Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Facility record report · CMS certification number 676387

Highland Meadows

Rockwall, 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 2025 to 30 June 2025 — a reporting period of 180 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 March 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$7,877,081CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$964,037CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,913,044CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,956,792CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$956,252CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$367,017CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,323,269CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,323,269 (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
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,720CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days4,430CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days6,176CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days8,358CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components18,964CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges128CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges19CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges151CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components298CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days325.05CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days63.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448560, read from the public cost report file SNF10FY2025.zip.

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 28 May 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$15,412,204CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,898,518CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,513,686CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,018,922CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$494,764CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$69,240CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$564,004CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $564,004 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components39,280CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components567CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days597.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1424907, 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 7 May 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$15,522,495CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,302,325CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,220,170CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,316,053CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$95,883CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$212,872CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$116,989CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $116,989 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,475CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components588CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days288.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days65.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1423154, 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 19 July 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$15,670,225CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,955,989CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,714,236CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,747,227CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$32,991CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$686,909CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$653,918CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $653,918 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,188CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components662CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days258.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days57.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389755, 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 5 August 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$9,292,677CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,883,592CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,176,269CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,413,287CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,762,982CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$990,942CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,753,924CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,753,924 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components37,772CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components499CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days612.48CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days75.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329150, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 February 2020 to 31 December 2020 — a reporting period of 334 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,400,387CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$10,033CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,390,354CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,053,338CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,337,016CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,381CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,341,397CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,341,397 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,518CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components227CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days597.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days134.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300634, 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 16 September 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$10,917,035CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,030,968CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,886,067CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,478,703CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$592,636CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,897CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$549,739CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$549,739 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,103CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components367CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days115.26CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days92.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1268055, 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 8 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$9,667,838CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,300,676CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,367,162CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,589,456CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$222,294CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,212CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$208,082CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$208,082 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,139CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components237CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days485.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days139.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240193, 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 22 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$8,801,698CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$576,805CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,224,893CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,535,391CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$310,498CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,091CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$296,407CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$296,407 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,878CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components308CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days275.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days106.75CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210177, 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 14 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$6,994,663CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,203,122CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,791,541CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,834,619CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,043,078CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,425CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,029,653CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,029,653 (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 components25,323CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components327CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days255.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days77.44CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1173082, read from the public cost report file SNF10FY2016.zip.

Cost report for 24 June 2015 to 31 December 2015 — a reporting period of 190 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 17 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$2,084,277CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$384,111CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,700,166CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,149,981CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,449,815CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,493CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,445,322CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,445,322 (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 components6,073CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components91CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days356.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days66.74CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141535, read from the public cost report file SNF10FY2015.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.

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
BRAZOS HEALTHCARE CENTER12018,034$4,252,864$4,042,157$210,70731 August 2025
COURTYARD NURSING & REHABILITATION12012,630$3,754,390$4,218,432−$464,04231 July 2025
HIGHLAND MEADOWS HEALTH & REHAB12018,964$6,913,044$5,956,792$956,25230 June 2025
PRAIRIE LIVING CENTER12131,071$6,955,002$7,163,456−$208,45431 August 2025
SONGBIRD LODGE12128,297$7,034,218$6,789,515$244,70331 March 2025
THE LAKES AT TEXAS CITY12019,116$5,966,909$6,149,004−$182,09531 August 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 managerRoleTypeOwnership percentageAssociation
NOCONA HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 07/01/2025
BUI, TONYADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2020
CROCKER, BOBBIADP OF THE SNFIndividualNOT APPLICABLEsince 07/01/2025
HACO HEALTH SOLUTIONS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/02/2025
HAWLEY, GRACENADP OF THE SNFIndividualNOT APPLICABLEsince 10/03/2021
HAWLEY, RUSSELLADP OF THE SNFIndividualNOT APPLICABLEsince 10/03/2021
MEEKINS, GREGCORPORATE OFFICERIndividualNOT APPLICABLEsince 09/01/2006
CROCKER, BOBBIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/01/2025
HACO HEALTH SOLUTIONS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 07/01/2025
HAWLEY, GRACENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NOCONA HOSPITAL DISTRICT (enrollment ID O20251201001143).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
NOCONA HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1007/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
BOBBI CROCKERIndividualADP 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.7/1/2025
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.
GRACEN HAWLEYIndividualADP 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.10/3/2021
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.
HACO HEALTH SOLUTIONS LLCOrganizationADP 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.10/2/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
RUSSELL HAWLEYIndividualADP 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.10/3/2021
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.
TONY T BUIIndividualADP 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.2/1/2020
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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.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.4/20/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.IndividualADP 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.7/1/2025
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.
GREG LANCE MEEKINSIndividualCORPORATE OFFICER09/1/2006
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.
BOBBI CROCKERIndividualOPERATIONAL/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.7/1/2025
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.
GRACEN HAWLEYIndividualOPERATIONAL/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.7/1/2025
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.
HACO HEALTH SOLUTIONS LLCOrganizationOPERATIONAL/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.7/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
114 May 202614 May 202655
25 March 20255 March 202563
315 February 202415 February 202420

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

Deficiencies cited

13 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
14 May 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.DNoDeficient, Provider has date of correction3 June 2026
14 May 2026HealthF 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 correction3 June 2026
14 May 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correction3 June 2026
14 May 2026HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction3 June 2026
14 May 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction3 June 2026
5 March 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction24 March 2025
5 March 2025HealthF 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 correction24 March 2025
5 March 2025HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction24 March 2025
5 March 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction24 March 2025
31 January 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction23 February 2025
31 January 2025HealthF 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 correction23 February 2025
15 February 2024HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.EYesDeficient, Provider has date of correction11 March 2024
15 February 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction11 March 2024

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameNOCONA HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2015-06-24
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishRockwall
Telephone Number9727227408
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day111.3
Overall Rating4
Health Inspection Rating4
QM Rating3
Long-Stay QM Rating4
Short-Stay QM Rating3
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, Highland Meadows — facility record report, CMS certification number 676387. https://velarionrecords.com/facility/676387/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676387. 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
2017Q431 December 2017928,0131,256.187,812.6122,140.2731,209.06
2018Q131 March 2018907,9841,287.248,290.2618,908.428,485.9
2018Q230 June 2018918,3451,666.768,102.3720,417.2130,186.34
2018Q330 September 2018928,8151,448.588,588.4822,654.3532,691.41
2018Q431 December 2018928,5842,177.618,512.6923,946.734,637
2019Q131 March 2019908,4042,377.388,572.3623,227.3434,177.08
2019Q230 June 2019918,9192,973.668,210.2822,569.8533,753.79
2019Q330 September 2019929,2622,953.358,658.2825,612.9237,224.55
2019Q431 December 2019929,0782,355.349,000.2226,272.9737,628.53
2020Q131 March 2020918,5543,004.268,614.922,324.6833,943.84
2020Q230 June 2020918,0401,349.49,473.1620,931.3331,753.89
2020Q330 September 2020928,4451,084.019,052.3522,794.8132,931.17
2020Q431 December 2020929,0701,667.1810,195.8424,041.8235,904.84
2021Q131 March 2021908,2372,100.279,677.2421,645.9633,423.47
2021Q230 June 2021918,8022,613.19,127.7824,027.3435,768.22
2021Q330 September 2021929,4272,824.810,190.5724,828.4837,843.85
2021Q431 December 2021929,7431,721.168,927.3122,688.9733,337.44
2022Q131 March 20229010,2292,479.248,216.9422,649.2833,345.46
2022Q230 June 2022919,8122,474.848,394.8824,887.7935,757.51
2022Q431 December 2022929,8041,783.939,755.2526,936.3638,475.54
2023Q131 March 2023909,4731,096.969,758.0526,200.7337,055.74
2023Q230 June 2023919,4531,566.619,781.2827,762.8139,110.7
2023Q330 September 20239210,2971,735.429,86528,557.1740,157.59
2023Q431 December 20239210,0012,404.948,233.3128,695.3939,333.64
2024Q131 March 20249110,0992,695.588,285.9126,706.5737,688.06
2024Q230 June 20249110,4843,230.516,956.6927,749.5137,936.71
2024Q330 September 2024929,7503,918.037,279.3426,084.5737,281.94
2024Q431 December 2024929,5913,716.488,071.5825,254.3637,042.42
2025Q131 March 2025909,4123,149.787,991.1723,912.3335,053.28
2025Q230 June 2025919,7453,678.377,937.9824,473.6536,090
2025Q330 September 2025929,3834,095.577,596.7225,062.1936,754.48
2025Q431 December 2025929,4894,250.197,647.0423,914.9135,812.14
2026Q131 March 20269010,0194,124.227,287.0923,571.8534,983.16
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
2017Q40.1567680.9749922.7630443.894803
2018Q10.1612271.0383592.3682873.567873
2018Q20.1997320.9709252.446643.617297
2018Q30.1643310.9743032.5699773.708611
2018Q40.2536820.9916932.789694.035065
2019Q10.2828871.0200332.7638434.066763
2019Q20.3334070.9205382.5305363.784481
2019Q30.3188670.9348182.7653774.019062
2019Q40.2594560.9914322.8941364.145024
2020Q10.3512111.0071192.6098533.968183
2020Q20.1678361.1782542.6033993.949489
2020Q30.1283611.0719182.6992083.899487
2020Q40.1838131.1241282.6506973.958637
2021Q10.254981.174852.6278944.057724
2021Q20.2968761.0370122.7297594.063647
2021Q30.299651.0809982.6337634.014411
2021Q40.1766560.9162792.3287463.421681
2022Q10.2423740.8032982.2142223.259894
2022Q20.2522260.8555732.5364653.644263
2022Q40.1819590.9950282.7474873.924474
2023Q10.1157991.0300912.7658323.911722
2023Q20.1657261.0347282.9369314.137385
2023Q30.1685360.9580462.7733493.899931
2023Q40.240470.8232492.8692523.932971
2024Q10.2669160.8204682.6444773.731861
2024Q20.3081370.6635532.6468443.618534
2024Q30.4018490.7465992.6753413.823789
2024Q40.3874970.8415792.6331313.862206
2025Q10.3346560.8490412.5406223.724318
2025Q20.3774620.814572.5114063.703438
2025Q30.4364880.8096262.6710213.917135
2025Q40.4479070.8058852.5202773.774069
2026Q10.411640.7273272.3527153.491682

How each quarter is derived, and its file

  • 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
  • 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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