Velarion Records

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Facility record report · CMS certification number 676140

REFUGIO NURSING & REHABILITATION

REFUGIO, Texas

This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026.

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 March 2021 to 1 December 2021 — a reporting period of 275 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 12 May 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$710,611CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$80,592CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$630,019CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,616,090CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$986,071CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$320,270CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$665,801CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$665,801 (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 components64CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components17,664CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days135CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days2,185CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days1,072CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components3,392CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges3CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges15CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges18CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components36CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days145.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1315942, read from the public cost report file SNF10FY2021.zip.

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

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$1,690,911CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$332,774CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,023,685CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,048,116CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,024,431CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$418,662CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,443,093CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$53,023 (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 components64CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,976CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components94CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days182.76CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days127.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1292748, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 June 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$4,135,178CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$66,774CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,068,404CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,770,288CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$298,116CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,590CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$302,706CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $302,706 (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 components64CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,697CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components106CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days83.77CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days233.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days185.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1257939, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 June 2018 to 31 December 2018 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 April 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$2,323,356CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$403,675CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,919,681CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,105,710CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$186,029CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,002CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$182,027CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$182,027 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components64CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components7,626CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components67CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days177.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days113.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1223266, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$3,510,463CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,510,463CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,204,534CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$305,929CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$346CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$306,275CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $306,275 (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 components64CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,235CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components64CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days114.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days323.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days253.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1207725, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$3,456,652CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$31,506CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,425,146CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,012,823CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$412,323CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$412,323CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $412,323 (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 components64CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,040CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components50CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days162.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days559.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days380.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173900, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 September 2015 to 31 December 2015 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$852,821CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$852,821CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$860,096CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$7,275CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$7,275CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$7,275 (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 components64CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,845CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components8CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days860.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days730.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142338, 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 25 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$2,717,677CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$154,161CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,563,516CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,680,197CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$116,681CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$116,681CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$116,681 (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 components64CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,562CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components31CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days118.64CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,093.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days631.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1104221, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$2,582,918CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$13,544CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,569,374CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,521,671CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$47,703CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$47,703CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $47,703 (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 components64CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,234CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components40CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days72.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,873.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days480.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1072822, 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 7 August 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$2,711,676CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$27,847CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,683,829CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,430,940CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$252,889CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$252,889CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $252,889 (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 components64CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,438CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components88CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days298.96CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days220.89CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045886, 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 19 December 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$2,508,424CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,508,423CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,364,634CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$143,789CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$143,789CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $143,789 (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 components64CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,932CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components84CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days261.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days213.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1052712, 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$2,557,086CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,599,428CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$42,342CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$42,342 (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 components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,015CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components75CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.52CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days413.88CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days240.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 412830, read from the public cost report file SNFFY2010.zip.

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

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$2,739,442CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,717,468CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$21,974CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $21,974 (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 components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components17,851CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components85CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days86.26CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days273.19CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days210.01CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 374571, 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 15 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$2,366,024CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,102,117CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$263,907CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $263,907 (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 components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components15,386CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components81CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days87.32CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days237.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days189.95CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 350494, read from the public cost report file SNFFY2008.zip.

Cost report for 18 May 2007 to 31 December 2007 — a reporting period of 227 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$2,168,002CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,433,437CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$265,435CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$265,435 (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 components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components14,702CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components47CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days46.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days375.81CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days312.81CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 325092, read from the public cost report file SNFFY2007.zip.

Five facilities of a similar size in Texas, fiscal year 2021

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
E.F. & BERTHA KRUSE MEMORIAL HOME6517,882$9,593,679$10,545,172−$951,49331 December 2021
NOCONA HOSPITAL DISTRICT DBA ELECTRA6410,322$2,308,902$2,043,602$265,30031 August 2021
NORTH STAR RANCH REHABILITATION AND6511,433$2,720,676$3,728,735−$1,008,05931 December 2021
REFUGIO NURSING & REHABILITATION643,392$630,019$1,616,090−$986,0711 December 2021
THE ROSEWOOD RETIREMENT COMM. SNF6415,530$5,166,686$5,124,550$42,13631 December 2021
THE VISTA AT BST WEST648,468$3,987,209$4,553,517−$566,30830 June 2021

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

Not yet extracted for this facility.

Medicare enrollment

Not yet extracted for this facility.

Changes in ownership

Not yet extracted for this facility.

Inspections

Not yet extracted for this facility.

Deficiencies cited

Not yet extracted for this facility.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Not yet extracted for this facility.

Every change on this record

  • 12 May 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 22 October 2021: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 10 August 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 15 June 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 24 April 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 27 November 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • 18 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • 23 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • 20 June 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • 25 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • 23 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • 19 December 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
  • 7 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • 25 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • 14 June 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • 15 July 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • 27 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip

How to read this report

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

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

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

How to cite this report

Velarion Records, REFUGIO NURSING & REHABILITATION — facility record report, CMS certification number 676140. https://velarionrecords.com/facility/676140/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676140. 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 2017914,414884.214,136.376,990.1812,010.76
2017Q330 September 2017924,329723.54,246.087,009.3211,978.9
2017Q431 December 2017924,5267764,380.416,463.9211,620.33
2018Q131 March 2018904,730431.973,551.455,642.29,625.62
2018Q230 June 2018914,924548.223,614.556,664.1410,826.91
2018Q330 September 2018925,2631,309.534,854.378,264.5214,428.42
2018Q431 December 2018925,1861,284.134,837.048,891.915,013.07
2019Q131 March 2019905,0181,236.565,186.588,974.2515,397.39
2019Q230 June 2019914,7971,402.725,388.468,860.1115,651.29
2019Q330 September 2019924,8181,307.925,652.618,738.4915,699.02
2019Q431 December 2019925,0411,243.735,528.638,034.5314,806.89
2020Q131 March 2020914,7501,267.765,702.397,168.3214,138.47
2020Q230 June 2020914,8031,004.095,677.226,115.1812,796.49
2020Q330 September 2020922,032956.464,824.433,343.319,124.2
2020Q431 December 202092514812.472,766.91,615.385,194.75
2021Q230 June 2021911,053784.42,917.573,404.447,106.41
2021Q330 September 2021921,273403.692,294.792,706.725,405.2
2021Q431 December 202192926387.08948.171,613.552,948.8
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
2017Q20.2003190.9371021.5836382.72106
2017Q30.1671290.9808451.6191552.767129
2017Q40.1714540.9678331.4281752.567461
2018Q10.0913260.7508351.1928542.035015
2018Q20.1113360.7340681.35342.198804
2018Q30.2488180.9223581.5703062.741482
2018Q40.2476150.9327111.7145972.894923
2019Q10.2464251.0335951.7884123.068432
2019Q20.2924161.1232981.8470113.262725
2019Q30.2714651.1732271.8137173.25841
2019Q40.2467231.0967331.5938372.937292
2020Q10.2668971.2005031.509122.97652
2020Q20.2090551.1820151.27322.66427
2020Q30.4706992.3742271.645334.490256
2020Q41.5806815.3830743.14276310.106518
2021Q20.7449192.7707223.2330866.748727
2021Q30.3171171.8026632.1262534.246033
2021Q40.4180131.0239421.7424953.184449

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
  • 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

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