Facility record report · CMS certification number 676188

Millbrook Healthcare and Rehabilitation Center

Lancaster, 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 December 2023 to 30 September 2024 — a reporting period of 304 days, on form CMS-2540-10, settled, processed by CMS on 11 February 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,475,769	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,486,519	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,989,250	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,011,114	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$978,136	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$463	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$978,599	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $978,599 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	37,820	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,319	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	15,956	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	4,044	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	21,319	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	27	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	42	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	90	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	159	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	379.9	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	134.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403525, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 30 November 2023 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 21 June 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$10,769,244	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,761,768	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,007,476	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,388,402	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$619,074	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,741	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$621,815	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $621,815 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,340	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	136	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	425.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	156.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1385782, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 July 2022 to 31 December 2022 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,962,189	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$919,354	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,042,835	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,690,962	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$351,873	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,536	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$353,409	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $353,409 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,875	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	80.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	366.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	158.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1359867, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,853,529	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$690,158	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,543,687	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,189,134	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$645,447	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$329,715	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$315,732	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$315,732 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,828	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	120	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	65.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	377.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	181.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366165, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,973,332	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$1,183,412	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,156,744	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,813,598	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$343,146	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$289,013	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$632,159	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $632,159 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,213	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	73.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	180.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	108.85	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335492, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$7,506,143	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$166,851	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,339,292	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,988,739	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$649,447	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,557	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$642,890	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$642,890 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,515	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	256	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	268.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	130.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302555, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 September 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,901,939	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$521,916	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,380,023	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,258,787	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$878,764	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,023	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$877,741	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$877,741 (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	34,986	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	210	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	305.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	166.6	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1269615, read from the public cost report file SNF10FY2018.zip.

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 August 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$8,202,552	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$351,556	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,850,996	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,038,225	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$187,229	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,579	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$184,650	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$184,650 (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	35,583	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	213	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	63.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	353	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	167.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240868, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 7 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$8,018,577	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$811,725	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,206,852	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,582,857	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$376,005	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$713	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$375,292	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$375,292 (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	33,278	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	217	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	281.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	153.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172216, 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 15 March 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$8,465,529	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,084,878	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,380,651	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,517,145	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$136,494	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,636	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$134,858	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$134,858 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,190	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	122	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,803.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	280.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1154489, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 November 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$9,036,911	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,649,306	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,387,605	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,452,103	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$64,498	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$1,285	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$65,783	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$65,783 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,401	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	320	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.84	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	128.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	101.25	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1146783, read from the public cost report file SNF10FY2014.zip.

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

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$7,419,034	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,322,042	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,096,992	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,046,532	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$50,460	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$284	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$50,744	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $50,744 (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	30,442	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	285	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	249.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	106.81	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1070582, 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 23 July 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$6,774,418	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,026,539	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,747,879	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,667,337	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$80,542	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$497	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$81,039	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $81,039 (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	28,489	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	252	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	151.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	113.05	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043061, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 December 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$6,141,327	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$765,005	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,376,322	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,458,606	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$82,284	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,465	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$79,819	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$79,819 (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	28,519	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	260	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.79	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	170.85	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	109.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1052724, 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 31 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$5,050,361	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,384,394	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$334,033	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$94	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$333,939 (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	26,591	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	351	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	165.39	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	75.76	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 416731, 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 24 August 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,702,507	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,384,344	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$681,837	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,334	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$680,503 (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	24,344	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	318	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.13	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	165.78	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	76.55	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 386159, read from the public cost report file SNFFY2009.zip.

Cost report for 25 July 2008 to 31 December 2008 — a reporting period of 159 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 8 September 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$1,193,188	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,217,637	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,024,449	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: −$1,024,449 (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	5,943	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	52.9	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	154.41	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	79.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 356100, 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
BLUEBONNET HEALTHCARE INC.	124	21,319	$7,989,250	$7,011,114	$978,136	30 September 2024
COPPERAS COVE LTC PARTNERS INC.	124	24,887	$5,612,178	$5,164,857	$447,321	31 December 2024
LAUREL COURT	125	33,177	$8,844,144	$8,612,816	$231,328	30 September 2024
LEGACY NURSING AND REHABILITATION OF	124	36,814	$9,192,976	$8,433,225	$759,751	31 December 2024
MOONFLOWER HEALTHCARE INC.	125	16,866	$6,861,340	$5,638,111	$1,223,229	30 June 2024
PRIMROSE HEALTHCARE INC.	124	23,610	$8,451,576	$8,415,802	$35,774	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
BLUEBONNET HEALTHCARE, INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/27/2025
ENSIGN SERVICES INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/18/2022
MADISON, KRISTEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/01/2023
SHARMA, NEERAJ	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/04/2024
BURNAM, SOON	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/01/2023
HOOPER, GRADY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/01/2023
KEETCH, CHAD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/01/2011
MADISON, KRISTEN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 12/01/2023
SHARMA, NEERAJ	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 09/04/2024
BLUEBONNET HEALTHCARE, INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 12/01/2023
MADISON, KRISTEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/01/2023
SHARMA, NEERAJ	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/04/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HAMILTON COUNTY HOSPITAL DISTRICT (enrollment ID O20240212002238).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
HAMILTON COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	12/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
BLUEBONNET 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.	10/27/2025	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.	4/18/2022	Private equity company: No Real estate investment trust: No Holding company: No
KRISTEN MADISON	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.	12/1/2023	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.
NEERAJ R SHARMA	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.	9/4/2024	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.
GRADY HOOPER	Individual	CORPORATE OFFICER	0	12/1/2023	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.	12/1/2023	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.
KRISTEN MADISON	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.	12/1/2023	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.
NEERAJ R SHARMA	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.	9/4/2024	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.
BLUEBONNET HEALTHCARE, INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	0	12/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
KRISTEN MADISON	Individual	OPERATIONAL/MANAGERIAL CONTROL	0	12/1/2023	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.
NEERAJ R SHARMA	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.	9/4/2024	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 May 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KRISTEN MADISON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KRISTEN MADISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KRISTEN MADISON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHAD KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: NEERAJ R SHARMA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: NEERAJ R SHARMA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: NEERAJ R SHARMA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BLUEBONNET HEALTHCARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2024: SOON E BURNAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: CRAIG FITCH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: MICHAEL MUHLESTEIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: THE ENSIGN GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: ANDREW ASHTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: KEYSTONE CARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: MARCUS ASHDOWN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: MARCUS ASHDOWN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: SOON E BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: KRISTEN MADISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: KRISTEN MADISON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: GRADY HOOPER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: HAMILTON COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: BLUEBONNET HEALTHCARE, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
30 November 2022: WILLIAM HERDRICH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: BRETTON J BOLT no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: BRIAN LEE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: FRANCIS KIRLEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: FRANCIS KIRLEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: FRANCIS KIRLEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: FRANCIS KIRLEY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH OF TEXAS, INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH OF TEXAS, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH LEASING, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH LEASING, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: JOHN R FALLON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: MEERA RINER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: MEERA RINER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: SOON E BURNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: CRAIG FITCH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: MICHAEL MUHLESTEIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: THE ENSIGN GROUP INC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: ANDREW ASHTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: KEYSTONE CARE LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: MARCUS ASHDOWN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: MARCUS ASHDOWN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	23 April 2026	23 April 2026	14	0
2	11 February 2025	11 February 2025	10	1
3	10 January 2024	10 January 2024	3	2

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

Deficiencies cited

27 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
23 April 2026	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	24 April 2026
23 April 2026	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	24 April 2026
23 April 2026	Health	F 0638	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	D	No	Deficient, Provider has date of correction	24 April 2026
23 April 2026	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 2026
23 April 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	24 April 2026
23 April 2026	Health	F 0693	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D	No	Deficient, Provider has date of correction	24 April 2026
23 April 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	24 April 2026
23 April 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	24 April 2026
23 April 2026	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	24 April 2026
3 December 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	Yes	Deficient, Provider has date of correction	4 December 2025
2 December 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.	E	Yes	Deficient, Provider has date of correction	3 December 2025
2 December 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Deficient, Provider has date of correction	3 December 2025
1 December 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E	Yes	Deficient, Provider has date of correction	2 December 2025
9 September 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	Yes	Deficient, Provider has date of correction	26 September 2025
7 May 2025	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	Yes	Deficient, Provider has date of correction	23 May 2025
7 May 2025	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	23 May 2025
7 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	Yes	Deficient, Provider has date of correction	23 May 2025
11 February 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	17 February 2025
11 February 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E	No	Deficient, Provider has date of correction	17 February 2025
11 February 2025	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	17 February 2025
11 February 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	17 February 2025
11 February 2025	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	17 February 2025
11 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	17 February 2025
11 October 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	Yes	Deficient, Provider has date of correction	14 October 2024
10 January 2024	Health	F 0850	Administration Deficiencies	Hire a qualified full-time social worker in a facility with more than 120 beds.	E	No	Deficient, Provider has date of correction	5 February 2024
10 January 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	5 February 2024
29 November 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	K	Yes	Deficient, Provider has date of correction	29 December 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
29 November 2023	Fine	$13,565			111860

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	HAMILTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2008-07-25
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Dallas
Telephone Number	9722751900
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	78.1
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 May 2026: SOON BURNAM no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KRISTEN MADISON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: SOON BURNAM appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KRISTEN MADISON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: KRISTEN MADISON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: CHAD KEETCH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: NEERAJ R SHARMA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: NEERAJ R SHARMA appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: NEERAJ R SHARMA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: ENSIGN SERVICES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
1 May 2026: BLUEBONNET HEALTHCARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
11 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
21 June 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 May 2024: SOON E BURNAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: CRAIG FITCH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: MICHAEL MUHLESTEIN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: THE ENSIGN GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: ANDREW ASHTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: KEYSTONE CARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: MARCUS ASHDOWN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: MARCUS ASHDOWN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: SOON E BURNAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: KRISTEN MADISON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: KRISTEN MADISON appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: GRADY HOOPER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: HAMILTON COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
1 May 2024: BLUEBONNET HEALTHCARE, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
11 October 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
25 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
20 January 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
30 November 2022: WILLIAM HERDRICH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: BRETTON J BOLT no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: BRIAN LEE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: FRANCIS KIRLEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: FRANCIS KIRLEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: FRANCIS KIRLEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: FRANCIS KIRLEY no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH OF TEXAS, INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH OF TEXAS, INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH LEASING, INC. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: NEXION HEALTH LEASING, INC. no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: JOHN R FALLON no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: MEERA RINER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: MEERA RINER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: SOON E BURNAM appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: CRAIG FITCH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: MICHAEL MUHLESTEIN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: THE ENSIGN GROUP INC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: ANDREW ASHTON appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: KEYSTONE CARE LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: MARCUS ASHDOWN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
30 November 2022: MARCUS ASHDOWN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
19 October 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
20 October 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
24 September 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
14 August 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
7 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
15 March 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
21 November 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
23 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
19 December 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
23 July 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
31 August 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
24 August 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
8 September 2009: A cost report was filed for fiscal year 2008, 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, Millbrook Healthcare and Rehabilitation Center — facility record report, CMS certification number 676188. https://velarionrecords.com/facility/676188/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 2017Q1 to 2026Q1.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676188. 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
2017Q1	31 March 2017	90	9,192	1,152.6	9,895.77	17,452.44	28,500.81
2017Q2	30 June 2017	91	9,020	1,212.96	10,285.52	19,304.27	30,802.75
2017Q3	30 September 2017	92	8,674	1,441.73	10,327.88	18,483.53	30,253.14
2017Q4	31 December 2017	92	9,440	1,506.18	10,639.85	17,636.28	29,782.31
2018Q1	31 March 2018	90	8,997	1,565.05	10,007.43	18,131.1	29,703.58
2018Q2	30 June 2018	91	8,945	1,718.8	9,284.86	18,290.45	29,294.11
2018Q3	30 September 2018	92	8,834	1,591.4	9,780.56	18,436.92	29,808.88
2018Q4	31 December 2018	92	8,828	1,709.74	9,811.64	16,735.56	28,256.94
2019Q1	31 March 2019	90	8,880	1,671.44	9,636.26	17,044.62	28,352.32
2019Q2	30 June 2019	91	8,256	1,992.01	9,354.26	16,281.79	27,628.06
2019Q3	30 September 2019	92	8,161	1,879.18	9,050	17,721.41	28,650.59
2019Q4	31 December 2019	92	8,257	2,501.52	8,357.55	17,789.74	28,648.81
2020Q2	30 June 2020	91	7,484	2,802.64	7,771.34	16,444.48	27,018.46
2020Q3	30 September 2020	92	6,080	1,971.93	7,151.92	14,430.85	23,554.7
2020Q4	31 December 2020	92	5,811	2,863.9	6,921.61	14,387.76	24,173.27
2021Q1	31 March 2021	90	4,881	2,916.01	5,602.94	11,376.15	19,895.1
2021Q2	30 June 2021	91	5,056	3,054.84	5,518.06	9,857.25	18,430.15
2021Q3	30 September 2021	92	5,608	2,882.71	5,890.15	10,789.07	19,561.93
2021Q4	31 December 2021	92	6,272	2,763.89	6,898.51	12,324.59	21,986.99
2022Q1	31 March 2022	90	6,844	2,472.26	5,817.29	12,032.2	20,321.75
2022Q2	30 June 2022	91	6,438	2,085.81	6,403.33	13,559.78	22,048.92
2022Q3	30 September 2022	92	6,064	2,062.78	6,319.26	9,060.39	17,442.43
2022Q4	31 December 2022	92	5,951	1,289.56	6,666.09	9,075.7	17,031.35
2023Q1	31 March 2023	90	5,944	971.98	6,961.16	9,587.34	17,520.48
2023Q2	30 June 2023	91	5,916	1,108.06	6,852.18	9,031.39	16,991.63
2023Q3	30 September 2023	92	5,667	1,291.65	6,942.51	9,039.44	17,273.6
2023Q4	31 December 2023	92	5,853	1,423.82	6,908.59	9,695.83	18,028.24
2024Q1	31 March 2024	91	6,290	1,619.81	6,709.99	9,184.23	17,514.03
2024Q2	30 June 2024	91	6,363	1,532.2	7,201.02	10,202.01	18,935.23
2024Q3	30 September 2024	92	6,777	1,734.57	7,020.13	12,544.02	21,298.72
2024Q4	31 December 2024	92	6,713	1,871.45	7,295.8	11,540.46	20,707.71
2025Q1	31 March 2025	90	6,298	1,687.38	7,254.05	10,956.55	19,897.98
2025Q2	30 June 2025	91	6,521	1,187.96	7,933.12	12,064.24	21,185.32
2025Q3	30 September 2025	92	7,383	1,109.11	8,240.94	13,947.29	23,297.34
2025Q4	31 December 2025	92	7,281	1,111.82	8,643.48	14,082.33	23,837.63
2026Q1	31 March 2026	90	7,026	849.99	8,136.8	12,642.01	21,628.8

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
2017Q1	0.125392	1.076563	1.898655	3.10061
2017Q2	0.134475	1.140302	2.140163	3.414939
2017Q3	0.166213	1.190671	2.130912	3.487796
2017Q4	0.159553	1.127103	1.86825	3.154906
2018Q1	0.173952	1.112307	2.015238	3.301498
2018Q2	0.192152	1.037994	2.044768	3.274914
2018Q3	0.180145	1.10715	2.087041	3.374336
2018Q4	0.193672	1.111423	1.895736	3.200831
2019Q1	0.188225	1.085164	1.919439	3.192829
2019Q2	0.24128	1.133026	1.972116	3.346422
2019Q3	0.230263	1.108933	2.171475	3.510671
2019Q4	0.302957	1.012178	2.154504	3.469639
2020Q2	0.374484	1.038394	2.197285	3.610163
2020Q3	0.324331	1.176303	2.373495	3.874128
2020Q4	0.492841	1.191122	2.475953	4.159916
2021Q1	0.597421	1.147908	2.330701	4.07603
2021Q2	0.604201	1.091388	1.949614	3.645204
2021Q3	0.514035	1.050312	1.923871	3.488219
2021Q4	0.440671	1.09989	1.965018	3.505579
2022Q1	0.36123	0.849984	1.758065	2.96928
2022Q2	0.323984	0.994615	2.10621	3.424809
2022Q3	0.340168	1.042094	1.494128	2.87639
2022Q4	0.216696	1.120163	1.525071	2.861931
2023Q1	0.163523	1.171124	1.612944	2.947591
2023Q2	0.187299	1.158245	1.526604	2.872148
2023Q3	0.227925	1.225077	1.595101	3.048103
2023Q4	0.243263	1.18035	1.656557	3.080171
2024Q1	0.257521	1.066771	1.460132	2.784424
2024Q2	0.240798	1.131702	1.603333	2.975834
2024Q3	0.25595	1.035876	1.850969	3.142795
2024Q4	0.27878	1.086817	1.719121	3.084718
2025Q1	0.267923	1.151802	1.739687	3.159413
2025Q2	0.182175	1.21655	1.85006	3.248784
2025Q3	0.150225	1.116205	1.889109	3.155538
2025Q4	0.152702	1.187128	1.93412	3.27395
2026Q1	0.120978	1.158098	1.799318	3.078395

How each quarter is derived, and its file

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