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	97	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	199	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	290.69	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	279.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 244885, read from the public cost report file SNFFY2004.zip.

Five facilities of a similar size in Texas, fiscal year 2025

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
FOSSIL CREEK HEALTHCARE INC.	92	20,938	$6,694,558	$5,880,689	$813,869	30 June 2025
HAMILTON HOSPITAL DBA GOLDTHWAITE	94	18,781	$3,446,423	$3,389,707	$56,716	31 August 2025
RICHMOND HEALTH CARE CENTER	92	19,768	$4,282,854	$5,462,685	−$1,179,831	31 August 2025
SUNFLOWER PARK HEALTH CARE	92	19,992	$4,750,033	$5,752,909	−$1,002,876	31 March 2025
UVALDE CNTY HOSP AUTH-ROCKPORT N&RC	92	27,494	$6,606,961	$7,766,694	−$1,159,733	30 June 2025
WOODLAKE NURSING CENTER	93	13,350	$3,074,220	$3,095,672	−$21,452	31 August 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
HEALTH SERVICES MANAGEMENT, INC.	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 01/01/2024
RICHMOND REALTY, LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 01/01/2024
HEALTH SERVICES MANAGEMENT, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2024
HSMTX/RICHMOND, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/09/2025
KASSAM, ZULEIKHA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/12/2024
NGO, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2024
RICHMOND REALTY, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2024
MURRELL, EDWARD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2024
HSMTX/RICHMOND, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2024
KASSAM, ZULEIKHA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/12/2024
WHITE, JOSHUA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20240304000728).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
WINNIE-STOWELL HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
HEALTH SERVICES MANAGEMENT, INC.	Organization	5% OR GREATER MORTGAGE INTEREST	100	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
RICHMOND REALTY, LLC	Organization	5% OR GREATER MORTGAGE INTEREST	100	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
HEALTH SERVICES MANAGEMENT, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
HSMTX/RICHMOND, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/9/2025	Private equity company: No Real estate investment trust: No Holding company: No
MICHAEL NGO	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.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RICHMOND REALTY, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
ZULEIKHA KASSAM	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.	2/12/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	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.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EDWARD R MURRELL	Individual	CORPORATE DIRECTOR	0	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
HSMTX/RICHMOND, LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	1/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
JOSHUA L WHITE	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.	1/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ZULEIKHA KASSAM	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.	2/12/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: ZULEIKHA KASSAM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ZULEIKHA KASSAM 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: ZULEIKHA KASSAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ZULEIKHA KASSAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 June 2025: HEALTH SERVICES MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HEALTH SERVICES MANAGEMENT, INC. appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHMOND REALTY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHMOND REALTY, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MICHAEL NGO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HSMTX/RICHMOND, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ZULEIKHA KASSAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ZULEIKHA KASSAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
3 June 2024: HEALTH SERVICES MANAGEMENT, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: SCOTT FISHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: KEVIN BAXTER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: KEVIN BAXTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: BRIAN JACKSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JOSHUA L WHITE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JOSHUA L WHITE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JIM SHATZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JIM SHATZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: DEBBIE PECK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: DEBBIE PECK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JOSHUA L WHITE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: WINNIE-STOWELL HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: EDWARD R MURRELL appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: HSMTX/RICHMOND, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
5 January 2024: JAMES USSERY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: JAMES USSERY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: WILLIAM H NEELY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: SCOTT FISHER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: BRIAN JACKSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: DEBBIE PECK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: DEBBIE PECK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	25 September 2025	25 September 2025	0	0
2	29 August 2024	29 August 2024	7	4
3	8 June 2023	8 June 2023	16	1

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

Deficiencies cited

23 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
10 July 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	28 July 2025
29 August 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E	Yes	Deficient, Provider has date of correction	17 September 2024
29 August 2024	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	14 September 2024
29 August 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	14 September 2024
29 August 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	17 September 2024
29 August 2024	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	17 September 2024
29 August 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	14 September 2024
9 February 2024	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	D	Yes	Deficient, Provider has date of correction	27 February 2024
9 February 2024	Health	F 0626	Resident Rights Deficiencies	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	D	Yes	Deficient, Provider has date of correction	27 February 2024
9 February 2024	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	Yes	Deficient, Provider has date of correction	28 February 2024
9 February 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	27 February 2024
12 January 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	5 February 2024
13 November 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	Yes	Deficient, Provider has date of correction	30 November 2023
13 November 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.	D	Yes	Deficient, Provider has date of correction	30 November 2023
13 November 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	30 November 2023
13 November 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.	K	Yes	Deficient, Provider has date of correction	30 November 2023
13 November 2023	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.	F	Yes	Deficient, Provider has date of correction	30 November 2023
13 November 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	30 November 2023
8 June 2023	Health	F 0620	Resident Rights Deficiencies	Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.	D	No	Deficient, Provider has date of correction	15 June 2023
8 June 2023	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	15 June 2023
8 June 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	15 June 2023
8 June 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	15 June 2023
8 June 2023	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	D	No	Deficient, Provider has date of correction	15 June 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
9 February 2024	Fine	$4,017			112383
13 November 2023	Fine	$74,019			111772

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	Non profit - Corporation
Legal Business Name	WINNIE-STOWELL HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2004-04-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Fort Bend
Telephone Number	2812388006
Chain Name	HEALTH SERVICES MANAGEMENT
Chain ID	257
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	92
Average Number of Residents per Day	53.3
Overall Rating	4
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	4
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: ZULEIKHA KASSAM no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ZULEIKHA KASSAM 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: ZULEIKHA KASSAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ZULEIKHA KASSAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
17 February 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 June 2025: HEALTH SERVICES MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HEALTH SERVICES MANAGEMENT, INC. appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHMOND REALTY, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: RICHMOND REALTY, LLC appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: MICHAEL NGO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: HSMTX/RICHMOND, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ZULEIKHA KASSAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
1 June 2025: ZULEIKHA KASSAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
4 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
26 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
3 June 2024: HEALTH SERVICES MANAGEMENT, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: SCOTT FISHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: KEVIN BAXTER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: KEVIN BAXTER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: BRIAN JACKSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JOSHUA L WHITE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JOSHUA L WHITE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JIM SHATZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JIM SHATZ no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: DEBBIE PECK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: DEBBIE PECK no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: JOSHUA L WHITE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: WINNIE-STOWELL HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: EDWARD R MURRELL appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
3 June 2024: HSMTX/RICHMOND, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
5 January 2024: JAMES USSERY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: JAMES USSERY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: WILLIAM H NEELY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: SCOTT FISHER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: BRIAN JACKSON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: DEBBIE PECK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
5 January 2024: DEBBIE PECK appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
20 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
4 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
15 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
27 May 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
27 September 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
24 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
19 June 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
28 December 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
17 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
30 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
1 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
3 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
14 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
6 August 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
23 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
15 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
26 October 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
13 March 2006: 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, RICHMOND HEALTH CARE CENTER — facility record report, CMS certification number 676006. https://velarionrecords.com/facility/676006/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 676006. 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	4,915	1,484	6,558	9,965.5	18,007.5
2017Q2	30 June 2017	91	5,191	1,980.25	6,266.25	10,157.5	18,404
2017Q3	30 September 2017	92	5,409	2,973.25	5,505.75	11,350.5	19,829.5
2017Q4	31 December 2017	92	5,718	2,486.75	5,967.25	10,907	19,361
2018Q1	31 March 2018	90	5,333	2,364.5	5,962.5	10,378.75	18,705.75
2018Q2	30 June 2018	91	5,377	2,147	6,357.75	10,108.75	18,613.5
2018Q3	30 September 2018	92	5,496	1,697.75	6,709.25	10,024	18,431
2018Q4	31 December 2018	92	5,560	1,804.25	6,659.5	10,312.75	18,776.5
2019Q2	30 June 2019	91	5,007	1,886.75	6,258	9,764.5	17,909.25
2019Q3	30 September 2019	92	4,144	1,680.25	5,233.25	9,220.5	16,134
2019Q4	31 December 2019	92	4,192	2,102.5	4,743.75	9,186.25	16,032.5
2020Q1	31 March 2020	91	4,059	1,691	4,819.75	8,429.25	14,940
2020Q2	30 June 2020	91	4,140	1,422.25	5,283.25	7,743	14,448.5
2020Q3	30 September 2020	92	2,774	2,102.25	6,215.75	6,608.75	14,926.75
2020Q4	31 December 2020	92	2,529	1,581.5	4,576.75	6,254.75	12,413
2021Q1	31 March 2021	90	2,752	1,686.5	4,016	5,917.25	11,619.75
2021Q2	30 June 2021	91	2,970	1,741.5	4,649.05	5,812.3	12,202.85
2021Q3	30 September 2021	92	3,187	1,642	3,024.5	4,883.75	9,550.25
2021Q4	31 December 2021	92	3,186	1,293.27	4,789.48	6,006.2	12,088.95
2022Q1	31 March 2022	90	3,218	822.25	3,805	4,765.5	9,392.75
2022Q3	30 September 2022	92	4,564	1,334.65	6,584.75	7,410.25	15,329.65
2022Q4	31 December 2022	92	4,749	1,234.5	6,910	10,284.5	18,429
2023Q1	31 March 2023	90	5,033	944.75	7,090.27	11,348.75	19,383.77
2023Q2	30 June 2023	91	4,952	1,663.25	5,924.5	10,816.5	18,404.25
2023Q3	30 September 2023	92	5,062	3,078.25	5,044.5	10,244.75	18,367.5
2023Q4	31 December 2023	92	5,489	2,975	5,054	10,261.25	18,290.25
2024Q1	31 March 2024	91	5,137	2,561.5	5,956.9	10,551.5	19,069.9
2024Q2	30 June 2024	91	4,658	2,555	5,255.95	8,746.25	16,557.2
2024Q3	30 September 2024	92	4,868	3,674.25	4,187.75	8,814.25	16,676.25
2024Q4	31 December 2024	92	4,660	3,279.25	4,398.75	8,170.42	15,848.42
2025Q1	31 March 2025	90	4,898	1,948.25	3,761.17	8,512.24	14,221.66
2025Q2	30 June 2025	91	5,204	1,944.75	4,491.75	9,930.5	16,367
2025Q3	30 September 2025	92	4,993	1,785.5	4,486	12,047.25	18,318.75
2025Q4	31 December 2025	92	4,814	1,931.25	4,166.5	11,603.75	17,701.5
2026Q1	31 March 2026	90	4,793	2,117	4,058.25	11,371.75	17,547

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	0.301933	1.334283	2.027569	3.663784
2017Q2	0.381478	1.207137	1.956752	3.545367
2017Q3	0.549686	1.017887	2.098447	3.66602
2017Q4	0.434899	1.04359	1.907485	3.385974
2018Q1	0.443371	1.118039	1.946137	3.507547
2018Q2	0.399293	1.182397	1.879998	3.461689
2018Q3	0.308906	1.220751	1.823872	3.35353
2018Q4	0.324505	1.197752	1.854811	3.377068
2019Q2	0.376822	1.24985	1.95017	3.576842
2019Q3	0.405466	1.26285	2.225024	3.89334
2019Q4	0.501551	1.13162	2.191376	3.824547
2020Q1	0.416605	1.187423	2.076681	3.68071
2020Q2	0.343539	1.276147	1.87029	3.489976
2020Q3	0.757841	2.240717	2.38239	5.380948
2020Q4	0.625346	1.809707	2.473211	4.908264
2021Q1	0.612827	1.459302	2.150164	4.222293
2021Q2	0.586364	1.565337	1.957003	4.108704
2021Q3	0.515218	0.949012	1.532397	2.996627
2021Q4	0.405923	1.503289	1.885185	3.794397
2022Q1	0.255516	1.182411	1.480889	2.918816
2022Q3	0.29243	1.442759	1.623631	3.358819
2022Q4	0.259949	1.455043	2.165614	3.880606
2023Q1	0.187711	1.408756	2.254868	3.851335
2023Q2	0.335874	1.196385	2.184269	3.716529
2023Q3	0.608109	0.996543	2.023854	3.628507
2023Q4	0.541993	0.920751	1.869421	3.332164
2024Q1	0.498637	1.159607	2.05402	3.712264
2024Q2	0.548519	1.128371	1.877684	3.554573
2024Q3	0.754776	0.860261	1.810651	3.425688
2024Q4	0.703702	0.943938	1.753309	3.400948
2025Q1	0.397764	0.767899	1.737901	2.903565
2025Q2	0.373703	0.863134	1.908244	3.145081
2025Q3	0.357601	0.898458	2.412828	3.668886
2025Q4	0.401174	0.865496	2.410418	3.677088
2026Q1	0.441686	0.846704	2.372575	3.660964

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
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
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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