Facility record report · CMS certification number 676213

HEWITT NURSING AND REHABILITATION

HEWITT, 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 September 2024 to 31 August 2025 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 30 January 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$10,648,141	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,950,696	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,697,445	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,314,070	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$383,375	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,508	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$384,883	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $384,883 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	140	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	51,100	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,028	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,742	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	10,097	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	27,867	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	31	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	48	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	286	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	365	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	348.79	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	76.35	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447213, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 September 2023 to 31 August 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 February 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,208,948	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,201,675	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,007,273	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,905,564	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,898,291	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$283	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,898,008	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,898,008 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,125	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	399	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	258.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	65.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403852, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 September 2022 to 31 August 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 February 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$12,285,237	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,198,945	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,086,292	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,733,802	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$352,490	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,431	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$353,921	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $353,921 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,369	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	418	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	365.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	70.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403107, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 October 2021 to 31 August 2022 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$9,691,034	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,347,075	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,343,959	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,656,068	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$312,109	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$76	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$312,033	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$312,033 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,551	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	272	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	297.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.94	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343433, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 30 September 2021 — a reporting period of 272 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$7,871,482	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,672,030	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,199,452	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,473,550	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$274,098	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$745,178	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$471,080	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $471,080 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,194	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	336	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.95	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	362.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	69.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314187, 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 13 February 2023.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$9,809,641	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,932,600	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,877,041	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,967,152	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$90,111	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$860,107	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$769,996	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $769,996 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,346	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	319	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	429.53	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	101.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342343, 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 9 March 2022.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$10,268,882	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,532,150	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,736,732	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,575,042	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$161,690	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,365	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$164,055	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $164,055 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,221	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	373	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	500.11	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	89.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1311724, 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 22 July 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$11,917,107	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,596,987	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,320,120	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,646,642	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$673,478	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,698	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$692,176	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $692,176 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,328	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	345	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.93	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	275.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	102.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237891, read from the public cost report file SNF10FY2018.zip.

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

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$14,078,697	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,198,768	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,879,929	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,613,840	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$266,089	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,217	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$285,306	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $285,306 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,186	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	341	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	756.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	91.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208189, 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 25 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$15,625,243	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,171,105	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,454,138	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,963,953	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$490,185	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$29,285	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$519,470	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $519,470 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,439	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	401	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	433.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	85.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1175007, 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 25 July 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$15,485,971	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$7,354,187	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,131,784	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,842,385	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$289,399	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,853	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$309,252	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $309,252 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,706	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	419	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.46	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	387.59	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	80.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1136789, read from the public cost report file SNF10FY2015.zip.

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 December 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$13,371,794	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,257,400	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,114,394	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,687,110	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$427,284	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,101	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$447,385	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $447,385 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,920	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	393	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	450.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	86.31	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1148898, 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 22 December 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$13,649,825	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,951,378	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,698,447	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,894,878	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$803,569	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,019	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$812,588	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $812,588 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,023	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	402	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	42.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	285.64	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	84.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1116054, 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 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$13,273,755	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,429,765	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,843,990	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,333,947	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$489,957	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,583	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$485,374	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$485,374 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,698	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	359	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	265.19	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	85.51	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1073151, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 August 2011 to 31 December 2011 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$4,361,594	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,154,622	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,206,972	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,487,029	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$280,057	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$596	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$279,461	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$279,461 (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	140	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,142	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	119	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.09	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	285.86	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1015544, 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 24 June 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,811,482	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,435,922	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$624,440	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,987	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$619,453 (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	140	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,469	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	221	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	33.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	659.21	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	115.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 430866, read from the public cost report file SNFFY2010.zip.

Cost report for 24 March 2009 to 31 December 2009 — a reporting period of 282 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 14 July 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,882,405	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,947,581	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,065,176	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,609	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$1,063,567 (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	140	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,081	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	188	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.86	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	154.32	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	69.58	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 380830, read from the public cost report file SNFFY2009.zip.

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

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

Facility	Total facility beds	Total patient days	Net patient revenue	Total operating expenses	Net income from service to patients	Period ended
CLEVELAND HEALTH CARE CENTER	142	28,703	$7,044,653	$7,338,332	−$293,679	31 August 2025
HERITAGE AT LONGVIEW HEALTHCARE CENT	140	21,504	$5,026,529	$5,020,261	$6,268	30 June 2025
HEWITT NURSING & REHAB	140	27,867	$8,697,445	$8,314,070	$383,375	31 August 2025
PARKWOOD IN THE PINES	140	19,264	$6,492,262	$5,870,915	$621,347	31 July 2025
ROSENBERG HEALTH & REHABILITATION CE	142	24,822	$8,745,783	$9,261,583	−$515,800	31 August 2025
WELLINGTON PLACE LIVING & REHAB	140	22,283	$6,735,311	$6,427,898	$307,413	30 June 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
BALSAMO, KRYSTAL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
BHUSARI, VAISHALI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
DOHN, WILLIAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
GALLARDO, CHRISTOPHER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/15/2025
REINARZ, CHRISTIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
SATHER, DEBBIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/18/2023
SINGH, DARLA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/23/2024
STANBRIDGE, NORMA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
STRAMECKI, ANTHONY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2016
VRATIS, KACEY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2020
WAY, GEORGE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2013
MURRELL, EDWARD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 11/01/2012
ROLLO, JEFFERY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 11/01/2012
WAY, GEORGE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2013
BALSAMO, KRYSTAL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2021
CULP, ROLAND	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2021
DASPIT, LAURENCE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2021
DOHN, WILLIAM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2021
GALLARDO, CHRISTOPHER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/15/2025
HMG PARK MANOR OF HEWITT, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2021
PICO, ANA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/04/2021
PRINCE, DEREK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2021
REINARZ, CHRISTIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2021
ROLLO, JEFFERY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2012
SATHER, DEBBIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/18/2023
SINGH, DARLA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/23/2024
STRAMECKI, ANTHONY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2016
VRATIS, KACEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2016
WAY, GEORGE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2013
WINNIE-STOWELL HOSPITAL DISTRICT	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20211007001085).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
WINNIE-STOWELL HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	10/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
CHRISTIAN REINARZ	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	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.
CHRISTOPHER GALLARDO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/15/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARLA SINGH	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/23/2024	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.
DEBBIE SATHER	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.	12/18/2023	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.
KRYSTAL BALSAMO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	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.
NORMA STANBRIDGE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	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.
VAISHALI KAWADUJI BHUSARI	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	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.
WILLIAM W DOHN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	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.
ANTHONY STRAMECKI	Individual	CORPORATE DIRECTOR	100	11/1/2016	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.
GEORGE WAY	Individual	CORPORATE DIRECTOR	100	1/1/2013	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.
KACEY VRATIS	Individual	CORPORATE DIRECTOR	100	11/1/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EDWARD R MURRELL	Individual	CORPORATE OFFICER	100	11/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GEORGE WAY	Individual	CORPORATE OFFICER	100	1/1/2013	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.
JEFFERY ROLLO	Individual	CORPORATE OFFICER	100	11/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANA I PICO	Individual	OPERATIONAL/MANAGERIAL CONTROL	25	1/4/2021	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.
ANTHONY STRAMECKI	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	11/1/2016	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.
CHRISTIAN REINARZ	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	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.
CHRISTOPHER GALLARDO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/15/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARLA SINGH	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/23/2024	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.
DEBBIE SATHER	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.	12/18/2023	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.
DEREK L PRINCE	Individual	OPERATIONAL/MANAGERIAL CONTROL	33.33	4/1/2021	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.
GEORGE WAY	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	1/1/2013	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.
HMG PARK MANOR OF HEWITT, LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	10/1/2021	Private equity company: No Real estate investment trust: No Holding company: No
JEFFERY ROLLO	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	11/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KACEY VRATIS	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	11/1/2016	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.
KRYSTAL BALSAMO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	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.
LAURENCE C DASPIT	Individual	OPERATIONAL/MANAGERIAL CONTROL	33.33	4/1/2021	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.
ROLAND WAYNE CULP	Individual	OPERATIONAL/MANAGERIAL CONTROL	33.33	4/1/2021	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.
WILLIAM W DOHN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/1/2021	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.
WINNIE-STOWELL HOSPITAL DISTRICT	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	10/1/2021	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: HMG PARTNERS III LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEREK L PRINCE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANTHONY YBARRA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SHERRIE NORRIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ROLAND WAYNE CULP no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANA I PICO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: VAISHALI KAWADUJI BHUSARI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN REINARZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN REINARZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DARLA SINGH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DARLA SINGH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTOPHER GALLARDO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTOPHER GALLARDO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEBBIE SATHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEBBIE SATHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM W DOHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM W DOHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NORMA STANBRIDGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANA I PICO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KRYSTAL BALSAMO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KRYSTAL BALSAMO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	17 April 2025	17 April 2025	4	1
2	25 February 2024	25 February 2024	11	4
3	16 December 2022	16 December 2022	15	1

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

Deficiencies cited

30 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
22 December 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	24 December 2025
22 December 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	24 December 2025
23 June 2025	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	Yes	Deficient, Provider has date of correction	27 June 2025
17 April 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	2 May 2025
17 April 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	2 May 2025
29 July 2024	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	K	Yes	Deficient, Provider has date of correction	30 July 2024
29 July 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	E	Yes	Deficient, Provider has date of correction	30 July 2024
29 July 2024	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.	K	Yes	Deficient, Provider has date of correction	30 July 2024
29 July 2024	Health	F 0770	Administration Deficiencies	Provide timely, quality laboratory services/tests to meet the needs of residents.	E	Yes	Deficient, Provider has date of correction	30 July 2024
3 July 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	H	Yes	Deficient, Provider has date of correction	29 July 2024
3 July 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	29 July 2024
14 May 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	J	Yes	Deficient, Provider has date of correction	15 May 2024
25 February 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	No	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	Yes	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0745	Quality of Life and Care Deficiencies	Provide medically-related social services to help each resident achieve the highest possible quality of life.	D	No	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	J	Yes	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	27 February 2024
25 February 2024	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	E	No	Deficient, Provider has date of correction	27 February 2024
11 January 2024	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	Yes	Deficient, Provider has date of correction	12 January 2024
11 January 2024	Health	F 0887	Infection Control Deficiencies	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	D	Yes	Deficient, Provider has date of correction	12 January 2024
16 December 2022	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	19 December 2022
16 December 2022	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	19 December 2022
16 December 2022	Health	F 0745	Quality of Life and Care Deficiencies	Provide medically-related social services to help each resident achieve the highest possible quality of life.	E	No	Deficient, Provider has date of correction	16 January 2023
16 December 2022	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D	No	Deficient, Provider has date of correction	10 January 2023

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

Penalties

Penalty date	Type	Fine amount	Fine ID
29 July 2024	Fine	$13,887	113082
14 May 2024	Fine	$6,155	112862
25 February 2024	Fine	$13,497	112389

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	WINNIE-STOWELL HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services	2009-03-24
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Mc Lennan
Telephone Number	2544205500
Chain Name	HMG HEALTHCARE
Chain ID	272
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	140
Average Number of Residents per Day	78.8
Overall Rating	3
Health Inspection Rating	2
QM Rating	5
Long-Stay QM Rating	4
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

Every change on this record

1 July 2026: HMG PARTNERS III LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEREK L PRINCE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANTHONY YBARRA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: SHERRIE NORRIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ROLAND WAYNE CULP no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANA I PICO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: VAISHALI KAWADUJI BHUSARI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN REINARZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTIAN REINARZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DARLA SINGH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DARLA SINGH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTOPHER GALLARDO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHRISTOPHER GALLARDO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEBBIE SATHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DEBBIE SATHER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM W DOHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: WILLIAM W DOHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: NORMA STANBRIDGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANA I PICO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KRYSTAL BALSAMO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: KRYSTAL BALSAMO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
30 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
18 February 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
3 February 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
28 February 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
13 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
9 March 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
22 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
25 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
15 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
22 December 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
23 July 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
26 October 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
24 June 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
14 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.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, HEWITT NURSING AND REHABILITATION — facility record report, CMS certification number 676213. https://velarionrecords.com/facility/676213/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 676213. 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	7,737	708.57	5,958.7	6,100.24	12,767.51
2017Q2	30 June 2017	91	7,570	1,034.77	9,293.89	14,773.58	25,102.24
2017Q3	30 September 2017	92	7,669	1,267.45	9,056.72	15,064.14	25,388.31
2017Q4	31 December 2017	92	8,056	2,616.92	6,329.16	14,298.91	23,244.99
2018Q1	31 March 2018	90	8,835	3,078.26	6,477.62	13,056.32	22,612.2
2018Q2	30 June 2018	91	8,770	2,583.84	7,675.93	11,484.09	21,743.86
2018Q3	30 September 2018	92	8,918	1,798.09	7,207.41	13,275.39	22,280.89
2018Q4	31 December 2018	92	8,804	1,653.96	7,088.53	13,933.14	22,675.63
2019Q1	31 March 2019	90	8,472	2,492.49	7,894.28	14,574.75	24,961.52
2019Q2	30 June 2019	91	7,989	2,543.29	6,823.73	14,885.64	24,252.66
2019Q3	30 September 2019	92	8,609	3,759.24	5,938.02	16,712.5	26,409.76
2019Q4	31 December 2019	92	8,396	4,852.55	4,462.16	17,983.71	27,298.42
2020Q1	31 March 2020	91	8,055	5,134.17	4,198.77	15,742.53	25,075.47
2020Q2	30 June 2020	91	8,192	5,592.9	3,918.42	17,147.93	26,659.25
2020Q3	30 September 2020	92	8,217	6,715.9	4,427.07	16,773.5	27,916.47
2020Q4	31 December 2020	92	7,670	6,773.57	4,616.61	17,316.54	28,706.72
2021Q1	31 March 2021	90	7,566	4,577.15	4,946.3	14,578.88	24,102.33
2021Q2	30 June 2021	91	7,650	4,907.45	4,353.01	14,552.1	23,812.56
2021Q3	30 September 2021	92	8,210	4,147.02	5,723.59	14,563.16	24,433.77
2021Q4	31 December 2021	92	8,111	3,222.75	6,848.91	13,918.89	23,990.55
2022Q1	31 March 2022	90	7,072	2,234.76	7,754.95	14,868.45	24,858.16
2022Q2	30 June 2022	91	6,472	2,044.87	7,428.38	14,781.52	24,254.77
2022Q3	30 September 2022	92	6,658	1,643.04	7,076.52	13,937.06	22,656.62
2022Q4	31 December 2022	92	6,907	1,732.35	8,733.58	13,033.6	23,499.53
2023Q1	31 March 2023	90	8,456	1,597.58	9,026.67	14,973.07	25,597.32
2023Q2	30 June 2023	91	7,454	1,689.72	9,131.36	15,549.07	26,370.15
2023Q3	30 September 2023	92	6,883	1,606.92	6,732.17	14,846.57	23,185.66
2023Q4	31 December 2023	92	6,578	1,068.75	8,160.2	13,568.88	22,797.83
2024Q1	31 March 2024	91	6,941	1,242.75	9,222.77	15,964.22	26,429.74
2024Q2	30 June 2024	91	6,917	1,797	8,514	16,497.78	26,808.78
2024Q3	30 September 2024	92	6,879	1,334.5	7,874.3	15,137.9	24,346.7
2024Q4	31 December 2024	92	7,094	1,260.75	7,840.65	15,430.72	24,532.12
2025Q1	31 March 2025	90	7,056	1,964	7,874.85	15,257.25	25,096.1
2025Q2	30 June 2025	91	6,592	1,885.25	7,343.6	15,267.9	24,496.75
2025Q3	30 September 2025	92	6,781	2,488.65	6,606.3	15,916.4	25,011.35
2025Q4	31 December 2025	92	6,516	3,200	4,777.1	14,359.6	22,336.7
2026Q1	31 March 2026	90	7,096	2,775.65	5,143.65	14,809.1	22,728.4

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	0.091582	0.770156	0.78845	1.650189
2017Q2	0.136694	1.227727	1.951596	3.316016
2017Q3	0.165269	1.180952	1.96429	3.310511
2017Q4	0.324841	0.785645	1.774939	2.885426
2018Q1	0.348417	0.733177	1.477795	2.559389
2018Q2	0.294623	0.875249	1.309474	2.479345
2018Q3	0.201625	0.808187	1.488606	2.498418
2018Q4	0.187865	0.805149	1.582592	2.575605
2019Q1	0.294203	0.931808	1.720343	2.946355
2019Q2	0.318349	0.854141	1.863267	3.035757
2019Q3	0.436664	0.689746	1.941282	3.067692
2019Q4	0.57796	0.531463	2.141938	3.25136
2020Q1	0.637389	0.521263	1.95438	3.113032
2020Q2	0.682727	0.478323	2.093253	3.254303
2020Q3	0.817318	0.53877	2.041317	3.397404
2020Q4	0.883125	0.601905	2.257698	3.742728
2021Q1	0.604963	0.653754	1.926894	3.185611
2021Q2	0.641497	0.569021	1.902235	3.112753
2021Q3	0.505118	0.697149	1.773832	2.976099
2021Q4	0.397331	0.844398	1.716051	2.95778
2022Q1	0.316001	1.096571	2.102439	3.515011
2022Q2	0.315956	1.147772	2.283918	3.747647
2022Q3	0.246777	1.06286	2.09328	3.402917
2022Q4	0.250811	1.264453	1.887013	3.402277
2023Q1	0.188929	1.067487	1.770704	3.027119
2023Q2	0.226686	1.225028	2.086003	3.537718
2023Q3	0.233462	0.978087	2.156991	3.36854
2023Q4	0.162473	1.240529	2.062767	3.465769
2024Q1	0.179045	1.328738	2.299988	3.807771
2024Q2	0.259795	1.23088	2.385106	3.875781
2024Q3	0.193996	1.144687	2.200596	3.539279
2024Q4	0.177721	1.105251	2.175179	3.458151
2025Q1	0.278345	1.11605	2.162309	3.556704
2025Q2	0.285991	1.114017	2.316126	3.716133
2025Q3	0.367003	0.974237	2.347205	3.688446
2025Q4	0.491099	0.733134	2.203745	3.427977
2026Q1	0.391157	0.724866	2.086964	3.202988

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

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