Facility record report · CMS certification number 676010

Legacy Rehabilitation and Living

Amarillo, Texas · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 May 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$16,018,021	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,073,142	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,944,879	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,200,413	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$744,466	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,508	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$748,974	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $748,974 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	54,900	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,618	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	27,822	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	6,947	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	36,387	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	40	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	64	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	216	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	320	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	434.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1423100, 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 10 June 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$15,237,936	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,189,727	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,048,209	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,526,994	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$521,215	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$410	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$520,805	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $518,044 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,773	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	305	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	566.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	123.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1382291, 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 1 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$13,759,247	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,806,127	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,953,120	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,185,724	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$767,396	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,704	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$769,100	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $769,100 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,412	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	284	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	632.76	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	117.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1360667, read from the public cost report file SNF10FY2022.zip.

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

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$14,550,332	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,627,195	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,923,137	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,122,461	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,800,676	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,882	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,803,558	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,803,558 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,342	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	294	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	51.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	853.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	127.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1326851, 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 19 July 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$11,910,334	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$769,999	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,140,335	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,461,115	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,679,220	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,184	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,687,404	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,685,356 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,267	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	256	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	575.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	137.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1289728, 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 4 March 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$11,994,292	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,427,805	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,566,487	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,688,323	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,878,164	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,548	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,879,712	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,878,818 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	40,015	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	304	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	547.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	131.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311413, 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 14 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$11,338,159	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,503,656	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,834,503	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,157,808	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,676,695	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,190	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,678,885	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,678,885 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	41,188	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	309	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.98	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	622.04	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	133.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240865, 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	$10,111,719	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,644,577	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,467,142	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,287,639	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,179,503	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$105,221	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,284,724	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,284,724 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	41,111	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	250	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	730.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	164.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210602, 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 18 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$7,973,990	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$723,530	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,250,460	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,404,892	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$845,568	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$38,083	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$807,485	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $807,485 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,247	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	217	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	588.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	162.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173800, read from the public cost report file SNF10FY2016.zip.

Cost report for 20 February 2015 to 31 December 2015 — a reporting period of 314 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$6,740,589	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,074,159	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,666,430	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,252,805	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$413,625	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,494	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$415,119	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $415,119 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,658	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	169	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	669.06	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	175.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1143028, 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 28 November 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$6,045,201	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,029,883	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,015,318	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,977,120	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$38,198	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$60	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$38,258	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $38,258 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,258	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	116	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	478.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	260.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1147037, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 March 2013 to 31 December 2013 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on 12 August 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,753,091	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$700,738	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,052,353	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,045,956	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$6,397	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$157	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$6,554	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $6,554 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,089	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	78	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,197.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	334.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075759, 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 24 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,608,348	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$527,624	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,080,724	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,975,519	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$105,205	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$25,457	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$130,662	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $130,662 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,676	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	46.48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	308.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	185.66	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043618, 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	$6,456,278	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$745,151	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,711,127	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,260,965	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$450,162	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$62,448	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$512,610	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $512,610 (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	150	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,454	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	228	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	71.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	254.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	159.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014164, 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 8 September 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$5,771,553	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,209,185	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$562,368	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$184,277	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$372	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $746,273 (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	150	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,337	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	250	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	61.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	255.43	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	157.35	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 417014, 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 24 June 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,507,525	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,165,991	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$341,534	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$39,474	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$9	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $380,999 (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	150	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,953	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	307	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.63	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	209.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	126.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 378029, 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 22 June 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$5,013,970	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,516,658	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$502,688	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$55,448	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$672	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$447,912 (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	150	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,047	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	499	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	87.44	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	80.25	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 346572, 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	$5,650,254	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,519,004	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$131,250	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$21,399	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$27,442	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $125,207 (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	150	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	41,434	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	543	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	19.17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	116.97	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	76.31	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 318929, read from the public cost report file SNFFY2007.zip.

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

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,818,409	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,851,281	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$32,872	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$95,811	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $62,939 (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	150	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,809	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	155	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	86.62	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	473.42	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	250.38	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 290703, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 July 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,956,190	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,846,610	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$109,580	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$122,765	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$67	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $232,278 (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	140	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	38,267	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	114	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	62.3	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	629.58	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	335.68	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 259570, read from the public cost report file SNFFY2005.zip.

Cost report for 29 March 2004 to 31 December 2004 — a reporting period of 277 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 2 August 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$3,913,675	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,650,796	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$262,879	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$90,287	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $353,166 (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	140	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	45,796	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	72	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	62.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,303.96	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	636.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 229730, read from the public cost report file SNFFY2004.zip.

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

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
FOCUSED CARE AT WAXAHACHIE	152	24,248	$5,585,455	$6,480,920	−$895,465	31 December 2024
HILLTOP VILLAGE	150	43,303	$10,764,389	$12,159,249	−$1,394,860	30 June 2024
LAKESHORE VILLAGE HEALTHCARE CENTER	151	45,207	$12,642,956	$13,352,236	−$709,280	31 August 2024
THORNTREE HEALTHCARE INC.	150	28,217	$9,017,085	$8,201,611	$815,474	30 September 2024
TRADEWIND HEALTHCARE INC.	150	36,387	$11,944,879	$11,200,413	$744,466	31 December 2024
WEST ASHBY HEALTHCARE INC.	150	30,157	$9,484,033	$9,276,786	$207,247	30 June 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
STRATFORD HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 02/02/2015
51ST AVENUE HEALTH HOLDINGS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/02/2015
BROWN, RODGER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/02/2015
CARETRUST GP LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/02/2015
CARETRUST REIT INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/02/2015
CTR PARTNERSHIP LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/02/2015
ENSIGN SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/24/2012
RANKIN, RON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/28/2020
TRADEWIND HEALTHCARE, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/24/2025
BURNAM, SOON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/02/2015
CHUMLEY, RICHARD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/01/2007
KEETCH, CHAD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/01/2011
BROWN, RODGER	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/02/2015
RANKIN, RON	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 07/28/2020
BROWN, RODGER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/02/2015
RANKIN, RON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/28/2020
TRADEWIND HEALTHCARE, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/02/2015

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of STRATFORD HOSPITAL DISTRICT (enrollment ID O20150603000698).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
STRATFORD HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	2/2/2015	Private equity company: No Real estate investment trust: No Holding company: No
51ST AVENUE HEALTH HOLDINGS 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.	2/2/2015	Private equity company: No Real estate investment trust: No Holding company: No
CARETRUST GP 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.	2/2/2015	Private equity company: No Real estate investment trust: No Holding company: No
CARETRUST REIT 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.	2/2/2015	Private equity company: No Real estate investment trust: No Holding company: No
CTR PARTNERSHIP LP	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.	2/2/2015	Private equity company: No Real estate investment trust: No Holding company: No
ENSIGN SERVICES 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.	8/24/2012	Private equity company: No Real estate investment trust: No Holding company: No
RODGER BROWN	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.	2/2/2015	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.
RON K RANKIN	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.	7/28/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRADEWIND HEALTHCARE, 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.	11/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
CHAD KEETCH	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2011	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.
RICHARD L CHUMLEY	Individual	CORPORATE OFFICER	100	5/1/2007	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.
SOON BURNAM	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/2/2015	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.
RODGER BROWN	Individual	MANAGING CONTROL - GOVERNING BODY	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.	2/2/2015	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.
RON K RANKIN	Individual	MANAGING CONTROL - GOVERNING BODY	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.	7/28/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RODGER BROWN	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.	2/2/2015	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.
RON K RANKIN	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.	7/28/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRADEWIND HEALTHCARE, INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	2/2/2015	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: STRATFORD HOSPITAL DISTRICT no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STRATFORD HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RICHARD L CHUMLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RICHARD L CHUMLEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TRADEWIND HEALTHCARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CARETRUST REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CARETRUST GP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CTR PARTNERSHIP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RON K RANKIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RON K RANKIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RON K RANKIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: 51ST AVENUE HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RODGER BROWN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RODGER BROWN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	31 July 2025	31 July 2025	7	2
2	7 June 2024	7 June 2024	6	1
3	14 April 2023	14 April 2023	10	0

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
5 May 2026	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	18 May 2026
5 May 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	18 May 2026
5 May 2026	Health	F 0837	Administration Deficiencies	Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.	D	Yes	Deficient, Provider has date of correction	18 May 2026
21 January 2026	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	23 January 2026
9 September 2025	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	E	Yes	Deficient, Provider has date of correction	10 September 2025
31 July 2025	Health	F 0576	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	E	No	Deficient, Provider has date of correction	13 September 2025
31 July 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	13 September 2025
4 February 2025	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	Past Non-Compliance	2 February 2025
7 June 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	17 July 2024
7 June 2024	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	No	Deficient, Provider has date of correction	17 July 2024
7 June 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	17 July 2024
7 June 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	17 July 2024
7 June 2024	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.	E	No	Deficient, Provider has date of correction	17 July 2024
17 May 2024	Health	F 0576	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	E	Yes	Deficient, Provider has date of correction	7 June 2024
6 September 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	20 October 2023
14 April 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	26 May 2023
14 April 2023	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	26 May 2023
14 April 2023	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	No	Deficient, Provider has date of correction	26 May 2023
14 April 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	26 May 2023
14 April 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	26 May 2023
14 April 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.	D	No	Deficient, Provider has date of correction	26 May 2023
14 April 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	26 May 2023
14 April 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	26 May 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
5 May 2026	Fine	$13,070			139011

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	STRATFORD HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2004-03-29
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Randall
Telephone Number	8063554488
Chain Name	THE ENSIGN GROUP
Chain ID	507
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	150
Average Number of Residents per Day	119.9
Overall Rating	2
Health Inspection Rating	2
QM Rating	5
Long-Stay QM Rating	5
Short-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: STRATFORD HOSPITAL DISTRICT no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STRATFORD HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RICHARD L CHUMLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RICHARD L CHUMLEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TRADEWIND HEALTHCARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CARETRUST REIT INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CARETRUST GP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CTR PARTNERSHIP LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RON K RANKIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RON K RANKIN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RON K RANKIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: 51ST AVENUE HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RODGER BROWN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RODGER BROWN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
19 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
10 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
22 July 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
4 March 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
19 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
14 August 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
18 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
28 November 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
30 September 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
20 January 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
12 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
10 September 2013: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
24 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
8 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
24 June 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
22 June 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
1 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
24 July 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
2 August 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, Legacy Rehabilitation and Living — facility record report, CMS certification number 676010. https://velarionrecords.com/facility/676010/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 676010. 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	9,902	1,794.44	11,395.45	16,323.3	29,513.19
2017Q2	30 June 2017	91	10,399	2,819.05	11,262.97	17,799.97	31,881.99
2017Q3	30 September 2017	92	10,855	3,248	11,259.77	19,238.64	33,746.41
2017Q4	31 December 2017	92	10,489	2,894.81	12,156.05	17,231.09	32,281.95
2018Q1	31 March 2018	90	10,220	2,177.19	12,962.7	17,533.52	32,673.41
2018Q2	30 June 2018	91	10,236	2,629.96	12,530.59	19,309.55	34,470.1
2018Q3	30 September 2018	92	10,297	3,461.2	12,033.63	19,809.31	35,304.14
2018Q4	31 December 2018	92	10,415	3,369.17	12,206.16	19,428.73	35,004.06
2019Q1	31 March 2019	90	9,805	2,703.74	13,425.77	17,518.72	33,648.23
2019Q2	30 June 2019	91	9,930	2,778.86	13,029.49	17,529.51	33,337.86
2019Q3	30 September 2019	92	10,633	2,905.93	12,220.06	16,576.47	31,702.46
2019Q4	31 December 2019	92	10,075	3,743.69	11,448.81	16,663.83	31,856.33
2020Q1	31 March 2020	91	9,767	3,510.11	10,316.91	15,181.74	29,008.76
2020Q2	30 June 2020	91	9,138	2,774.57	10,848.55	14,716.22	28,339.34
2020Q3	30 September 2020	92	8,166	3,320.64	8,350.63	12,303.74	23,975.01
2020Q4	31 December 2020	92	8,242	3,899.71	8,523.06	11,608.08	24,030.85
2021Q1	31 March 2021	90	8,204	3,298.28	8,991.78	10,980.08	23,270.14
2021Q2	30 June 2021	91	9,670	4,637.41	9,523.65	11,718.46	25,879.52
2021Q3	30 September 2021	92	10,309	4,103.73	10,836.39	13,212.75	28,152.87
2021Q4	31 December 2021	92	9,573	3,651.98	11,046.83	15,418.85	30,117.66
2022Q1	31 March 2022	90	8,922	4,732.69	11,079.87	14,208.81	30,021.37
2022Q2	30 June 2022	91	7,783	3,279.88	9,964.67	10,943	24,187.55
2022Q3	30 September 2022	92	7,950	2,597.07	11,556.94	13,520.96	27,674.97
2022Q4	31 December 2022	92	8,779	1,622.48	12,648.21	14,337.75	28,608.44
2023Q1	31 March 2023	90	8,701	1,936.65	12,413.07	13,548.71	27,898.43
2023Q2	30 June 2023	91	9,381	2,577.5	11,934.66	14,626.42	29,138.58
2023Q3	30 September 2023	92	10,075	2,842.56	12,336.66	16,964.7	32,143.92
2023Q4	31 December 2023	92	9,726	2,809.73	12,016.86	17,280.95	32,107.54
2024Q1	31 March 2024	91	8,986	2,445.2	11,849.71	16,247.4	30,542.31
2024Q2	30 June 2024	91	9,179	2,650.29	11,327.56	16,331.97	30,309.82
2024Q3	30 September 2024	92	9,093	3,241.28	10,341.77	16,991.07	30,574.12
2024Q4	31 December 2024	92	9,423	3,656.66	10,845.1	17,849.67	32,351.43
2025Q1	31 March 2025	90	9,581	4,380.88	9,310.89	17,571.89	31,263.66
2025Q2	30 June 2025	91	9,380	4,598.87	9,834.3	18,998.87	33,432.04
2025Q3	30 September 2025	92	9,698	5,059.54	10,071.03	18,229.95	33,360.52
2026Q1	31 March 2026	90	10,793	5,257.77	10,229.58	19,488.02	34,975.37

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	0.18122	1.150823	1.648485	2.980528
2017Q2	0.271089	1.083082	1.7117	3.065871
2017Q3	0.299217	1.037289	1.77233	3.108836
2017Q4	0.275985	1.158933	1.642777	3.077696
2018Q1	0.213032	1.268366	1.715609	3.197007
2018Q2	0.256932	1.224169	1.886435	3.367536
2018Q3	0.336137	1.168654	1.923794	3.428585
2018Q4	0.323492	1.171979	1.865457	3.360928
2019Q1	0.275751	1.369278	1.786713	3.431742
2019Q2	0.279845	1.312134	1.765308	3.357287
2019Q3	0.273294	1.149258	1.558965	2.981516
2019Q4	0.371582	1.136358	1.653978	3.161919
2020Q1	0.359385	1.056303	1.554391	2.970079
2020Q2	0.30363	1.187191	1.610442	3.101263
2020Q3	0.406642	1.02261	1.506703	2.935955
2020Q4	0.473151	1.034101	1.408406	2.915658
2021Q1	0.402033	1.096024	1.338381	2.836438
2021Q2	0.479567	0.984866	1.211837	2.676269
2021Q3	0.398073	1.051158	1.281671	2.730902
2021Q4	0.381488	1.153957	1.61066	3.146105
2022Q1	0.530452	1.241859	1.592559	3.36487
2022Q2	0.421416	1.280312	1.406013	3.107741
2022Q3	0.326675	1.453703	1.70075	3.481128
2022Q4	0.184814	1.440735	1.633187	3.258736
2023Q1	0.222578	1.426626	1.557144	3.206348
2023Q2	0.274757	1.272216	1.559154	3.106127
2023Q3	0.28214	1.224482	1.683841	3.190464
2023Q4	0.288889	1.23554	1.776779	3.301207
2024Q1	0.272112	1.318686	1.808079	3.398877
2024Q2	0.288734	1.234073	1.779276	3.302083
2024Q3	0.356459	1.137333	1.868588	3.36238
2024Q4	0.388057	1.150918	1.894266	3.433241
2025Q1	0.457247	0.971808	1.834035	3.263089
2025Q2	0.490285	1.048433	2.025466	3.564183
2025Q3	0.52171	1.038465	1.879764	3.439938
2026Q1	0.487146	0.947798	1.805617	3.240561

How each quarter is derived, and its file

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