Facility record report · CMS certification number 676263

Deerbrook Skilled Nursing and Rehab Center

Humble, 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, settled, processed by CMS on 17 February 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$11,787,983	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,941,693	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,846,290	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,969,632	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$123,342	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,147	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$111,195	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$111,195 (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	124	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	45,260	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,024	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	23,486	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	9,502	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	34,012	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	50	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	91	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	358	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	499	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	258.09	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	68.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1447866, 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 10 October 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$11,763,352	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,584,064	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,179,288	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,959,146	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$220,142	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,264	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$227,406	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $227,406 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,648	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	533	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	263.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	53.75	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440638, 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 24 December 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$10,367,816	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,635,067	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,732,749	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,125,941	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,393,192	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,543,635	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$150,443	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $150,443 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,073	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	481	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	349.23	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	62.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1401555, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 September 2021 to 31 August 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 February 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$9,398,880	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,272,978	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,125,902	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,050,325	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$924,423	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$791,676	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$132,747	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$132,747 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,876	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	572	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	18.85	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	367.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	52.23	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1373265, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 September 2020 to 31 August 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 March 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$9,669,859	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,579,806	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,090,053	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,478,630	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$388,577	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,171	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$380,406	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$380,406 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,503	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	339	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.81	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	287.28	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	84.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1312126, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2020 to 31 August 2020 — a reporting period of 243 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 17 March 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,953,699	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,063,590	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,890,109	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,486,027	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$595,918	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,200	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$593,718	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$593,718 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,937	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	174	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	502.48	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	126.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281359, 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 23 December 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$10,620,695	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,835,622	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,785,073	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,748,985	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,963,912	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,829,651	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$134,261	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$134,261 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,294	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	450	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	25.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	306.49	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	76.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1307929, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 April 2018 to 31 December 2018 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 December 2020.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$8,395,716	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,550,806	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,844,910	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,154,437	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$309,527	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,858	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$303,669	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$303,669 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,755	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	474	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	198.94	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	54.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1276498, 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 10 July 2019.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$11,648,899	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,642,832	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,006,067	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,178,456	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$172,389	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,547	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$164,842	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$164,842 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,129	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	612	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	157.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	57.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1235587, 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, reopened, processed by CMS on 2 May 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$11,597,185	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,816,377	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,780,808	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,026,755	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$245,947	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$22,841	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$223,106	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$223,106 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,851	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	589	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	200.3	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	55.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188162, 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 1 May 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$11,309,351	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,718,636	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,590,715	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,867,773	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$277,058	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,284	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$257,774	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$257,774 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,744	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	497	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.38	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	258.27	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	67.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156584, 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 10 December 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$12,302,448	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,075,041	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,227,407	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,934,919	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$292,488	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$14,154	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$306,642	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $306,642 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,019	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	525	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.96	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	234.96	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	68.61	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1148220, 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 24 September 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$11,688,300	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,740,901	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,947,399	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,754,681	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$192,718	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,751	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$203,469	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $203,469 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,547	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	477	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	189.52	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	74.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110771, 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 5 August 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$11,255,206	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,564,697	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,690,509	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,387,670	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$302,839	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$203,225	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$506,064	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $506,064 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,184	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	354	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	404.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	93.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074960, read from the public cost report file SNF10FY2012.zip.

Cost report for 2 December 2010 to 31 December 2011 — a reporting period of 394 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$8,517,182	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,917,077	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,600,105	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,190,605	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$590,500	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,625	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$584,875	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$584,875 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	124	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,876	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	475	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	98.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	43.95	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1015552, read from the public cost report file SNF10FY2011.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
COPPERAS COVE NURSING & REHABILIATIO	124	17,767	$3,749,525	$3,648,214	$101,311	31 August 2025
DEERBROOK SKILLED NURSING AND REHAB	124	34,012	$8,846,290	$8,969,632	−$123,342	31 August 2025
KEMP CARE CENTER	124	22,953	$5,427,211	$7,370,535	−$1,943,324	31 March 2025
MOONFLOWER HEALTHCARE INC.	125	28,700	$12,412,321	$10,149,989	$2,262,332	30 June 2025
PRIMROSE HEALTHCARE INC.	124	26,893	$10,067,470	$9,185,061	$882,409	30 June 2025
THE BRADFORD AT BROOKSIDE	125	30,695	$7,926,016	$7,669,774	$256,242	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
HMG PARK MANOR OF DEERBROOK, LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 04/01/2018
BALSAMO, KRYSTAL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
CULP, ROLAND	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
DASPIT, LAURENCE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
DOHN, WILLIAM	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
PICO, ANA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
PRINCE, DEREK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
REINARZ, CHRISTIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
STANBRIDGE, NORMA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2021
ZALESKY, CELESTE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/16/2024
STRAMECKI, ANTHONY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2016
MURRELL, EDWARD	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 11/01/2012
ROLLO, JEFFERY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 11/01/2012
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
HMG PARK MANOR OF DEERBROOK, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 04/01/2018
MURRELL, EDWARD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2018
PICO, ANA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2021
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 04/01/2021
STRAMECKI, ANTHONY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2021
VRATIS, KACEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2021
WAY, GEORGE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/01/2021
ZALESKY, CELESTE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 12/16/2024

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 O20180606000506).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
HMG PARK MANOR OF DEERBROOK, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	4/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
WINNIE-STOWELL HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	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.	8/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
ANA I PICO	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.
CELESTE ZALESKY	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.	12/16/2024	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.
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.
DEREK L PRINCE	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.
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.
LAURENCE C DASPIT	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.
ROLAND WAYNE CULP	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.
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.
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	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	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.
CELESTE ZALESKY	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.	12/16/2024	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.
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.
DEREK L PRINCE	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.
EDWARD R MURRELL	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.	4/1/2018	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	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.
HMG PARK MANOR OF DEERBROOK, LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	4/1/2018	Private equity company: No Real estate investment trust: No Holding company: No
JEFFERY ROLLO	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.
KACEY VRATIS	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.
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	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.
ROLAND WAYNE CULP	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.
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.

Changes in ownership

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: ANA I PICO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANA I PICO 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 January 2026: DEREK L PRINCE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HM GROUP LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HMG HEALTHCARE LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LAURENCE C DASPIT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SHERRIE NORRIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HEALTHMARK GROUP LTD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ROLAND WAYNE CULP no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEREK L PRINCE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHRISTIAN REINARZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHRISTIAN REINARZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KACEY VRATIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CELESTE ZALESKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CELESTE ZALESKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: WILLIAM W DOHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: WILLIAM W DOHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LAURENCE C DASPIT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: GEORGE WAY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NORMA STANBRIDGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: WINNIE-STOWELL HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KRYSTAL BALSAMO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KRYSTAL BALSAMO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EDWARD R MURRELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ROLAND WAYNE CULP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANA I PICO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANA I PICO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 September 2024: RAUL ESPINOSA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: RAUL ESPINOSA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: RAUL ESPINOSA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: SHARON BURGESS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: SHARON BURGESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	16 May 2026	16 May 2026	18	2
2	28 February 2025	28 February 2025	7	1
3	16 November 2023	16 November 2023	9	2

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

Deficiencies cited

34 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
16 May 2026	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	17 May 2026
16 May 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	No	Deficient, Provider has date of correction	17 May 2026
16 May 2026	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	17 May 2026
16 May 2026	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	K	Yes	Deficient, Provider has date of correction	17 May 2026
16 May 2026	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	17 May 2026
16 May 2026	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	17 May 2026
20 November 2025	Health	F 0627	Resident Rights Deficiencies	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.	D	Yes	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0810	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D	Yes	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	Yes	Deficient, Provider has date of correction	21 November 2025
20 November 2025	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	D	Yes	Deficient, Provider has date of correction	21 November 2025
27 October 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	28 October 2025
27 October 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	28 October 2025
27 October 2025	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	Yes	Deficient, Provider has date of correction	28 October 2025
27 October 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	28 October 2025
27 October 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	21 November 2025
31 July 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	1 August 2025
28 February 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	1 March 2025
28 February 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	Yes	Deficient, Provider has date of correction	1 March 2025
28 February 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	1 March 2025
28 February 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	1 March 2025
20 February 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	J	Yes	Past Non-Compliance	13 June 2024
14 February 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	K	Yes	Deficient, Provider has date of correction	15 February 2025
16 November 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	Yes	Deficient, Provider has date of correction	28 November 2023
16 November 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	Yes	Deficient, Provider has date of correction	8 December 2023
16 November 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	28 November 2023
16 November 2023	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	28 November 2023
16 November 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	28 November 2023
16 November 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	Yes	Deficient, Provider has date of correction	28 November 2023
16 November 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	28 November 2023
16 November 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	28 November 2023
16 November 2023	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	E	Yes	Deficient, Provider has date of correction	28 November 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
16 May 2026	Fine	$103,390	141610
27 October 2025	Fine	$10,361	135578
28 February 2025	Fine	$17,345	113651
20 February 2025	Fine	$13,822	113634
14 February 2025	Fine	$31,304	113594

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	2010-12-02
Provider Resides in Hospital	Y
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Harris
Telephone Number	2814465160
Chain Name	HMG HEALTHCARE
Chain ID	272
Special Focus Status	SFF Candidate
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	124
Average Number of Residents per Day	96.7
Overall Rating	1
Health Inspection Rating	1
QM Rating	4
Long-Stay QM Rating	5
Short-Stay QM Rating	3
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: 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: ANA I PICO no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ANA I PICO 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
17 February 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
1 January 2026: DEREK L PRINCE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HM GROUP LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HMG HEALTHCARE LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LAURENCE C DASPIT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SHERRIE NORRIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HEALTHMARK GROUP LTD no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ROLAND WAYNE CULP no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DEREK L PRINCE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHRISTIAN REINARZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHRISTIAN REINARZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KACEY VRATIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CELESTE ZALESKY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CELESTE ZALESKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: WILLIAM W DOHN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: WILLIAM W DOHN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: LAURENCE C DASPIT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: GEORGE WAY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: NORMA STANBRIDGE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: WINNIE-STOWELL HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KRYSTAL BALSAMO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KRYSTAL BALSAMO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EDWARD R MURRELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ROLAND WAYNE CULP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANA I PICO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ANA I PICO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
10 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
24 December 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
1 September 2024: RAUL ESPINOSA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: RAUL ESPINOSA no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: RAUL ESPINOSA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: SHARON BURGESS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
1 September 2024: SHARON BURGESS no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
9 February 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
15 March 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
23 December 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
17 March 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
16 December 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
10 July 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
24 October 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
2 May 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
1 May 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
10 December 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
24 September 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
5 August 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

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, Deerbrook Skilled Nursing and Rehab Center — facility record report, CMS certification number 676263. https://velarionrecords.com/facility/676263/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 676263. 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	10,370	3,171.25	7,770.75	15,858.5	26,800.5
2017Q2	30 June 2017	91	9,315	2,625.5	8,588.25	15,257.25	26,471
2017Q3	30 September 2017	92	8,658	2,166.25	8,671	16,472.75	27,310
2017Q4	31 December 2017	92	9,726	2,251	9,472.75	16,933.75	28,657.5
2018Q1	31 March 2018	90	9,174	2,003.25	8,780.75	16,814.25	27,598.25
2018Q2	30 June 2018	91	8,474	1,980.75	8,322.25	15,123.75	25,426.75
2018Q3	30 September 2018	92	8,480	2,874.55	6,944.5	16,391.75	26,210.8
2018Q4	31 December 2018	92	8,699	2,681.25	6,687.35	17,470.65	26,839.25
2019Q1	31 March 2019	90	8,420	2,001	7,461.05	17,051.2	26,513.25
2019Q2	30 June 2019	91	8,264	1,553.25	7,884.35	16,276.7	25,714.3
2019Q3	30 September 2019	92	8,824	1,704.5	8,156.6	17,424.15	27,285.25
2019Q4	31 December 2019	92	9,266	1,492.75	8,084.85	17,533.65	27,111.25
2020Q1	31 March 2020	91	8,985	1,948.75	7,640.9	16,609.65	26,199.3
2020Q2	30 June 2020	91	8,130	2,370.25	7,507.05	16,861.15	26,738.45
2020Q3	30 September 2020	92	7,171	1,685.25	7,395.55	17,019.85	26,100.65
2020Q4	31 December 2020	92	7,246	2,962.25	7,496.65	16,992.4	27,451.3
2021Q1	31 March 2021	90	6,893	3,466.05	7,484.46	15,394.26	26,344.77
2021Q2	30 June 2021	91	6,714	3,393	7,329.3	14,350.85	25,073.15
2021Q3	30 September 2021	92	8,773	2,580.7	8,082.81	17,682	28,345.51
2021Q4	31 December 2021	92	7,789	1,341.75	7,420.43	15,869	24,631.18
2022Q1	31 March 2022	90	7,195	1,246.75	8,161.27	13,041.95	22,449.97
2022Q2	30 June 2022	91	7,439	1,554	7,229.5	14,618.58	23,402.08
2022Q3	30 September 2022	92	7,626	1,658.75	8,329.16	15,737.53	25,725.44
2022Q4	31 December 2022	92	7,806	1,916.35	8,540.31	16,625.46	27,082.12
2023Q1	31 March 2023	90	7,779	2,167.75	7,719.1	15,018.65	24,905.5
2023Q2	30 June 2023	91	7,306	2,029.25	7,677.1	15,545.55	25,251.9
2023Q3	30 September 2023	92	7,370	1,533	7,461.45	15,562.75	24,557.2
2023Q4	31 December 2023	92	7,089	2,426.75	6,900.1	15,164.8	24,491.65
2024Q1	31 March 2024	91	7,512	1,804.5	7,830.05	16,412.25	26,046.8
2024Q2	30 June 2024	91	7,539	1,632.75	7,830.95	16,659.9	26,123.6
2024Q3	30 September 2024	92	7,620	2,043	7,709.25	17,254.5	27,006.75
2024Q4	31 December 2024	92	8,396	3,300.55	7,534.65	17,433.6	28,268.8
2025Q1	31 March 2025	90	8,954	4,368.6	7,479.6	18,707.45	30,555.65
2025Q2	30 June 2025	91	8,711	4,768.15	6,538.7	18,234.8	29,541.65
2025Q3	30 September 2025	92	8,703	3,215	8,348.1	18,017.7	29,580.8
2025Q4	31 December 2025	92	9,142	3,476.75	8,027.2	18,082.7	29,586.65
2026Q1	31 March 2026	90	8,701	2,675.25	8,769.8	17,697.65	29,142.7

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	0.30581	0.749349	1.529267	2.584426
2017Q2	0.281857	0.921981	1.637923	2.841761
2017Q3	0.250202	1.001502	1.902605	3.154308
2017Q4	0.231441	0.973962	1.741081	2.946484
2018Q1	0.218362	0.957134	1.832816	3.008312
2018Q2	0.233744	0.982092	1.784724	3.000561
2018Q3	0.33898	0.818927	1.932989	3.090896
2018Q4	0.308225	0.768749	2.008352	3.085326
2019Q1	0.237648	0.88611	2.025083	3.148842
2019Q2	0.187954	0.95406	1.969591	3.111605
2019Q3	0.193166	0.924365	1.974632	3.092163
2019Q4	0.1611	0.872529	1.892257	2.925885
2020Q1	0.216889	0.850406	1.848598	2.915893
2020Q2	0.291544	0.923376	2.073942	3.288862
2020Q3	0.235009	1.031314	2.373428	3.63975
2020Q4	0.408812	1.034591	2.345073	3.788476
2021Q1	0.502836	1.085806	2.233318	3.82196
2021Q2	0.505362	1.091644	2.137452	3.734458
2021Q3	0.294164	0.921328	2.015502	3.230994
2021Q4	0.172262	0.952681	2.03736	3.162303
2022Q1	0.17328	1.134297	1.812641	3.120218
2022Q2	0.208899	0.971838	1.965127	3.145864
2022Q3	0.217512	1.092206	2.063668	3.373386
2022Q4	0.245497	1.09407	2.129831	3.469398
2023Q1	0.278667	0.9923	1.930666	3.201633
2023Q2	0.277751	1.050794	2.127779	3.456324
2023Q3	0.208005	1.012408	2.111635	3.332049
2023Q4	0.342326	0.973353	2.139202	3.454881
2024Q1	0.240216	1.042339	2.184804	3.467359
2024Q2	0.216574	1.038725	2.209829	3.465128
2024Q3	0.26811	1.011713	2.26437	3.544193
2024Q4	0.39311	0.897409	2.076417	3.366937
2025Q1	0.487894	0.835336	2.089284	3.412514
2025Q2	0.547371	0.750626	2.093307	3.391304
2025Q3	0.369413	0.959221	2.070286	3.39892
2025Q4	0.380305	0.878057	1.977981	3.236343
2026Q1	0.307465	1.007907	2.033979	3.349351

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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