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Facility record report · CMS certification number 676114

RIVER HILLS HEALTH AND REHABILITATION CENTER

KERRVILLE, 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 July 2024 to 30 June 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 December 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$11,367,047CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$401,459CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,768,506CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,703,257CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$65,249CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$502,391CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$567,640CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $567,640 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components54,750CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,045CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days15,271CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days22,433CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components40,749CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges87CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges52CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges217CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components356CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days293.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days114.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445591, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 July 2023 to 30 June 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 October 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$10,077,996CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$773,281CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,851,277CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,065,251CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$213,974CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$329,244CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$115,270CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $115,270 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components44,142CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components375CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days595.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441593, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 July 2022 to 30 June 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 December 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$8,547,823CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$2,020,538CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,568,361CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,716,252CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$852,109CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,263,584CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$3,115,693CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $3,115,693 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,185CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components449CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days342.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days80.59CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1371100, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 July 2021 to 30 June 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$7,938,881CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,507,410CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,446,291CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,503,476CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$942,815CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$365,290CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,308,105CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,308,105 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,419CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components317CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days421.34CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days108.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339617, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 July 2020 to 30 June 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$7,943,765CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$597,722CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,346,043CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,991,449CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$354,594CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$610,063CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$964,657CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $964,657 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components27,148CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components264CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days678.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days102.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311098, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 July 2019 to 30 June 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 February 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,365,944CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,060,913CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,305,031CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,333,447CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$28,416CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$637,548CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$609,132CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $609,132 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,343CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components335CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days615.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days78.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1280298, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,834,741CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$6,834,741CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,823,590CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$11,151CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,585CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$14,736CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $14,736 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,836CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components324CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days579.58CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days82.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249436, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$10,415,888CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,014,187CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,401,701CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,169,107CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$767,406CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$767,406CMS-2540-10 worksheet G300000 line 2500 column 100
Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,777CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components360CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days242.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days74.38CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1217491, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 April 2017 to 30 June 2017 — a reporting period of 90 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 February 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$3,278,518CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,286,847CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,991,671CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,848,366CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$143,305CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$284CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$143,589CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $5 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components7,465CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components107CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days153.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1184475, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$14,880,132CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,945,027CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,935,105CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,323,963CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$611,142CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$18,457CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$592,685CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $592,685 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,223CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components433CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days190.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days81.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172646, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$14,562,481CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,045,667CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,516,814CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,260,102CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$256,712CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$34,739CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$221,973CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $221,973 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,750CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components469CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days175.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1177336, 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 13 December 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$14,277,233CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,914,055CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,363,178CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,148,982CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$214,196CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,852CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$218,048CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $125,555 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,233CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components449CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days266.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days74.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1148403, 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 11 December 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$12,406,321CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,576,903CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,829,418CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,380,217CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$449,201CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$693CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$449,894CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $381,067 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,736CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components453CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days268.21CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days81.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1114692, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 December 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$11,054,139CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,562,384CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,491,755CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,791,723CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$299,968CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$28,168CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$271,800CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$271,803 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,917CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components352CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days897.21CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days99.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081270, 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 6 December 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$11,721,327CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,818,482CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,902,845CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,214,109CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$311,264CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,116CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$269,148CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$273,223 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,415CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components368CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days912.58CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days93.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1051714, 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 25 July 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$7,807,546CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,583,895CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$223,651CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$22,325CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $245,976 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components34,968CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components366CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.04CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days811CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days95.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 412825, 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 17 September 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$6,449,991CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,611,883CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$161,892CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$768CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$55,655CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$216,779 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,391CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components399CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days174.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days78.67CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 387894, 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 21 October 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$5,447,926CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,976,114CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$528,188CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,009CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$15,114CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$541,293 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,976CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components337CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.08CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days364.49CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days91.92CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 358124, read from the public cost report file SNFFY2008.zip.

Cost report for 31 March 2007 to 31 December 2007 — a reporting period of 275 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 27 August 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$3,776,462CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,366,259CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$589,797CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$33CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$589,764 (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
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,191CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components258CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days36.86CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days255.82CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days78.26CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325090, read from the public cost report file SNFFY2007.zip.

Cost report for 1 October 2006 to 31 December 2006 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 29 August 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$727,588CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,302,644CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$575,056CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$134CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$574,922 (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
FigureAs filedWhere it comes from
Total facility beds, all components300CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components3,201CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components45CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days41.39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days202.75CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days71.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 293008, read from the public cost report file SNFFY2007.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
BRIDGEPORT MEDICAL LODGE1526,325$2,349,536$2,401,896−$52,36028 February 2025
EL PASO HEALTH & REHABILITATION CENT15025,875$7,498,599$7,580,604−$82,00531 August 2025
HILLTOP VILLAGE15038,477$10,225,657$10,619,740−$394,08330 June 2025
LAKESHORE VILLAGE HEALTHCARE CENTER15144,472$13,921,970$15,358,881−$1,436,91131 August 2025
UVALDE HOSP DIST DBA RIVER HILLS15040,749$11,768,506$11,703,257$65,24930 June 2025
WEST ASHBY HEALTHCARE INC.15030,982$8,923,043$9,657,033−$733,99030 June 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
AZIZ, WESAMADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2026
BANDERA HWY HEALTH HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2026
CROWN MOUNTAIN HEALTHCARE LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/19/2026
ENSIGN SERVICES, INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 02/13/2026
LOPEZ, ALANADP OF THE SNFIndividualNOT APPLICABLEsince 03/11/2025
STANDARD BEARER HEALTHCARE OP LPADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2026
THE ENSIGN GROUP, INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 05/01/2026
KEETCH, CHADCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2011
APOLINAR, ADAMCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/01/2026
BURNAM, SOONCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/01/2026
UVALDE COUNTY HOSPITAL AUTHORITYINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 05/01/2026
AZIZ, WESAMMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2026
AZIZ, WESAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2026
CROWN MOUNTAIN HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/01/2026
LOPEZ, ALANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/11/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of UVALDE COUNTY HOSPITAL AUTHORITY (enrollment ID O20170720000333).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ALAN LOPEZIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/11/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BANDERA HWY HEALTH HOLDINGS LLCOrganizationADP OF THE SNFCMS 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.5/1/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
CROWN MOUNTAIN HEALTHCARE LLCOrganizationADP OF THE SNFCMS 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.5/19/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
ENSIGN SERVICES, INC.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/13/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
STANDARD BEARER HEALTHCARE OP LPOrganizationADP OF THE SNFCMS 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.5/1/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
THE ENSIGN GROUP, INC.OrganizationADP OF THE SNFCMS 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.5/1/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
WESAM SABRI AZIZIndividualADP OF THE SNFCMS 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.5/1/2026
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS 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.5/1/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
CHAD KEETCHIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2011
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ADAM APOLINARIndividualCORPORATE OFFICERCMS 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.5/1/2026
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 BURNAMIndividualCORPORATE OFFICERCMS 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.5/1/2026
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.
UVALDE COUNTY HOSPITAL AUTHORITYOrganizationINDIRECT OWNERSHIP INTERESTCMS 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.5/1/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
WESAM SABRI AZIZIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.5/1/2026
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.
ALAN LOPEZIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/11/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CROWN MOUNTAIN HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS 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.5/1/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
WESAM SABRI AZIZIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.5/1/2026
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

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
113 June 202513 June 2025224
219 April 202419 April 2024265
34 March 20234 March 202392

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

Deficiencies cited

57 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
19 June 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction7 July 2026
7 May 2026HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction1 June 2026
7 May 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction1 June 2026
7 May 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correction1 June 2026
4 February 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DYesDeficient, Provider has date of correction6 February 2026
4 February 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correction6 February 2026
26 November 2025HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FYesDeficient, Provider has date of correction19 December 2025
16 September 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction1 October 2025
13 June 2025HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DYesDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.ENoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DNoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.ENoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.ENoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.DNoDeficient, Provider has date of correction11 July 2025
13 June 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction11 July 2025
13 May 2025HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.EYesDeficient, Provider has date of correction3 June 2025
13 May 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correction3 June 2025
8 February 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesDeficient, Provider has date of correction9 February 2025
8 February 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.JYesDeficient, Provider has date of correction9 February 2025
8 February 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.JYesDeficient, Provider has date of correction9 February 2025
8 February 2025HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DYesDeficient, Provider has date of correction9 February 2025
21 December 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDYesDeficient, Provider has date of correction22 December 2024
21 December 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction22 December 2024
21 December 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction22 December 2024
21 December 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correction22 December 2024
21 December 2024HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FYesDeficient, Provider has date of correction22 December 2024
9 September 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.EYesDeficient, Provider has date of correction30 September 2024
9 September 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EYesDeficient, Provider has date of correction30 September 2024
9 September 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction30 September 2024
9 September 2024HealthF 0839Administration DeficienciesEmploy staff that are licensed, certified, or registered in accordance with state laws.DYesDeficient, Provider has date of correction30 September 2024
19 April 2024HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.ENoDeficient, Provider has date of correction31 May 2024
19 April 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction31 May 2024
19 April 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction31 May 2024
19 April 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correction31 May 2024
19 April 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction31 May 2024
19 April 2024HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.ENoDeficient, Provider has date of correction31 May 2024
19 April 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction31 May 2024
19 April 2024HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.DNoDeficient, Provider has date of correction31 May 2024
19 April 2024HealthF 0849Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.ENoDeficient, Provider has date of correction31 May 2024
19 April 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction31 May 2024
19 April 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.ENoDeficient, Provider has date of correction31 May 2024
10 January 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JYesDeficient, Provider has date of correction29 January 2024
10 January 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesDeficient, Provider has date of correction29 January 2024
4 March 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correction5 March 2023
4 March 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction5 March 2023
4 March 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.ENoDeficient, Provider has date of correction5 March 2023
4 March 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction5 March 2023
4 March 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correction5 March 2023
4 March 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction5 March 2023
4 March 2023HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.CNoDeficient, Provider has date of correction5 March 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
8 February 2025Fine$49,392113604
21 December 2024Fine$47,467113483
10 January 2024Fine$15,274112155

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Individual
Legal Business NameUVALDE COUNTY HOSPITAL AUTHORITY
Date First Approved to Provide Medicare and Medicaid Services2006-10-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishKerr
Telephone Number8302579900
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds150
Average Number of Residents per Day99.2
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-08-01

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

Every change on this record

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, RIVER HILLS HEALTH AND REHABILITATION CENTER — facility record report, CMS certification number 676114. https://velarionrecords.com/facility/676114/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676114. 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
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q230 June 2017917,8872,872.317,85614,211.5524,939.86
2017Q330 September 2017926,9902,515.027,425.412,773.6422,714.06
2017Q431 December 2017926,5312,006.727,629.6312,635.522,271.85
2018Q131 March 2018907,0061,561.67,603.8712,059.6821,225.15
2018Q230 June 2018916,6862,275.86,932.512,601.4821,809.78
2018Q330 September 2018926,4831,728.87,231.212,266.121,226.1
2018Q431 December 2018926,8192,217.427,075.2312,801.7922,094.44
2019Q131 March 2019907,2802,351.347,727.112,051.1922,129.63
2019Q230 June 2019916,9431,704.128,546.6612,172.2122,422.99
2019Q330 September 2019927,7112,047.238,641.8712,216.2522,905.35
2019Q431 December 2019926,9381,918.288,378.6512,901.0823,198.01
2020Q131 March 2020917,0361,922.068,142.5313,235.0523,299.64
2020Q230 June 2020916,4481,715.297,516.6511,860.6421,092.58
2020Q330 September 2020926,9181,969.217,335.8913,918.423,223.5
2020Q431 December 2020926,5011,756.48,661.4214,644.1825,062
2021Q131 March 2021906,3921,357.167,503.0613,981.1422,841.36
2021Q230 June 2021917,9191,760.277,700.8814,984.5224,445.67
2021Q330 September 2021928,3982,604.595,629.649,235.0217,469.25
2021Q431 December 2021929,1151,923.388,663.8914,651.3825,238.65
2022Q131 March 2022908,2501,633.428,698.2313,880.2624,211.91
2022Q230 June 2022918,8942,026.648,755.5913,860.7624,642.99
2022Q330 September 2022928,2202,114.288,285.1814,310.4824,709.94
2022Q431 December 2022928,5252,481.157,767.1113,665.8423,914.1
2023Q131 March 2023909,4181,969.198,492.6516,617.9627,079.8
2023Q230 June 2023919,9611,570.369,278.5821,277.1232,126.06
2023Q330 September 20239211,3171,441.449,131.823,436.9434,010.18
2023Q431 December 20239211,3002,347.938,949.3422,987.9334,285.2
2024Q131 March 20249110,5502,222.838,774.7722,138.6633,136.26
2024Q230 June 20249111,3121,806.459,730.1424,395.4835,932.07
2024Q330 September 20249211,0442,304.0610,209.8623,539.2936,053.21
2024Q431 December 20249210,467826.7212,392.5521,412.9934,632.26
2025Q131 March 2025909,7621,355.978,414.6619,941.6529,712.28
2025Q230 June 2025919,2681,589.3210,334.0818,138.1730,061.57
2025Q330 September 2025929,7461,357.199,432.3118,417.9229,207.42
2025Q431 December 2025929,2002,087.239,905.2417,051.8329,044.3
2026Q131 March 2026908,9292,055.79,312.7816,372.0227,740.5
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q20.3641830.9960691.8018963.162148
2017Q30.3598031.0622891.8274163.249508
2017Q40.3072611.1682181.9346963.410175
2018Q10.2228951.0853371.7213363.029568
2018Q20.3403831.0368681.8847563.262007
2018Q30.2666671.115411.8920413.274117
2018Q40.3251831.0375761.8773713.240129
2019Q10.3229861.0614151.6553833.039784
2019Q20.2454441.2309751.7531633.229582
2019Q30.2654951.120721.5842632.970477
2019Q40.2764891.2076461.8594813.343616
2020Q10.2731751.1572671.8810473.311489
2020Q20.2660191.1657341.8394293.271182
2020Q30.284651.0604062.0119113.356967
2020Q40.2701741.3323212.2526043.855099
2021Q10.2123221.173822.1872873.573429
2021Q20.2222840.9724561.8922243.086964
2021Q30.3101440.6703551.0996692.080168
2021Q40.2110130.9505091.6073922.768914
2022Q10.197991.0543311.6824562.934777
2022Q20.2278660.9844381.5584392.770743
2022Q30.2572121.0079291.7409343.006075
2022Q40.2910440.9110981.6030312.805173
2023Q10.2090880.9017471.7644892.875324
2023Q20.1576510.9314912.1360433.225184
2023Q30.1273690.806912.070953.005229
2023Q40.2077810.7919772.034333.034088
2024Q10.2106950.8317322.0984513.140878
2024Q20.1596930.8601612.1566023.176456
2024Q30.2086250.9244712.131413.264507
2024Q40.0789831.1839642.0457623.308709
2025Q10.1389030.8619812.0427833.043667
2025Q20.1714851.1150281.9570753.243588
2025Q30.1392560.9678131.8897932.996862
2025Q40.2268731.0766571.853463.156989
2026Q10.2302271.0429811.8335783.106787

How each quarter is derived, and its file

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

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