Facility record report · CMS certification number 676049

LEGEND HEALTHCARE AND REHABILITATION - PARIS

PARIS, 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 24 December 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$11,511,049	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,208,409	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,302,640	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,583,461	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$719,179	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$385	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$719,564	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $719,564 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,920	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,691	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	17,529	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	5,986	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	26,206	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	75	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	35	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	143	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	253	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	500.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	103.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445652, 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 25 June 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$10,601,420	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,441,530	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,159,890	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,963,829	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,196,061	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,340	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,197,401	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,197,401 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,648	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	234	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	611.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1386584, 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 25 October 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,854,658	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$275,026	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,129,684	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,220,189	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$909,495	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,578	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$913,073	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $913,073 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,455	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	186	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,034.73	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	126.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398051, 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 19 May 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,872,949	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$534,393	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,407,342	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,319,470	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,087,872	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,333	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,091,205	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,091,205 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,449	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	248	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	40.18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	527.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	90.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1347841, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,541,730	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,210,326	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,752,056	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,872,440	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$879,616	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,704	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$889,320	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $889,320 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,299	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	193	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	53.41	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	386.77	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1289730, 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 14 October 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,501,757	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$68,739	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,570,496	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,098,819	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$471,677	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,247	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$475,924	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $475,924 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,551	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	207	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	308.46	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1270516, 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 12 November 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,187,552	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$443,160	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,630,712	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,047,275	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$583,437	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$17,939	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$601,376	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $601,376 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,285	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	247	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	421.08	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	114.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1245549, 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 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,548,624	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$253,344	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,801,968	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,419,870	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$382,098	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,539	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$396,637	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $396,637 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,648	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	190	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	473.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209954, 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 25 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,808,897	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$109,158	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,918,055	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,340,852	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$422,797	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,987	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$418,810	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$418,810 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,267	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	132	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	619.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	153.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175004, 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 30 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,750,241	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,341,839	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,408,402	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,665,742	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$257,340	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,211	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$251,129	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$263,228 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,395	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	248	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	289.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	126.59	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142973, 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 15 December 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,900,602	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,582,328	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,318,274	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,389,839	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$71,565	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$21,320	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$92,885	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$92,885 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,763	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	235	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	526.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	126.65	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1148895, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 December 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$8,111,778	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,110,932	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,000,846	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,521,892	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$521,046	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$759	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$520,287	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$542,152 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,949	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	256	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	333.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	120.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1116193, 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 22 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$8,251,447	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,131,485	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,119,962	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,478,826	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$358,864	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$158	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$358,706	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$371,950 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,192	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	330	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	250.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	100.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1047209, 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	$8,423,663	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,703,937	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,719,726	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,447,610	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$272,116	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,333	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$273,449	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $261,411 (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	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,906	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	261	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	274.51	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	145.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014732, 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 13 August 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$6,298,690	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,084,917	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$213,773	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,611	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$16,176	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $200,208 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,774	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	277	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.42	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	241	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	132.76	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 431141, 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	$7,231,364	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,497,962	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$733,402	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$52	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$16,384	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $717,070 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,279	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	337	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	32.02	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	446.82	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	119.52	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 381788, read from the public cost report file SNFFY2009.zip.

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

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$7,002,232	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,204,191	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$798,041	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,016	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$11,982	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $788,075 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,997	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	393	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.12	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	473.27	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	101.77	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350272, 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 20 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$5,771,606	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,971,342	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$800,264	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,069	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$15,053	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $790,280 (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	120	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	37,144	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	377	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	305.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	98.53	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 324632, 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 6 November 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$4,971,852	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,835,582	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,136,270	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$280	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$13,042	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $1,123,508 (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	33,995	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	36.09	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	770.9	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	161.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 295893, read from the public cost report file SNFFY2006.zip.

Cost report for 30 January 2005 to 31 December 2005 — a reporting period of 335 days, on form CMS-2540-96, settled, processed by CMS on 17 November 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$3,510,538	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,056,871	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$453,667	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,963	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$10,567	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $449,063 (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	29,790	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	160	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.57	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	473.41	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	186.19	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 266709, 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
BRAZOS HEALTHCARE CENTER	120	14,814	$3,628,260	$3,448,627	$179,633	31 August 2024
EIFFEL HEALTHCARE LLC	120	26,206	$9,302,640	$8,583,461	$719,179	31 December 2024
MIDWESTERN HEALTHCARE CENTER	121	25,411	$5,692,492	$5,400,724	$291,768	31 December 2024
PETAL HILL NURSING & REHAB CENTER	120	30,527	$7,713,737	$8,056,206	−$342,469	31 December 2024
SENIOR CARE OF CORPUS CHRISTI	121	19,524	$4,739,173	$4,937,575	−$198,402	31 December 2024
THE LAKES AT TEXAS CITY	120	14,087	$2,846,022	$3,158,939	−$312,917	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
BURNS, STEPHEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2022
ENSIGN SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2016
LAWRENCE, RA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2017
SHERMAN HEALTH HOLDINGS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2022
STANDARD BEARER HEALTHCARE OP, LP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2022
THE ENSIGN GROUP INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2022
BURNAM, SOON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2017
KEETCH, CHAD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2017
SANDERSON, CLARK	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/29/2012
BURNS, STEPHEN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/01/2022
LAWRENCE, RA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/01/2017
BURNS, STEPHEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2022
EIFFEL HEALTHCARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2017
LAWRENCE, RA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2017

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 O20171201000010).

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
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
RA LAWRENCE	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.
SHERMAN HEALTH HOLDINGS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
STANDARD BEARER HEALTHCARE OP, LP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
STEPHEN J BURNS	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.	8/1/2022	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.
THE ENSIGN GROUP INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
CHAD KEETCH	Individual	CORPORATE OFFICER	0	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.
CLARK R SANDERSON	Individual	CORPORATE OFFICER	100	10/29/2012	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	0	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.
RA LAWRENCE	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.
STEPHEN J BURNS	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.	8/1/2022	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.
EIFFEL HEALTHCARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	0	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
RA LAWRENCE	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.
STEPHEN J BURNS	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.	8/1/2022	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: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RA LAWRENCE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RA LAWRENCE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SHERMAN HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHEN J BURNS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHEN J BURNS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHEN J BURNS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHAD KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
15 February 2023: SOON E BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: FANNIN COUNTY HOSPITAL AUTHORITY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	5 February 2026	5 February 2026	14	0
2	20 November 2024	20 November 2024	9	1
3	12 October 2023	12 October 2023	20	0

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

Deficiencies cited

43 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
5 February 2026	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0552	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D	No	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	E	No	Deficient, Provider has date of correction	13 February 2026
5 February 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	No	Deficient, Provider has date of correction	13 February 2026
5 February 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.	D	No	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E	No	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0838	Administration Deficiencies	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	E	No	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	E	Yes	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	13 February 2026
5 February 2026	Health	F 0926	Environmental Deficiencies	Have policies on smoking.	D	No	Deficient, Provider has date of correction	13 February 2026
24 July 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	15 August 2025
20 November 2024	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	E	No	Deficient, Provider has date of correction	24 December 2024
20 November 2024	Health	F 0638	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	E	No	Deficient, Provider has date of correction	24 December 2024
20 November 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	No	Deficient, Provider has date of correction	24 December 2024
20 November 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.	J	No	Past Non-Compliance	14 November 2024
20 November 2024	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	24 December 2024
20 November 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	24 December 2024
20 November 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	24 December 2024
20 November 2024	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	24 December 2024
12 October 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	E	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	E	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0712	Nursing and Physician Services Deficiencies	Ensure that the resident and his/her doctor meet face-to-face at all required visits.	D	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	E	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	E	No	Deficient, Provider has date of correction	20 November 2023
12 October 2023	Health	F 0926	Environmental Deficiencies	Have policies on smoking.	D	No	Deficient, Provider has date of correction	20 November 2023
27 September 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	24 October 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
20 November 2024	Fine	$16,149			113436

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	FANNIN COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services	2005-01-30
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Lamar
Telephone Number	9037379820
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	120
Average Number of Residents per Day	79.9
Overall Rating	3
Health Inspection Rating	3
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	3
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: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RA LAWRENCE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RA LAWRENCE appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SHERMAN HEALTH HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHEN J BURNS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHEN J BURNS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STEPHEN J BURNS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: STANDARD BEARER HEALTHCARE OP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHAD KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: THE ENSIGN GROUP INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
24 December 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
25 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
25 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
19 May 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
15 February 2023: SOON E BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
15 February 2023: FANNIN COUNTY HOSPITAL AUTHORITY appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
19 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
14 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
12 November 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
25 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
15 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
6 December 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
30 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
23 December 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
22 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
13 August 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
14 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
20 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
6 November 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
17 November 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 HEALTHCARE AND REHABILITATION - PARIS — facility record report, CMS certification number 676049. https://velarionrecords.com/facility/676049/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 676049. 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	7,218	2,908.13	7,851.24	12,409.36	23,168.73
2017Q4	31 December 2017	92	7,477	3,525.77	6,828.08	11,444.48	21,798.33
2018Q1	31 March 2018	90	7,303	3,910.43	6,651.31	11,069.37	21,631.11
2018Q2	30 June 2018	91	7,124	2,646.87	7,695.55	11,339.62	21,682.04
2018Q3	30 September 2018	92	7,058	2,722.07	8,201.6	11,093.42	22,017.09
2018Q4	31 December 2018	92	6,769	2,037.42	8,105.91	11,691.59	21,834.92
2019Q1	31 March 2019	90	6,282	1,485.43	7,577.24	10,094.41	19,157.08
2019Q2	30 June 2019	91	5,715	1,920.13	5,946.43	9,269.76	17,136.32
2019Q3	30 September 2019	92	5,750	2,546.19	5,256.77	9,554.77	17,357.73
2019Q4	31 December 2019	92	5,769	1,803.13	5,837.6	10,144.78	17,785.51
2020Q1	31 March 2020	91	5,728	1,605.78	6,587.69	10,033.75	18,227.22
2020Q2	30 June 2020	91	5,084	1,548.72	6,627.64	8,925.12	17,101.48
2020Q3	30 September 2020	92	5,407	1,692.38	6,619.81	9,545.12	17,857.31
2020Q4	31 December 2020	92	6,065	2,395.35	6,890.85	10,100.42	19,386.62
2021Q1	31 March 2021	90	6,322	2,226.36	5,572.67	8,525.2	16,324.23
2021Q2	30 June 2021	91	4,994	1,860.18	5,823.82	8,405.73	16,089.73
2021Q3	30 September 2021	92	5,401	1,990.44	5,936.89	8,550.38	16,477.71
2021Q4	31 December 2021	92	5,733	2,952.94	5,512.86	9,773.32	18,239.12
2022Q1	31 March 2022	90	5,998	3,416.37	5,555.25	9,889.77	18,861.39
2022Q2	30 June 2022	91	5,784	2,804	5,604.88	10,012.64	18,421.52
2022Q3	30 September 2022	92	5,739	3,105.76	6,025.93	10,058.17	19,189.86
2022Q4	31 December 2022	92	5,912	3,498.57	5,699.16	11,155.4	20,353.13
2023Q1	31 March 2023	90	6,158	3,647.37	4,690.12	10,933.96	19,271.45
2023Q2	30 June 2023	91	6,483	3,545.64	5,078.8	10,115.71	18,740.15
2023Q3	30 September 2023	92	6,464	3,404.35	5,092.42	10,942.96	19,439.73
2023Q4	31 December 2023	92	6,584	3,789.96	5,006.75	11,553.46	20,350.17
2024Q1	31 March 2024	91	6,658	3,327.6	5,590.19	11,292.42	20,210.21
2024Q2	30 June 2024	91	6,500	3,221.72	5,553.99	10,730.64	19,506.35
2024Q3	30 September 2024	92	6,706	3,306.03	5,760.51	10,654.57	19,721.11
2024Q4	31 December 2024	92	6,415	3,225.62	5,835.51	10,988.5	20,049.63
2025Q1	31 March 2025	90	5,869	3,390.76	5,992.01	10,246.28	19,629.05
2025Q2	30 June 2025	91	6,572	3,114.31	6,288.61	10,904.28	20,307.2
2025Q3	30 September 2025	92	6,739	3,385.21	6,669.26	11,534.54	21,589.01
2025Q4	31 December 2025	92	7,147	4,200.47	5,718.83	12,240.73	22,160.03
2026Q1	31 March 2026	90	7,195	4,801.69	4,844.78	13,316.05	22,962.52

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	0.4029	1.087731	1.719224	3.209855
2017Q4	0.471549	0.913211	1.530625	2.915385
2018Q1	0.535455	0.910764	1.515729	2.961949
2018Q2	0.371543	1.080229	1.591749	3.04352
2018Q3	0.385672	1.162029	1.571751	3.119452
2018Q4	0.300993	1.197505	1.727226	3.225723
2019Q1	0.236458	1.206183	1.606878	3.049519
2019Q2	0.335981	1.040495	1.622005	2.998481
2019Q3	0.442816	0.914221	1.661699	3.018736
2019Q4	0.312555	1.011891	1.758499	3.082945
2020Q1	0.280339	1.150086	1.751702	3.182126
2020Q2	0.304626	1.303627	1.755531	3.363784
2020Q3	0.312998	1.224304	1.765326	3.302628
2020Q4	0.394946	1.136167	1.665362	3.196475
2021Q1	0.352161	0.881473	1.348497	2.582131
2021Q2	0.372483	1.166163	1.683166	3.221812
2021Q3	0.368532	1.099221	1.583111	3.050863
2021Q4	0.515078	0.961601	1.704748	3.181427
2022Q1	0.569585	0.926184	1.648845	3.144613
2022Q2	0.484786	0.969032	1.731093	3.18491
2022Q3	0.541167	1.049997	1.7526	3.343764
2022Q4	0.591774	0.963999	1.886908	3.442681
2023Q1	0.592298	0.76163	1.77557	3.129498
2023Q2	0.546913	0.783403	1.560344	2.89066
2023Q3	0.526663	0.787813	1.692908	3.007384
2023Q4	0.575632	0.760442	1.754778	3.090852
2024Q1	0.49979	0.83962	1.696068	3.035478
2024Q2	0.495649	0.85446	1.650868	3.000977
2024Q3	0.492996	0.859008	1.588812	2.940816
2024Q4	0.502825	0.909666	1.712938	3.125429
2025Q1	0.577741	1.020959	1.745831	3.344531
2025Q2	0.473876	0.956879	1.659203	3.089957
2025Q3	0.502331	0.989651	1.71161	3.203593
2025Q4	0.587725	0.800172	1.712709	3.100606
2026Q1	0.667365	0.673354	1.850737	3.191455

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