Facility record report · CMS certification number 676048

LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G

Gladewater, 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 21 May 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$12,783,578	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,619,672	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,163,906	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,923,756	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$240,150	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,459	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$241,609	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $241,609 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	36,600	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,993	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,044	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	5,273	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	23,310	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	43	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	29	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	168	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	240	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	553.24	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	97.13	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1424879, 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 4 June 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$11,254,204	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,612,653	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,641,551	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,447,775	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$193,776	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,044	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$194,820	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $194,820 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,865	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	263	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	614.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	90.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1381078, 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 8 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$9,392,855	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,137,863	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,254,992	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,716,243	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$538,749	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,087	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$540,836	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $540,836 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,439	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	216	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	637.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361455, read from the public cost report file SNF10FY2022.zip.

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

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,577,126	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$368,464	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,945,590	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,318,632	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$626,958	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,183	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$630,141	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $630,145 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,774	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	189	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	80.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	649.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	125.79	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328984, 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 23 July 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,361,563	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$143,790	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,505,353	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,838,705	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$666,648	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,213	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$668,861	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $668,861 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,621	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	141	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	91.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,012.95	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	181.71	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1290360, 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 24 September 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$6,847,029	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$500,374	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,346,655	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,950,402	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$396,253	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,028	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$399,281	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $399,281 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,912	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	141	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	540.76	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	183.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1269612, 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 7 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,275,426	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$218,844	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,056,582	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,072,438	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$15,856	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,317	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$11,539	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$11,539 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,176	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	179	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	472.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	151.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239953, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 April 2017 to 31 December 2017 — a reporting period of 274 days, not a full year, 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	$3,768,493	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,075	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,765,418	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,009,391	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$243,973	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$581	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$243,392	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$243,392 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,554	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	88	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	659.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	210.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210604, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 May 2016 to 31 December 2016 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,525,474	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$222,407	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,747,881	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,784,868	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$36,987	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$539	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$36,448	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$36,448 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,421	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	57	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	89.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	860.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	323.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200097, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,420,722	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,217,833	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,202,889	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,827,688	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,375,201	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,760	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,376,961	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,364,990 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,302	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	120	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	84.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	356.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	227.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141925, 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 29 December 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,032,783	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,879,374	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,153,409	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,824,335	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,329,074	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$58	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,329,132	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,329,132 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,530	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	120	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	706.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	254.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1150443, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 December 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$7,932,733	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,053,496	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,879,237	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,002,758	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$876,479	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$474	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$876,953	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $862,300 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,550	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	198	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	403.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	159.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1116131, read from the public cost report file SNF10FY2013.zip.

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

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$6,945,627	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,707,733	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,237,894	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,652,941	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$584,953	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$227	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$585,180	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $569,465 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,992	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	194	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	326.82	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	149.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045233, 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	$5,823,753	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,033,543	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,790,210	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,246,225	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$543,985	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,734	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$545,719	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $530,180 (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	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,662	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	170	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.94	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	461.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	162.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014166, 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 24 June 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,432,800	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,091,037	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$341,763	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,673	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$14,767	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $329,669 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,884	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	161	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	303	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	160.77	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 430841, 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 15 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,355,974	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,206,187	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$149,787	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,351	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$14,007	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $137,131 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,098	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	233	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	217.68	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	107.72	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381787, 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 12 August 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,814,708	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,587,165	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$227,543	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$886	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$14,211	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $214,218 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,067	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	190	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	230.68	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	137.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 354491, 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 18 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,723,960	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,528,417	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$195,543	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,182	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$29,508	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $179,217 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,869	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	211	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	243.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	122.6	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 324322, 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 29 October 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,683,341	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,379,746	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$303,595	CMS-2540-96 worksheet G300000 line 500 column 100
Total other expenses	$13,620	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $289,975 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	27,183	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	151	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.88	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	679.56	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	180.02	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 295314, read from the public cost report file SNFFY2006.zip.

Cost report for 1 December 2004 to 31 December 2005 — a reporting period of 395 days, on form CMS-2540-96, settled, processed by CMS on 20 October 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,547,964	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,173,325	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$374,639	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$24,844	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$12,078	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $387,405 (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	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	29,432	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	95	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,133.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	309.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 264948, read from the public cost report file SNFFY2005.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
BROWNSVILLE CARE ASSOCIATE INC.	100	29,052	$10,442,457	$7,834,078	$2,608,379	31 December 2024
DAFFODIL HEALTHCARE INC.	100	23,310	$9,163,906	$8,923,756	$240,150	31 December 2024
HACIENDA OAKS AT BEEVILLE	101	25,563	$6,473,148	$6,794,625	−$321,477	31 December 2024
HARLINGEN HEALTHCARE INC.	100	31,679	$11,943,029	$9,002,335	$2,940,694	31 December 2024
LEGACY AT JACKSONVILLE	101	29,002	$7,280,490	$7,309,265	−$28,775	30 June 2024
STRATFORD HOSPITAL DISTRICT DBA SWEE	100	16,765	$3,713,658	$4,017,288	−$303,630	31 August 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
FANNIN COUNTY HOSPITAL AUTHORITY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 04/01/2017
DAFFODIL HEALTHCARE, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 09/29/2025
ENSIGN SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2016
KEGARISE, BRANDON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2017
NATIONAL HEALTH INVESTORS, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
SHEN, HONG-I	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/06/2021
TEXAS NHI INVESTORS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
BURNAM, SOON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2017
KEETCH, CHAD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/01/2011
SANDERSON, CLARK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2017
KEGARISE, BRANDON	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/01/2017
SHEN, HONG-I	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/06/2021
DAFFODIL HEALTHCARE, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2017
KEGARISE, BRANDON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2017
SHEN, HONG-I	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/06/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20180206000216).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
FANNIN COUNTY HOSPITAL AUTHORITY	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
BRANDON KEGARISE	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.	4/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAFFODIL 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.	9/29/2025	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.	5/1/2016	Private equity company: No Real estate investment trust: No Holding company: No
HONG-I SHEN	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.	5/6/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NATIONAL HEALTH INVESTORS, 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.	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
TEXAS NHI INVESTORS, 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.	4/1/2017	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.
CLARK R SANDERSON	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	4/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRANDON KEGARISE	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.	4/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
HONG-I SHEN	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.	5/6/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRANDON KEGARISE	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	4/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAFFODIL HEALTHCARE, INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
HONG-I SHEN	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.	5/6/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: NATIONAL HEALTH INVESTORS, INC. no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 November 2025: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRANDON KEGARISE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRANDON KEGARISE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: FANNIN COUNTY HOSPITAL AUTHORITY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HONG-I SHEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HONG-I SHEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HONG-I SHEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAFFODIL HEALTHCARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TEXAS NHI INVESTORS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	15 April 2026	15 April 2026	13	1
2	12 February 2025	12 February 2025	10	1
3	24 January 2024	24 January 2024	16	1

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

Deficiencies cited

39 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
23 May 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	26 May 2026
15 April 2026	Health	F 0572	Resident Rights Deficiencies	Give residents a notice of rights, rules, services and charges.	E	No	Deficient, Provider has date of correction	1 May 2026
15 April 2026	Health	F 0576	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	E	No	Deficient, Provider has date of correction	1 May 2026
15 April 2026	Health	F 0577	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C	No	Deficient, Provider has date of correction	16 April 2026
15 April 2026	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	E	No	Deficient, Provider has date of correction	1 May 2026
15 April 2026	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	No	Deficient, Provider has date of correction	1 May 2026
15 April 2026	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	1 May 2026
15 April 2026	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	1 May 2026
15 April 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	24 April 2026
15 April 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	1 May 2026
15 April 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	1 May 2026
29 January 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 February 2026
21 January 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.	D	Yes	Deficient, Provider has date of correction	4 February 2026
12 February 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	No	Deficient, Provider has date of correction	14 March 2025
12 February 2025	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	14 March 2025
12 February 2025	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	14 March 2025
12 February 2025	Health	F 0802	Nutrition and Dietary Deficiencies	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	D	No	Deficient, Provider has date of correction	14 March 2025
12 February 2025	Health	F 0807	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.	D	No	Deficient, Provider has date of correction	14 March 2025
12 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	14 March 2025
23 October 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	Yes	Past Non-Compliance	30 August 2024
23 October 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	J	Yes	Past Non-Compliance	30 August 2024
23 October 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	J	Yes	Past Non-Compliance	30 August 2024
23 October 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	J	Yes	Past Non-Compliance	30 August 2024
19 June 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	16 July 2024
19 June 2024	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	G	Yes	Deficient, Provider has date of correction	16 July 2024
22 February 2024	Health	F 0563	Resident Rights Deficiencies	Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.	D	Yes	Deficient, Provider has date of correction	21 March 2024
22 February 2024	Health	F 0603	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).	H	Yes	Deficient, Provider has date of correction	21 March 2024
22 February 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	21 March 2024
24 January 2024	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	23 February 2024
24 January 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	Yes	Deficient, Provider has date of correction	23 February 2024
24 January 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	23 February 2024
24 January 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	23 February 2024
24 January 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	23 February 2024
24 January 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	No	Deficient, Provider has date of correction	23 February 2024
24 January 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	E	No	Deficient, Provider has date of correction	23 February 2024
24 January 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	23 February 2024
24 January 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	Yes	Deficient, Provider has date of correction	23 February 2024
13 September 2023	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	Yes	Deficient, Provider has date of correction	12 October 2023
13 September 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	12 October 2023

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

Penalties

Penalty date	Type	Fine amount	Fine ID
23 October 2024	Fine	$16,801	113319
23 October 2024	Fine	$16,801	113320
23 October 2024	Fine	$16,801	113321
23 October 2024	Fine	$16,801	113322
19 June 2024	Fine	$43,070	113051
13 September 2023	Fine	$14,285	111398

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - Hospital district
Legal Business Name	FANNIN COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services	2004-12-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Gregg
Telephone Number	9038452175
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	100
Average Number of Residents per Day	74.9
Overall Rating	2
Health Inspection Rating	2
QM Rating	3
Long-Stay QM Rating	4
Short-Stay QM Rating	2
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: NATIONAL HEALTH INVESTORS, INC. no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 November 2025: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRANDON KEGARISE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BRANDON KEGARISE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: FANNIN COUNTY HOSPITAL AUTHORITY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HONG-I SHEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HONG-I SHEN appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HONG-I SHEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAFFODIL HEALTHCARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: TEXAS NHI INVESTORS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
21 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
4 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
8 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
4 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
23 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
24 September 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
7 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
19 July 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
27 June 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
24 February 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
29 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
19 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
22 December 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
1 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
24 June 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
15 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
12 August 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
18 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
29 October 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
20 October 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.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, LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER G — facility record report, CMS certification number 676048. https://velarionrecords.com/facility/676048/report.

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

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676048. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q3	30 September 2017	92	6,048	1,669.6	5,042.31	11,777.59	18,489.5
2017Q4	31 December 2017	92	6,486	1,481.87	5,502.39	11,384.05	18,368.31
2018Q1	31 March 2018	90	6,750	1,714.73	5,321.58	11,832.04	18,868.35
2018Q2	30 June 2018	91	6,891	1,696.68	5,330.83	12,191.91	19,219.42
2018Q3	30 September 2018	92	6,988	1,751.65	4,822.62	11,150.45	17,724.72
2018Q4	31 December 2018	92	6,606	2,145.55	4,475.74	10,380.18	17,001.47
2019Q1	31 March 2019	90	6,163	2,051.04	4,090.85	10,590.46	16,732.35
2019Q2	30 June 2019	91	6,570	2,144.77	4,302.91	10,965.47	17,413.15
2019Q3	30 September 2019	92	6,644	2,752.96	4,206.69	11,024.8	17,984.45
2019Q4	31 December 2019	92	6,537	2,822.91	3,676.44	11,540.01	18,039.36
2020Q1	31 March 2020	91	6,294	3,104.15	3,866.28	10,679.67	17,650.1
2020Q2	30 June 2020	91	6,464	3,041.86	4,523.8	9,833.05	17,398.71
2020Q3	30 September 2020	92	6,301	3,611.63	5,437.47	7,558.55	16,607.65
2020Q4	31 December 2020	92	6,642	3,875.85	5,264.96	8,367.34	17,508.15
2021Q1	31 March 2021	90	5,557	3,052.19	6,057.94	7,593.39	16,703.52
2021Q2	30 June 2021	91	6,171	2,767.18	6,690.61	7,828.96	17,286.75
2021Q3	30 September 2021	92	6,246	4,403.13	5,433.32	8,815.31	18,651.76
2021Q4	31 December 2021	92	6,010	4,561.25	4,184.92	8,053.87	16,800.04
2022Q1	31 March 2022	90	6,022	4,530	3,932.35	7,793.84	16,256.19
2022Q2	30 June 2022	91	6,072	4,438.18	4,418.42	8,493.53	17,350.13
2022Q3	30 September 2022	92	6,140	4,288.31	5,413.59	9,740.96	19,442.86
2022Q4	31 December 2022	92	6,184	3,941.5	5,430.02	9,009.97	18,381.49
2023Q1	31 March 2023	90	6,224	3,131.12	5,800.42	10,899.41	19,830.95
2023Q2	30 June 2023	91	6,152	3,758.32	5,845.02	10,145.43	19,748.77
2023Q3	30 September 2023	92	5,668	4,014.48	5,187.3	9,295.23	18,497.01
2023Q4	31 December 2023	92	5,811	3,525.39	5,449.1	8,819.57	17,794.06
2024Q1	31 March 2024	91	5,503	3,358.48	5,163.63	8,335.26	16,857.37
2024Q2	30 June 2024	91	6,120	3,581.73	5,363.39	8,992.45	17,937.57
2024Q3	30 September 2024	92	5,965	3,561.35	5,824.19	9,364.15	18,749.69
2024Q4	31 December 2024	92	5,742	3,370.61	5,622.88	8,308.57	17,302.06
2025Q1	31 March 2025	90	5,556	3,444.79	5,388.95	8,526.97	17,360.71
2025Q2	30 June 2025	91	5,908	3,724.42	5,605.89	9,315.44	18,645.75
2025Q3	30 September 2025	92	6,382	4,216.63	5,951.17	9,583.1	19,750.9
2025Q4	31 December 2025	92	6,769	2,682.15	8,502.32	10,110.37	21,294.84
2026Q1	31 March 2026	90	6,737	2,481.29	8,950.92	9,493.27	20,925.48

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q3	0.276058	0.833715	1.947353	3.057126
2017Q4	0.228472	0.848349	1.755173	2.831994
2018Q1	0.254034	0.788382	1.752895	2.795311
2018Q2	0.246217	0.773593	1.769251	2.789061
2018Q3	0.250665	0.690129	1.595657	2.536451
2018Q4	0.324788	0.677526	1.571326	2.573641
2019Q1	0.332799	0.663776	1.718394	2.714968
2019Q2	0.326449	0.654933	1.669021	2.650403
2019Q3	0.414353	0.633156	1.659362	2.706871
2019Q4	0.431836	0.562405	1.765337	2.759578
2020Q1	0.493192	0.61428	1.696802	2.804274
2020Q2	0.470585	0.699845	1.521202	2.691632
2020Q3	0.573184	0.862953	1.199579	2.635717
2020Q4	0.583537	0.792677	1.259762	2.635976
2021Q1	0.549251	1.090146	1.366455	3.005852
2021Q2	0.448417	1.084202	1.26867	2.801288
2021Q3	0.704952	0.869888	1.411353	2.986193
2021Q4	0.758943	0.696326	1.340078	2.795348
2022Q1	0.752242	0.652997	1.294228	2.699467
2022Q2	0.730926	0.727671	1.398803	2.8574
2022Q3	0.698422	0.881692	1.586476	3.16659
2022Q4	0.637371	0.878076	1.456981	2.972427
2023Q1	0.503072	0.931944	1.751191	3.186207
2023Q2	0.61091	0.950101	1.649127	3.210138
2023Q3	0.708271	0.915191	1.639949	3.26341
2023Q4	0.606675	0.937722	1.517737	3.062134
2024Q1	0.6103	0.93833	1.514676	3.063305
2024Q2	0.58525	0.876371	1.469355	2.930975
2024Q3	0.597041	0.976394	1.569849	3.143284
2024Q4	0.58701	0.979255	1.446982	3.013246
2025Q1	0.620013	0.969933	1.534732	3.124678
2025Q2	0.630403	0.948864	1.57675	3.156017
2025Q3	0.660707	0.932493	1.501583	3.094782
2025Q4	0.39624	1.256067	1.493628	3.145936
2026Q1	0.368308	1.328621	1.409124	3.106053

How each quarter is derived, and its file

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

← the facility’s full record