Facility record report · CMS certification number 676390
LEXINGTON MEDICAL LODGE
FARMERSVILLE, Texas · Medicare and Medicaid
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 September 2024 to 31 August 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 May 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,379,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,653,295 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,726,677 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,065,163 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$338,486 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $625,089 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $286,603 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $286,603 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,720 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 5,144 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 26,698 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 11,587 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 43,429 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 139 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 38 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 202 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,067.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1450056, read from the public cost report file SNF10FY2024.zip.
Cost report for 1 September 2023 to 31 August 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,765,464 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,667,397 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,098,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,008,784 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$910,717 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $515,807 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$394,910 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$394,910 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,925 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 302 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 848.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444920, read from the public cost report file SNF10FY2023.zip.
Cost report for 1 September 2022 to 31 August 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 November 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,632,525 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,218,962 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,413,563 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,269,315 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$855,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $422,776 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$432,976 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$432,976 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,090 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 357.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399095, read from the public cost report file SNF10FY2022.zip.
Cost report for 1 September 2021 to 31 August 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 December 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,759,064 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,606,118 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,152,946 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,752,257 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $400,689 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $345,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $746,422 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $746,422 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,483 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 227 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 387.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371258, read from the public cost report file SNF10FY2021.zip.
Cost report for 1 September 2020 to 31 August 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 May 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,176,444 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,457,050 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,719,394 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,775,868 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$56,474 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $191,536 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $135,062 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $135,062 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,452 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 374 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 154.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1347143, read from the public cost report file SNF10FY2020.zip.
Cost report for 1 September 2019 to 31 August 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 March 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,593,800 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $12,966,471 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,627,329 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,627,666 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $999,663 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $804,921 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,804,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,804,584 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,376 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 321 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1281623, read from the public cost report file SNF10FY2019.zip.
Cost report for 1 July 2018 to 30 June 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 June 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,485,848 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,058,075 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,427,773 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,685,346 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $742,427 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $65,687 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $808,114 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $808,114 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,712 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 390 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 229.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1285360, read from the public cost report file SNF10FY2018.zip.
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,209,066 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,696,424 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,512,642 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,685,958 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $826,684 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,281 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $860,965 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $860,965 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,043 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 378 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241874, read from the public cost report file SNF10FY2017.zip.
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 October 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,366,620 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,997,997 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,368,623 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,336,715 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $31,908 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,114 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $88,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $88,022 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 439 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 189.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212928, read from the public cost report file SNF10FY2016.zip.
Cost report for 21 September 2015 to 30 June 2016 — a reporting period of 283 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 17 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,770,404 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,901,752 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,868,652 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,803,885 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $64,767 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,037 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $87,804 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $87,804 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,829 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 243.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151025, 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.
| Facility | Total facility beds | Total patient days | Net patient revenue | Total operating expenses | Net income from service to patients | Period ended |
|---|---|---|---|---|---|---|
| GREENVIEW MANOR | 128 | 31,768 | $8,178,424 | $9,462,909 | −$1,284,485 | 31 August 2025 |
| LEXINGTON MEDICAL LODGE | 128 | 43,429 | $15,726,677 | $16,065,163 | −$338,486 | 31 August 2025 |
| OASIS NURSING & REHABILITATION CENTE | 130 | 34,681 | $9,513,471 | $8,075,232 | $1,438,239 | 31 March 2025 |
| SULPHUR SPRINGS HEALTH & REHABILITAT | 128 | 13,688 | $5,465,901 | $5,283,419 | $182,482 | 31 August 2025 |
| TREEMONT HEALTHCARE AND REHABILITATI | 130 | 28,150 | $6,916,949 | $7,621,168 | −$704,219 | 31 March 2025 |
| WEDGEWOOD NURSING HOME | 128 | 18,648 | $6,760,742 | $8,198,680 | −$1,437,938 | 31 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 manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| NOCONA HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/01/2015 |
| CAMPBELL GS-TRUST | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| COLLIN NH REALTY LTD | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| FAIRBROOK PARTNERS, LP | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| MILLER GS- TRUST | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| MONTAGUE NH, LP | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| SDL GS 5X5 TRUST | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 09/21/2015 |
| CAMPBELL GS-TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| CHESSER, CLAYTON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/21/2015 |
| COLLIN NH REALTY LTD | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| FAIRBROOK PARTNERS, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| MILLER GS- TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| MONTAGUE NH, LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| SDL GS 5X5 TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/21/2015 |
| UPTOWN FS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/23/2025 |
| YAZDANI, REHAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/21/2015 |
| MEEKINS, GREG | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/21/2015 |
| CAMPBELL, JOHN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| CAMPBELL, KENNETH | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| CAMPBELL, WILLIAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| MILLER, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| MILLER, DON | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| MILLER, JOHN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| MILLER, RICHARD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/23/2025 |
| LEWIS, SHANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/21/2015 |
| UPTOWN FS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/21/2015 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of NOCONA HOSPITAL DISTRICT (enrollment ID O20150814014280).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| NOCONA HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAMPBELL GS-TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | 29.67 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| COLLIN NH REALTY LTD | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| FAIRBROOK PARTNERS, LP | Organization | 5% OR GREATER MORTGAGE INTEREST | 8 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MILLER GS- TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | 22.44 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MONTAGUE NH, LP | Organization | 5% OR GREATER MORTGAGE INTEREST | 22.67 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| SDL GS 5X5 TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | 32 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| CAMPBELL GS-TRUST | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLAYTON THOMAS CHESSER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/21/2015 | 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. |
| COLLIN NH REALTY LTD | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| FAIRBROOK PARTNERS, LP | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MILLER GS- TRUST | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| MONTAGUE NH, LP | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| REHAN SAEED YAZDANI | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/21/2015 | 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. |
| SDL GS 5X5 TRUST | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| UPTOWN FS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/23/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| GREG LANCE MEEKINS | Individual | CORPORATE OFFICER | 0 | 9/21/2015 | 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. |
| SHANE DELBERT LEWIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/21/2015 | 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. |
| UPTOWN FS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 9/21/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: SDL GS 5X5 TRUST no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SDL GS 5X5 TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SDL GS 5X5 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SDL GS 5X5 TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2025: TERI FARMER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CRIS LEMON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ROBERT C KECK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KEN KOONTZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: GREG LANCE MEEKINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES MAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MILLER GS- TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MILLER GS- TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: FAIRBROOK PARTNERS, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: FAIRBROOK PARTNERS, LP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: COLLIN NH REALTY LTD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: COLLIN NH REALTY LTD appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: UPTOWN FS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SHANE DELBERT LEWIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MNHP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MNHP, LP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CLAYTON THOMAS CHESSER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CAMPBELL GS-TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CAMPBELL GS-TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: REHAN SAEED YAZDANI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SDL GS 5X5 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SDL GS 5X5 TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 15 February 2023: TODD PETERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: CHARLES BROWN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: MELISSA MURPHEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 31 October 2022: FOURSQUARE SNF INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: UPTOWN FS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 29 April 2025 | 29 April 2025 | 4 | 3 |
| 2 | 22 February 2024 | 22 February 2024 | 5 | 2 |
| 3 | 8 December 2022 | 8 December 2022 | 3 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
12 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 9 December 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Yes | Deficient, Provider has date of correction | 10 December 2025 |
| 9 December 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | 10 December 2025 |
| 29 April 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 15 May 2025 |
| 29 April 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 15 May 2025 |
| 12 March 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 15 April 2025 |
| 12 March 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | 15 April 2025 |
| 12 March 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Yes | Deficient, Provider has date of correction | 15 April 2025 |
| 28 March 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 1 April 2024 |
| 22 February 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 25 February 2024 |
| 22 February 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 25 February 2024 |
| 4 October 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 3 November 2023 |
| 4 October 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | 3 November 2023 |
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
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - Hospital district |
| Legal Business Name | NOCONA HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2015-09-21 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Collin |
| Telephone Number | 9727847770 |
| Chain Name | FOURSQUARE HEALTHCARE |
| Chain ID | 226 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 128 |
| Average Number of Residents per Day | 113.0 |
| Overall Rating | 4 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Every change on this record
- 1 July 2026: SDL GS 5X5 TRUST no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SDL GS 5X5 TRUST no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SDL GS 5X5 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: SDL GS 5X5 TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 25 May 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 17 December 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- 1 July 2025: TERI FARMER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CRIS LEMON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: ROBERT C KECK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KEN KOONTZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: GREG LANCE MEEKINS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CHARLES MAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MILLER GS- TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MILLER GS- TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: FAIRBROOK PARTNERS, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: FAIRBROOK PARTNERS, LP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: COLLIN NH REALTY LTD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: COLLIN NH REALTY LTD appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: UPTOWN FS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SHANE DELBERT LEWIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MNHP, LP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MNHP, LP appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CLAYTON THOMAS CHESSER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CAMPBELL GS-TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: CAMPBELL GS-TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: REHAN SAEED YAZDANI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SDL GS 5X5 TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: SDL GS 5X5 TRUST appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 18 November 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- 25 December 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- 11 May 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 15 February 2023: TODD PETERSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: CHARLES BROWN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: MELISSA MURPHEY no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 31 October 2022: FOURSQUARE SNF INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: UPTOWN FS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 3 June 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 23 March 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 4 March 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 22 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 15 October 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 17 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
How to read this report
Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.
A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.
This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.
How to cite this report
Velarion Records, LEXINGTON MEDICAL LODGE — facility record report, CMS certification number 676390. https://velarionrecords.com/facility/676390/report.
- Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file
SNF10FY2024.zip. - Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
- Care Compare ownership: CMS file dated 1 August 2026.
- Medicare enrollment ownership: CMS file dated 1 August 2026.
- Nurse staffing: CMS Payroll-Based Journal, quarters 2017Q1 to 2026Q1.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676390. 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.
| Quarter | Quarter ended | Days reported | Resident days | Registered nurse hours | Licensed practical nurse hours | Nurse aide hours | Total nurse hours |
|---|---|---|---|---|---|---|---|
| 2017Q1 | 31 March 2017 | 90 | 9,816 | 2,897.75 | 8,144 | 18,225.25 | 29,267 |
| 2017Q2 | 30 June 2017 | 91 | 9,972 | 3,015.75 | 8,730.75 | 20,584.5 | 32,331 |
| 2017Q3 | 30 September 2017 | 92 | 10,027 | 2,331.75 | 9,506.75 | 19,792.75 | 31,631.25 |
| 2017Q4 | 31 December 2017 | 92 | 10,073 | 2,720.75 | 9,051.25 | 18,833.25 | 30,605.25 |
| 2018Q1 | 31 March 2018 | 90 | 10,742 | 2,557.75 | 8,886.25 | 17,451.5 | 28,895.5 |
| 2018Q2 | 30 June 2018 | 91 | 11,285 | 2,721 | 8,686.5 | 18,661.25 | 30,068.75 |
| 2018Q3 | 30 September 2018 | 92 | 10,911 | 2,393.75 | 9,423.5 | 18,042.25 | 29,859.5 |
| 2018Q4 | 31 December 2018 | 92 | 10,285 | 2,547.75 | 9,311.75 | 17,457.5 | 29,317 |
| 2019Q1 | 31 March 2019 | 90 | 10,214 | 2,915.5 | 9,068 | 17,296.75 | 29,280.25 |
| 2019Q2 | 30 June 2019 | 91 | 10,469 | 2,192.5 | 9,916 | 17,263 | 29,371.5 |
| 2019Q3 | 30 September 2019 | 92 | 10,615 | 1,905.75 | 10,610.25 | 17,363.5 | 29,879.5 |
| 2019Q4 | 31 December 2019 | 92 | 10,815 | 1,898.25 | 10,430.75 | 17,800.25 | 30,129.25 |
| 2020Q2 | 30 June 2020 | 91 | 9,271 | 1,698.5 | 9,621.5 | 16,701 | 28,021 |
| 2020Q3 | 30 September 2020 | 92 | 8,778 | 1,608.75 | 9,174.75 | 12,033.5 | 22,817 |
| 2020Q4 | 31 December 2020 | 92 | 7,437 | 1,672.75 | 8,746 | 14,061.5 | 24,480.25 |
| 2021Q1 | 31 March 2021 | 90 | 7,569 | 1,772.75 | 9,947.75 | 14,637.75 | 26,358.25 |
| 2021Q2 | 30 June 2021 | 91 | 7,805 | 2,026.25 | 9,335.25 | 14,790.25 | 26,151.75 |
| 2021Q3 | 30 September 2021 | 92 | 7,722 | 2,319.75 | 9,019.25 | 14,919 | 26,258 |
| 2021Q4 | 31 December 2021 | 92 | 8,217 | 2,355 | 8,073.75 | 13,252.5 | 23,681.25 |
| 2022Q1 | 31 March 2022 | 90 | 9,514 | 2,296.5 | 8,888.25 | 14,125.5 | 25,310.25 |
| 2022Q2 | 30 June 2022 | 91 | 10,322 | 1,587 | 8,846.75 | 15,984.5 | 26,418.25 |
| 2022Q3 | 30 September 2022 | 92 | 10,425 | 589.5 | 8,574 | 17,479.75 | 26,643.25 |
| 2022Q4 | 31 December 2022 | 92 | 10,216 | 3,819.75 | 8,778 | 16,093.75 | 28,691.5 |
| 2023Q1 | 31 March 2023 | 90 | 9,894 | 3,450 | 8,830.2 | 15,143.7 | 27,423.9 |
| 2023Q2 | 30 June 2023 | 91 | 9,688 | 3,404.95 | 8,490.36 | 12,260.95 | 24,156.26 |
| 2023Q3 | 30 September 2023 | 92 | 10,118 | 3,568 | 8,818.23 | 13,768.15 | 26,154.38 |
| 2023Q4 | 31 December 2023 | 92 | 9,993 | 3,018.75 | 9,136.77 | 15,449.54 | 27,605.06 |
| 2024Q1 | 31 March 2024 | 91 | 10,459 | 3,033.93 | 9,617.56 | 14,769.86 | 27,421.35 |
| 2024Q2 | 30 June 2024 | 91 | 10,031 | 2,853.25 | 9,645.61 | 15,264.57 | 27,763.43 |
| 2024Q3 | 30 September 2024 | 92 | 10,615 | 2,309 | 10,120 | 15,149.75 | 27,578.75 |
| 2024Q4 | 31 December 2024 | 92 | 10,363 | 2,191.75 | 10,469.25 | 17,137 | 29,798 |
| 2025Q1 | 31 March 2025 | 90 | 10,754 | 2,099.75 | 10,644.25 | 16,113.75 | 28,857.75 |
| 2025Q2 | 30 June 2025 | 91 | 10,725 | 2,087 | 10,621.5 | 17,523 | 30,231.5 |
| 2025Q3 | 30 September 2025 | 92 | 10,580 | 2,808.75 | 10,255.05 | 19,083.25 | 32,147.05 |
| 2025Q4 | 31 December 2025 | 92 | 10,330 | 2,729 | 10,108.8 | 18,667.5 | 31,505.3 |
| 2026Q1 | 31 March 2026 | 90 | 10,167 | 3,008.75 | 9,952 | 17,519 | 30,479.75 |
| Quarter | Registered nurse hours per resident day | Licensed practical nurse hours per resident day | Nurse aide hours per resident day | Total nurse hours per resident day |
|---|---|---|---|---|
| 2017Q1 | 0.295207 | 0.829666 | 1.856688 | 2.981561 |
| 2017Q2 | 0.302422 | 0.875526 | 2.06423 | 3.242178 |
| 2017Q3 | 0.232547 | 0.948115 | 1.973945 | 3.154608 |
| 2017Q4 | 0.270103 | 0.898565 | 1.869676 | 3.038345 |
| 2018Q1 | 0.238107 | 0.827244 | 1.624604 | 2.689955 |
| 2018Q2 | 0.241117 | 0.769739 | 1.653633 | 2.664488 |
| 2018Q3 | 0.219389 | 0.86367 | 1.653584 | 2.736642 |
| 2018Q4 | 0.247715 | 0.905372 | 1.697375 | 2.850462 |
| 2019Q1 | 0.285442 | 0.887801 | 1.693435 | 2.866678 |
| 2019Q2 | 0.209428 | 0.947177 | 1.648964 | 2.805569 |
| 2019Q3 | 0.179534 | 0.999553 | 1.635751 | 2.814837 |
| 2019Q4 | 0.17552 | 0.964471 | 1.645885 | 2.785876 |
| 2020Q2 | 0.183206 | 1.037806 | 1.801424 | 3.022436 |
| 2020Q3 | 0.183271 | 1.045198 | 1.37087 | 2.599339 |
| 2020Q4 | 0.224923 | 1.176012 | 1.890749 | 3.291683 |
| 2021Q1 | 0.234212 | 1.314275 | 1.933908 | 3.482395 |
| 2021Q2 | 0.259609 | 1.19606 | 1.894971 | 3.350641 |
| 2021Q3 | 0.300408 | 1.167994 | 1.932012 | 3.400414 |
| 2021Q4 | 0.286601 | 0.982567 | 1.612815 | 2.881982 |
| 2022Q1 | 0.241381 | 0.934229 | 1.484707 | 2.660316 |
| 2022Q2 | 0.153749 | 0.857077 | 1.548586 | 2.559412 |
| 2022Q3 | 0.056547 | 0.822446 | 1.676715 | 2.555707 |
| 2022Q4 | 0.373899 | 0.85924 | 1.575347 | 2.808487 |
| 2023Q1 | 0.348696 | 0.89248 | 1.530594 | 2.771771 |
| 2023Q2 | 0.351461 | 0.876379 | 1.265581 | 2.493421 |
| 2023Q3 | 0.352639 | 0.871539 | 1.360758 | 2.584936 |
| 2023Q4 | 0.302086 | 0.914317 | 1.546036 | 2.76244 |
| 2024Q1 | 0.290078 | 0.919549 | 1.412168 | 2.621795 |
| 2024Q2 | 0.284443 | 0.96158 | 1.52174 | 2.767763 |
| 2024Q3 | 0.217522 | 0.953368 | 1.427202 | 2.598092 |
| 2024Q4 | 0.211498 | 1.010253 | 1.653672 | 2.875422 |
| 2025Q1 | 0.195253 | 0.989794 | 1.498396 | 2.683443 |
| 2025Q2 | 0.194592 | 0.99035 | 1.633846 | 2.818788 |
| 2025Q3 | 0.265477 | 0.969286 | 1.80371 | 3.038474 |
| 2025Q4 | 0.264182 | 0.978587 | 1.807115 | 3.049884 |
| 2026Q1 | 0.295933 | 0.978853 | 1.723124 | 2.99791 |
How each quarter is derived, and its file
- 2017Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_rn_donadmin, hrs_lpn_admin, hrs_na_trn; they are read as hrs_rndon, hrs_lpnadmin, hrs_natrn.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-03-31.csv - 2017Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin; they are read as hrs_lpnadmin. CMS's file labels its last six hours columns hrs_medaide, hrs_medaide_emp, hrs_rn_donadmin, hrs_na_trn, hrs_natrn_emp, hrs_natrn_ctr; they are read by position as Hrs_MedAide_emp, Hrs_MedAide_ctr, Hrs_NAtrn, Hrs_NAtrn_emp, Hrs_NAtrn_ctr, Hrs_MedAide, the order in which each total equals its employee and contract parts on every row.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-06-30.csv - 2017Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-09-30.csv - 2017Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. This file names the totals hrs_lpn_admin, hrs_na_trn; they are read as hrs_lpnadmin, hrs_natrn.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2017-12-31.csv - 2018Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-03-31.csv - 2018Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-06-30.csv - 2018Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-09-30.csv - 2018Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2018-12-13.csv - 2019Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-03-13.csv - 2019Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-06-30.csv - 2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv - 2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv - 2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv - 2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv - 2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv - 2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv - 2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv - 2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv - 2021Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. The file's `incomplete` column flags 0 of this facility's days as 1; those days are included as filed.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv - 2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv - 2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv - 2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv - 2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv - 2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv - 2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv - 2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv - 2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv - 2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv - 2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv - 2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv - 2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv - 2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv - 2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv - 2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv - 2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv - 2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0.
Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv