Facility record report · CMS certification number 676158

Sonterra Health Center

San Antonio, 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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 January 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$12,288,100	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,066,237	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,221,863	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,757,690	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$464,173	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,243	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$469,416	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $468,512 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	44,652	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	2,251	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	13,128	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	16,153	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	31,532	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	79	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	18	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	677	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	774	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.49	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	729.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	40.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1402483, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$12,628,953	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$826,670	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,802,283	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,891,994	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$910,289	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,183	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$913,472	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $913,351 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,007	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	842	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,052.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	36.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375174, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$10,501,205	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$532,105	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,033,310	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,959,277	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,074,033	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,886	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,079,919	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,079,919 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,976	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	688	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	594.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	43.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344792, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,621,024	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,249,867	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,870,891	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,885,136	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$985,755	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$135	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$985,620	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $985,070 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,052	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	735	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	531.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	39.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314068, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 May 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$9,867,020	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,103,916	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,970,936	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,877,379	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,093,557	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,716	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,099,273	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,096,392 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,923	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	624	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	406.18	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	51.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283781, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 March 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$10,521,469	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$29,575	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,551,044	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,701,490	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$849,554	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,613	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$862,167	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $861,785 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,717	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	590	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	833.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	60.54	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252380, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$8,979,342	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$79,850	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,899,492	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,568,534	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$330,958	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,739	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$351,697	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $351,697 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,449	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	612	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	780.63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	56.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1222688, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 April 2017 to 30 September 2017 — a reporting period of 182 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 9 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,863,398	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$40,400	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,903,798	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,842,132	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$61,666	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,065	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$72,731	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $72,731 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	16,852	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	206	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,292	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	81.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1189637, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 May 2016 to 31 December 2016 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$5,671,054	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$190,735	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,480,319	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,467,147	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$13,172	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,437	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$14,609	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $14,609 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,476	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	250	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	970.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	97.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174161, 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 24 August 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$12,193,454	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,373,463	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,819,991	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,842,239	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$977,752	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,777	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$979,529	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $940,078 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	125	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,585	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	350	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	324.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	107.39	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142450, read from the public cost report file SNF10FY2015.zip.

Cost report for 4 December 2013 to 31 December 2014 — a reporting period of 392 days, on form CMS-2540-10, settled, processed by CMS on 14 November 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$12,907,243	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,579,763	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,327,480	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,639,974	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$687,506	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,818	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$689,324	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $689,323 (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 2014
Figure	As filed	Where it comes from
Total facility beds, all components	125	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,735	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	276	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	950.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	143.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146366, read from the public cost report file SNF10FY2014.zip.

Cost report for 1 January 2013 to 3 December 2013 — a reporting period of 336 days, on form CMS-2540-10, settled, processed by CMS on 3 February 2016.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$8,452,521	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,530,504	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,922,017	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,861,015	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$61,002	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$61,002	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $61,002 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,582	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	190	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,347.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	166.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118493, 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 25 November 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$10,361,772	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,999,016	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,362,756	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,841,948	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$520,808	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$520,808	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $520,808 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,543	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	145	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	105.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	609.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	238.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1080918, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$9,746,448	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,384,458	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,361,990	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,788,265	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$573,725	CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income	$573,725	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $573,725 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,742	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	183	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	69.47	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	386.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	184.38	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1014938, 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 26 October 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$7,346,154	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,289,209	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$56,945	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $56,945 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	34,344	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	498	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.59	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	202.19	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	68.96	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 433043, 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 25 October 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$6,111,930	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,513,135	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$401,205	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$401,205 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,674	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	272	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.55	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	859.7	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	90.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 388859, 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 13 January 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,838,572	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,800,808	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$962,236	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$962,236 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,627	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	273	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.72	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	163.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	60.9	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 362312, read from the public cost report file SNFFY2008.zip.

Cost report for 1 November 2007 to 31 December 2007 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 27 August 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$105,122	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$514,421	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$409,299	CMS-2540-96 worksheet G300000 line 500 column 100
Total other expenses	$28,971	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$438,270 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	322	CMS-2540-96 worksheet S300001 line 900 column 700

CMS report record 325093, read from the public cost report file SNFFY2008.zip.

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

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
ARBOR LAKE NURSING & REHABILITATION	123	23,605	$5,917,422	$5,765,532	$151,890	30 September 2024
BRACKENRIDGE HEALTHCARE INC.	122	31,532	$11,221,863	$10,757,690	$464,173	30 September 2024
COLONIAL MANOR- MCALLEN	123	42,494	$10,505,430	$10,271,548	$233,882	31 August 2024
FANNIN DBA WEATHERFORD	122	27,822	$6,758,270	$6,519,693	$238,577	31 December 2024
MCALLEN NURSING CENTER	122	9,959	$2,269,273	$3,121,878	−$852,605	31 August 2024
SAN JUAN NURSING HOME	122	26,358	$5,725,447	$6,686,937	−$961,490	30 June 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
ASHTON, ANDREW	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2017
BRACKENRIDGE HEALTHCARE INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/24/2025
ENSIGN SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2016
MANSOOR, SAAD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/29/2019
NATIONAL HEALTH INVESTORS, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
TEXAS NHI INVESTORS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/01/2017
ALEXANDER, ALMA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/27/2020
BURNAM, SOON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/01/2017
KEETCH, CHAD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/01/2011
ASHTON, ANDREW	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/01/2017
MANSOOR, SAAD	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/29/2019
ASHTON, ANDREW	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2017
BRACKENRIDGE HEALTHCARE INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2017
MANSOOR, SAAD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/29/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of DEWITT MEDICAL DISTRICT (enrollment ID O20170602000841).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
DEWITT MEDICAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
ANDREW ASHTON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRACKENRIDGE HEALTHCARE INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
ENSIGN SERVICES INC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2016	Private equity company: No Real estate investment trust: No Holding company: No
NATIONAL HEALTH INVESTORS, INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
SAAD MD MANSOOR	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/29/2019	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.
TEXAS NHI INVESTORS, LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
ALMA ALEXANDER	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/27/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHAD KEETCH	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2011	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOON BURNAM	Individual	CORPORATE OFFICER	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANDREW ASHTON	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SAAD MD MANSOOR	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/29/2019	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.
ANDREW ASHTON	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	4/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRACKENRIDGE HEALTHCARE INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	4/1/2017	Private equity company: No Real estate investment trust: No Holding company: No
SAAD MD MANSOOR	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/29/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: NATIONAL HEALTH INVESTORS, INC. no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ALMA ALEXANDER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BRACKENRIDGE HEALTHCARE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SAAD MD MANSOOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SAAD MD MANSOOR appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SAAD MD MANSOOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TEXAS NHI INVESTORS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ANDREW ASHTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ANDREW ASHTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
31 October 2022: GREGORY S PRITCHETT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: GREGORY S PRITCHETT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MATTHEW LLOYD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SOON E BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ALMA ALEXANDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ALMA ALEXANDER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ANDREW ASHTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	15 May 2025	15 May 2025	18	1
2	19 April 2024	19 April 2024	13	1
3	24 February 2023	24 February 2023	21	2

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

Deficiencies cited

52 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
17 June 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	18 June 2026
7 June 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	8 June 2026
15 May 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	G	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	G	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	13 June 2025
15 May 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	13 June 2025
25 April 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	30 April 2025
25 April 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	16 May 2025
21 March 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	24 March 2025
21 March 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	J	Yes	Past Non-Compliance	17 March 2025
14 September 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	15 September 2024
14 August 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	J	Yes	Deficient, Provider has date of correction	15 August 2024
14 August 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	15 August 2024
14 June 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	E	Yes	Deficient, Provider has date of correction	15 June 2024
14 June 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	Yes	Deficient, Provider has date of correction	15 June 2024
14 June 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	Yes	Deficient, Provider has date of correction	15 June 2024
19 April 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	E	No	Deficient, Provider has date of correction	24 April 2024
19 April 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	24 April 2024
19 April 2024	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	24 April 2024
19 April 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	30 April 2024
19 April 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have 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.	E	No	Deficient, Provider has date of correction	20 April 2024
19 April 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	26 April 2024
22 March 2024	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	Yes	Deficient, Provider has date of correction	10 April 2024
22 March 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	Yes	Deficient, Provider has date of correction	10 April 2024
22 March 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	10 April 2024
1 December 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	28 December 2023
1 December 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	28 December 2023
31 August 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	11 September 2023
31 August 2023	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	11 September 2023
24 February 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	24 March 2023
24 February 2023	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	24 March 2023
24 February 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	24 March 2023
24 February 2023	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	24 March 2023
24 February 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	24 March 2023
24 February 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	24 March 2023
24 February 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	24 March 2023
24 February 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	24 March 2023
24 February 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	24 March 2023
24 February 2023	Health	F 0837	Administration Deficiencies	Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.	F	No	Deficient, Provider has date of correction	17 March 2023
24 February 2023	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	24 March 2023

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

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
25 April 2025	Fine	$17,345			113883
21 March 2025	Fine	$14,901			113696
14 August 2024	Fine	$48,718			113125
14 August 2024	Payment Denial		13 September 2024	2

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - Hospital district
Legal Business Name	DEWITT MEDICAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2007-11-28
Provider Resides in Hospital	Y
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Bexar
Telephone Number	2105454800
Chain Name	THE ENSIGN GROUP
Chain ID	507
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	124
Average Number of Residents per Day	101.8
Overall Rating	1
Health Inspection Rating	2
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	4
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: NATIONAL HEALTH INVESTORS, INC. no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 December 2025: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ALMA ALEXANDER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: BRACKENRIDGE HEALTHCARE INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: CHAD A KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SAAD MD MANSOOR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SAAD MD MANSOOR appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: SAAD MD MANSOOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: TEXAS NHI INVESTORS, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ANDREW ASHTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: ANDREW ASHTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
1 December 2025: NATIONAL HEALTH INVESTORS, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
21 January 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
18 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
22 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
31 October 2022: GREGORY S PRITCHETT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: GREGORY S PRITCHETT no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: MATTHEW LLOYD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: SOON E BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ALMA ALEXANDER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ALMA ALEXANDER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: ANDREW ASHTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
12 May 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
12 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
17 April 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
9 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
28 December 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
21 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
8 March 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
14 November 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
24 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
3 February 2016: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
25 November 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
26 October 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
25 October 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
13 January 2010: 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. SNFFY2008.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, Sonterra Health Center — facility record report, CMS certification number 676158. https://velarionrecords.com/facility/676158/report.

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

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676158. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
Quarter	Quarter ended	Days reported	Resident days	Registered nurse hours	Licensed practical nurse hours	Nurse aide hours	Total nurse hours
2017Q3	30 September 2017	92	9,012	3,202.78	9,009.81	16,237.64	28,450.23
2017Q4	31 December 2017	92	9,152	2,539.13	9,386.3	17,122.26	29,047.69
2018Q1	31 March 2018	90	8,586	2,740.1	10,418.08	16,716.65	29,874.83
2018Q2	30 June 2018	91	8,362	2,602.37	10,570.3	16,517.16	29,689.83
2018Q3	30 September 2018	92	8,540	2,845	10,660	15,556.63	29,061.63
2018Q4	31 December 2018	92	8,689	3,172.07	10,631.81	15,278.79	29,082.67
2019Q1	31 March 2019	90	8,801	3,124.11	11,051.55	15,494.82	29,670.48
2019Q2	30 June 2019	91	9,256	2,726.03	9,803.2	17,570.03	30,099.26
2019Q3	30 September 2019	92	9,340	3,553.39	9,349.03	18,129.98	31,032.4
2019Q4	31 December 2019	92	9,332	4,071.25	8,433.51	18,699.11	31,203.87
2020Q1	31 March 2020	91	9,429	4,222.95	8,117.98	19,085.83	31,426.76
2020Q2	30 June 2020	91	9,216	3,814.82	7,776.86	16,751.63	28,343.31
2020Q3	30 September 2020	92	5,658	3,424.66	7,440.65	13,356.04	24,221.35
2020Q4	31 December 2020	92	7,308	2,994.52	8,696.18	14,587.98	26,278.68
2021Q1	31 March 2021	90	7,432	2,974.05	8,909.99	13,571.53	25,455.57
2021Q2	30 June 2021	91	7,389	2,800.91	10,020.3	13,897.89	26,719.1
2021Q3	30 September 2021	92	8,683	2,579.75	10,223.35	13,445.72	26,248.82
2021Q4	31 December 2021	92	7,421	2,687.4	8,745.18	14,881.31	26,313.89
2022Q1	31 March 2022	90	7,526	3,073.66	7,969.28	15,209.5	26,252.44
2022Q2	30 June 2022	91	7,685	2,784.12	9,058.38	14,836.79	26,679.29
2022Q3	30 September 2022	92	7,702	3,040.96	8,855.08	14,932.95	26,828.99
2022Q4	31 December 2022	92	7,737	2,218.74	9,857.97	14,598.55	26,675.26
2023Q1	31 March 2023	90	8,571	1,340.8	11,007.6	16,064.15	28,412.55
2023Q2	30 June 2023	91	7,634	1,812.86	10,673.21	16,387.53	28,873.6
2023Q3	30 September 2023	92	7,443	1,320.55	10,648.15	16,490.1	28,458.8
2023Q4	31 December 2023	92	7,812	1,047.52	9,555.43	15,793.07	26,396.02
2024Q1	31 March 2024	91	7,828	1,637.46	9,513.09	15,516.08	26,666.63
2024Q2	30 June 2024	91	7,762	1,734.2	10,584.56	15,160.39	27,479.15
2024Q3	30 September 2024	92	8,622	2,325.88	11,357.99	16,004.26	29,688.13
2024Q4	31 December 2024	92	8,705	2,915.34	10,672.71	17,359.13	30,947.18
2025Q1	31 March 2025	90	8,845	2,848.14	11,306.21	16,493.36	30,647.71
2025Q2	30 June 2025	91	8,912	2,757.14	12,574.31	17,994.04	33,325.49
2025Q3	30 September 2025	92	9,178	3,042.02	12,000.58	19,098.17	34,140.77
2025Q4	31 December 2025	92	9,095	3,508.91	11,642.49	18,160.66	33,312.06
2026Q1	31 March 2026	90	9,158	2,334.59	12,235.69	17,777.87	32,348.15

Nurse staffing hours per resident day by quarter
Quarter	Registered nurse hours per resident day	Licensed practical nurse hours per resident day	Nurse aide hours per resident day	Total nurse hours per resident day
2017Q3	0.355391	0.999757	1.80178	3.156927
2017Q4	0.27744	1.025601	1.870876	3.173917
2018Q1	0.319136	1.21338	1.946966	3.479482
2018Q2	0.311214	1.264088	1.975264	3.550566
2018Q3	0.333138	1.248244	1.821619	3.403001
2018Q4	0.365067	1.223594	1.758406	3.347068
2019Q1	0.354972	1.255715	1.760575	3.371262
2019Q2	0.294515	1.059118	1.898231	3.251865
2019Q3	0.380449	1.000967	1.941111	3.322527
2019Q4	0.436268	0.903719	2.003762	3.343749
2020Q1	0.447868	0.860959	2.024163	3.33299
2020Q2	0.413934	0.843843	1.817668	3.075446
2020Q3	0.605277	1.315067	2.360559	4.280903
2020Q4	0.409759	1.189953	1.996166	3.595878
2021Q1	0.400168	1.198868	1.826094	3.425131
2021Q2	0.379065	1.35611	1.880889	3.616064
2021Q3	0.297104	1.177398	1.548511	3.023013
2021Q4	0.362134	1.178437	2.005297	3.545868
2022Q1	0.408406	1.0589	2.020927	3.488233
2022Q2	0.36228	1.178709	1.930617	3.471606
2022Q3	0.394827	1.149712	1.938841	3.48338
2022Q4	0.28677	1.274133	1.886849	3.447752
2023Q1	0.156434	1.284284	1.874245	3.314963
2023Q2	0.237472	1.398115	2.146651	3.782237
2023Q3	0.177422	1.430626	2.215518	3.823566
2023Q4	0.134091	1.223173	2.021642	3.378907
2024Q1	0.20918	1.215264	1.982126	3.40657
2024Q2	0.223422	1.363638	1.953155	3.540215
2024Q3	0.269761	1.317327	1.856212	3.4433
2024Q4	0.334904	1.226044	1.994156	3.555104
2025Q1	0.322006	1.27826	1.86471	3.464976
2025Q2	0.309374	1.410941	2.01908	3.739395
2025Q3	0.331447	1.307538	2.080864	3.719849
2025Q4	0.385806	1.280098	1.996774	3.662678
2026Q1	0.254924	1.336066	1.941239	3.532229

How each quarter is derived, and its file

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

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