Velarion Records

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Facility record report · CMS certification number 676334

Chelsea Gardens

Missouri City, 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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 January 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$4,038,625CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,038,625CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,938,973CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$900,348CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$900,348CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$900,348 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,960CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,579CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days4,235CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days4,847CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components11,661CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges51CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges24CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges3CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components78CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days176.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days149.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446725, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 November 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$5,589,852CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,589,852CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,945,893CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$643,959CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$643,959CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $643,959 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,582CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components232CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.04CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days159.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days62.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441921, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 October 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$5,356,872CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,356,872CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,275,943CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$80,929CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$80,929CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $80,929 (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
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,809CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components234CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days137.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days54.74CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398459, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 May 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,510,007CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,510,007CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,192,070CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$682,063CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$682,063CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$682,063 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components7,581CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components153CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days239CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days49.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1348440, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 February 2023.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$2,075,577CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$2,075,577CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,288,139CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,212,562CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$1,212,562CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,212,562 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components6,792CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components109CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days223.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days62.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342981, 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 31 March 2022.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$3,950,655CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$969,343CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,981,312CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,623,400CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$642,088CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$642,088CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$642,088 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components8,493CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components196CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days230.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days43.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313441, read from the public cost report file SNF10FY2019.zip.

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 December 2020.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,995,284CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,721,012CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,274,272CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,421,019CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$146,747CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$146,747CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$146,747 (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 2018
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,119CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components244CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days191.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days37.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1277420, 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 19 December 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$7,065,580CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,999,838CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,065,742CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,797,140CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$268,602CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,296CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$269,898CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $269,898 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,694CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components324CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days141.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days42.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1248410, read from the public cost report file SNF10FY2017.zip.

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,765,314CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$860,903CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,904,411CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,129,366CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,224,955CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,630CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,223,325CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,223,325 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,744CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components298CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.02CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,194CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days42.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171574, read from the public cost report file SNF10FY2016.zip.

Cost report for 1 January 2015 to 19 May 2015 — a reporting period of 138 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 May 2017.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$1,241,042CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$106,318CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,347,360CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,455,844CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,108,484CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$391,088CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$717,396CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$717,396 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components3,312CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components105CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days31.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1157601, 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 29 December 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$2,280,096CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$414,294CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,865,802CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,523,021CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$657,219CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,438CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$649,781CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$649,781 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,251CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components325CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days31.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1150447, read from the public cost report file SNF10FY2014.zip.

Cost report for 12 March 2013 to 31 December 2013 — a reporting period of 294 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 November 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$2,940,635CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$124,880CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,065,515CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,710,076CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$644,561CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,678CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$642,883CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$642,883 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components7,095CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components220CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days32.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1112937, read from the public cost report file SNF10FY2013.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
CHELSEA GARDENS6011,661$4,038,625$4,938,973−$900,34831 December 2024
D T DAYTON LLC6011,683$2,560,047$2,762,727−$202,68031 December 2024
MUNDAY NURSING CENTER6115,675$2,698,197$2,456,915$241,28230 September 2024
OAKBEND DBA KOUNTZE6016,424$4,252,337$4,305,294−$52,95731 December 2024
RETAMA MANOR NURSING CTR-JOURDANTON6015,763$3,843,926$4,169,377−$325,45131 December 2024
SHADY OAK NURSING AND REHABILITATION6111,343$2,440,816$3,349,297−$908,48131 March 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
THE AMERICAN CORNERSTONE HEALTH SERVICES INC.5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 10/31/2019
AJAYI, SAMUEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%since 10/31/2019
AJAYI, TEMITOPE5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%since 10/31/2019
AJAYI, SAMUELADP OF THE SNFIndividualNOT APPLICABLEsince 10/31/2019
AJAYI, TEMITOPEADP OF THE SNFIndividualNOT APPLICABLEsince 10/31/2019
BALLEW, VINCENTADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2020
NWANKWO, CHINEDUADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
THE AMERICAN CORNERSTONE HEALTH SERVICES INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 10/31/2019
AJAYI, SAMUELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/31/2019
BALLEW, VINCENTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2020
NWANKWO, CHINEDUOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of J AND B ASSOCIATES LLC (enrollment ID O20150609001155).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
THE AMERICAN CORNERSTONE HEALTH SERVICES INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST10010/31/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
SAMUEL AJAYIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST5010/31/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TEMITOPE AJAYIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST5010/31/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHINEDU IKEOTUONYE NWANKWOIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SAMUEL AJAYIIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/31/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TEMITOPE AJAYIIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/31/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THE AMERICAN CORNERSTONE HEALTH SERVICES INC.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/31/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
VINCENT BALLEWIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHINEDU IKEOTUONYE NWANKWOIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SAMUEL AJAYIIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/31/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VINCENT BALLEWIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
11 October 20251 October 202543
21 August 20241 August 202441
323 May 202323 May 202363

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

Deficiencies cited

14 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
10 June 2026HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EYesDeficient, Provider has date of correction30 June 2026
9 March 2026HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction15 April 2026
9 March 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JYesDeficient, Provider has date of correction15 April 2026
9 March 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesDeficient, Provider has date of correction15 April 2026
13 November 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correction2 December 2024
13 November 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.KYesDeficient, Provider has date of correction14 November 2024
1 August 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction20 August 2024
1 August 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correction20 August 2024
23 May 2023HealthF 0661Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DNoDeficient, Provider has date of correction8 June 2023
23 May 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction9 June 2023
23 May 2023HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction9 June 2023
23 May 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction9 June 2023
23 May 2023HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correction9 June 2023
23 May 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction9 June 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
9 March 2026Fine$21,190137814
9 March 2026Payment Denial7 April 20268
13 November 2024Fine$56,103113396

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Partnership
Legal Business NameJ AND B ASSOCIATES LLC
Date First Approved to Provide Medicare and Medicaid Services2013-03-12
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishFort Bend
Telephone Number2814995040
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day43.8
Overall Rating1
Health Inspection Rating2
QM Rating1
Long-Stay QM Rating1
Short-Stay QM Rating1
Processing Date2026-08-01

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

Every change on this record

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, Chelsea Gardens — facility record report, CMS certification number 676334. https://velarionrecords.com/facility/676334/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676334. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

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

Nurse staffing hours by quarter
QuarterQuarter endedDays reportedResident daysRegistered nurse hoursLicensed practical nurse hoursNurse aide hoursTotal nurse hours
2017Q131 March 2017907,2791,103.715,655.39,914.9916,674
2017Q431 December 2017923,9972,176.694,733.448,667.7315,577.86
2018Q131 March 2018903,3721,803.874,042.868,291.4814,138.21
2018Q330 September 2018921,8851,849.672,550.515,449.99,850.08
2018Q431 December 2018922,4391,522.191,617.736,674.479,814.39
2019Q131 March 2019902,4222,064.031,501.477,135.7610,701.26
2019Q230 June 2019912,4881,061.25831.254,589.756,482.25
2019Q330 September 2019922,4292,420.182,361.386,927.7111,709.27
2019Q431 December 2019922,4682,498.532,848.747,399.4812,746.75
2020Q131 March 2020912,3342,367.722,784.017,392.6412,544.37
2020Q230 June 2020912,0351,938.22,382.625,452.889,773.7
2020Q330 September 2020921,9841,646.983,340.966,325.8711,313.81
2020Q431 December 2020921,4761,433.112,902.365,641.279,976.74
2021Q131 March 2021901,8642,444.522,212.615,992.9310,650.06
2021Q230 June 2021911,9451,696.752,434.315,439.739,570.79
2021Q330 September 2021922,6622,176.433,138.076,597.2911,911.79
2021Q431 December 2021922,1722,709.683,062.697,135.9612,908.33
2022Q131 March 2022903,5033,105.382,781.887,260.213,147.46
2022Q230 June 2022913,0092,449.772,490.88,164.7413,105.31
2022Q431 December 2022923,9071,564.274,041.78,802.0614,408.03
2023Q131 March 2023903,9521,944.932,995.168,981.7813,921.87
2023Q230 June 2023913,6971,757.383,567.489,589.4714,914.33
2023Q330 September 2023923,5461,659.073,260.858,199.8213,119.74
2023Q431 December 2023923,7051,686.143,708.37,722.9613,117.4
2024Q131 March 2024913,2612,033.923,368.797,933.7513,336.46
2024Q230 June 2024913,2932,005.562,933.48,324.413,263.36
2024Q330 September 2024923,0892,194.391,464.786,603.4410,262.61
2024Q431 December 2024922,7552,265.61,517.636,414.2510,197.48
2025Q131 March 2025902,8902,104.822,199.346,448.4610,752.62
2025Q230 June 2025913,2601,859.852,180.346,801.2110,841.4
2025Q330 September 2025923,9812,869.972,380.349,308.1114,558.42
2025Q431 December 2025923,0943,458.072,129.017,921.5113,508.59
2026Q131 March 2026903,9443,645.581,972.929,149.3614,767.86
Nurse staffing hours per resident day by quarter
QuarterRegistered nurse hours per resident dayLicensed practical nurse hours per resident dayNurse aide hours per resident dayTotal nurse hours per resident day
2017Q10.1516290.7769341.3621362.290699
2017Q40.5445811.1842482.1685593.897388
2018Q10.5349561.198952.4589214.192826
2018Q30.9812571.3530562.8911945.225507
2018Q40.6241040.6632762.736564.02394
2019Q10.8522010.619932.9462264.418357
2019Q20.4265470.3341041.8447552.605406
2019Q30.9963690.9721612.8520834.820613
2019Q41.012371.1542712.9981695.16481
2020Q11.0144471.1928063.1673695.374623
2020Q20.9524321.1708212.6795484.802801
2020Q30.8301311.6839523.1884435.702525
2020Q40.9709421.9663693.8219996.759309
2021Q11.3114381.1870233.2150915.713552
2021Q20.8723651.2515732.7967764.920715
2021Q30.8175921.1788392.4783214.474752
2021Q41.2475511.4100783.2854335.943062
2022Q10.8864920.7941422.0725663.7532
2022Q20.8141480.8277832.713444.355371
2022Q40.4003761.0344772.2528953.687748
2023Q10.4921380.7578852.2727183.52274
2023Q20.4753530.9649662.5938524.034171
2023Q30.4678710.9195852.3124143.69987
2023Q40.4550991.0008912.084473.540459
2024Q10.6237111.0330542.4329194.089684
2024Q20.6090370.8907992.5279084.027744
2024Q30.7103880.4741922.1377273.322308
2024Q40.8223590.5508642.3282213.701445
2025Q10.7283110.7610172.2313013.72063
2025Q20.5705060.6688162.0862613.325583
2025Q30.7209170.5979252.3381343.656976
2025Q41.117670.6881092.5602814.36606
2026Q10.9243360.5002332.3198173.744386

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
  • 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
  • 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
  • 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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