Velarion Records

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Facility record report · CMS certification number 676427

Skilled Care of Mexia

Mexia, 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 April 2024 to 31 March 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 October 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$5,572,430CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$372,256CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,200,174CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,440,053CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$239,879CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$351,845CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$111,966CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $111,966 (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 components80CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components29,200CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,242CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days10,391CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days9,719CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components21,352CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges50CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges89CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges128CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components267CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days116.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days79.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440584, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 April 2023 to 31 March 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 October 2024.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,033,269CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$444,863CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,588,406CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,266,288CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$677,882CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$786,096CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$108,214CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $108,214 (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 components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,760CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components113CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days414.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days183.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398353, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 June 2022 to 31 March 2023 — a reporting period of 303 days, on form CMS-2540-10, settled, processed by CMS on 11 October 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,121,922CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$476,034CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,645,888CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,342,215CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$696,327CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$621,014CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$75,313CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$75,313 (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 components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,096CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components83CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days495.89CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days230.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366510, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 January 2022 to 31 May 2022 — a reporting period of 150 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 31 January 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$1,829,554CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$187,559CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,641,995CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,141,414CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$499,419CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$131,952CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$367,467CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$367,467 (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 components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,002CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components49CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days635.38CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days204.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341407, 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 26 July 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$5,482,032CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$561,569CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,920,463CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,263,906CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$343,443CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$467,620CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$124,177CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $124,177 (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 components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,054CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components132CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days404.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days182.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328006, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$5,182,385CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$509,610CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,672,775CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,996,157CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$323,382CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$599,929CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$276,547CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $276,547 (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 components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,969CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components128CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days65.37CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days371.93CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days179.45CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302138, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,321,806CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,004,555CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,317,251CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,474,721CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$157,470CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$38,709CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$118,761CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$118,761 (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 components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components24,890CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components211CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.85CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days291.8CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days117.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1266369, 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 19 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,326,952CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$958,505CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,368,447CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,794,021CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$425,574CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,257CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$407,317CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$407,317 (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 components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,986CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components158CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days325.15CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237736, read from the public cost report file SNF10FY2018.zip.

Cost report for 25 July 2017 to 31 December 2017 — a reporting period of 159 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$966,346CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$141,439CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$824,907CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,538,802CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$713,895CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$270CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$713,625CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$713,625 (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 components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components4,353CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components30CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days320.57CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210423, read from the public cost report file SNF10FY2017.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
AVIR AT CISCO8013,784$3,521,505$3,278,488$243,01730 June 2025
BEAUMONT HEALTH CARE CENTER8221,785$6,120,464$5,891,501$228,96331 August 2025
CROWELL NURSING CENTER8017,646$3,976,078$3,600,411$375,66731 August 2025
FOCUSED CARE AT LAMESA8016,317$3,566,903$3,790,395−$223,49231 August 2025
GRANDVIEW NURSING HOME8226,065$5,748,318$6,280,628−$532,31031 August 2025
SKILLED CARE OF MEXIA8021,352$5,200,174$5,440,053−$239,87931 March 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
MAK, DAVIDCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/17/2021
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2022
MEXIA II ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2022
HUGGINS, LINDAW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 06/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20220714001236).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
DAVID MAKIndividualCORPORATE OFFICER05/17/2021
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.
GARY R BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL506/1/2022
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.
MALISA A BLAKEIndividualOPERATIONAL/MANAGERIAL CONTROL506/1/2022
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.
MEXIA II ENTERPRISES, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1006/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
HONOR X ENTERPRISES, LLCOrganizationOTHER1006/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
LINDA F HUGGINSIndividualW-2 MANAGING EMPLOYEE06/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
117 July 202517 July 202522
230 May 202430 May 202462
36 April 20236 April 202381

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

Deficiencies cited

16 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
17 October 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-Compliance5 October 2025
17 July 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction18 July 2025
31 December 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correction1 January 2025
31 December 2024HealthF 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.KYesPast Non-Compliance18 November 2024
31 December 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.KYesPast Non-Compliance18 November 2024
30 May 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correction31 May 2024
30 May 2024HealthF 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.DNoDeficient, Provider has date of correction31 May 2024
30 May 2024HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DNoDeficient, Provider has date of correction31 May 2024
30 April 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DYesPast Non-Compliance27 March 2024
6 April 2023HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction6 April 2023
6 April 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction6 April 2023
6 April 2023HealthF 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 correction6 April 2023
6 April 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.ENoDeficient, Provider has date of correction6 April 2023
6 April 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction6 April 2023
6 April 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction6 April 2023
6 April 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction6 April 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
17 October 2025Fine$9,113135384
31 December 2024Fine$15,521113489

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - Hospital district
Legal Business NameWEST WHARTON COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2017-07-25
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishLimestone
Telephone Number2544720630
Chain NameCREATIVE SOLUTIONS IN HEALTHCARE
Chain ID169
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds80
Average Number of Residents per Day69.9
Overall Rating3
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating5
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, Skilled Care of Mexia — facility record report, CMS certification number 676427. https://velarionrecords.com/facility/676427/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676427. 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 2017923,172976.534,360.836,280.4111,617.77
2018Q131 March 2018904,252795.084,670.148,707.1114,172.33
2018Q230 June 2018914,870898.075,571.829,904.5716,374.46
2018Q330 September 2018926,0871,064.46,377.5812,546.5419,988.52
2018Q431 December 2018926,1021,2467,191.0713,454.221,891.27
2019Q131 March 2019906,0251,205.616,912.7912,516.120,634.5
2019Q230 June 2019916,4491,474.486,711.612,059.7820,245.86
2019Q330 September 2019926,2731,404.496,219.813,110.1620,734.45
2019Q431 December 2019926,4441,496.457,156.1913,064.7421,717.38
2020Q131 March 2020916,3631,415.217,079.6312,659.9621,154.8
2020Q230 June 2020915,8321,367.467,055.312,314.3520,737.11
2020Q330 September 2020925,4621,055.56,643.9910,231.7217,931.21
2020Q431 December 2020925,468860.776,721.610,089.0217,671.39
2021Q131 March 2021904,994837.465,986.079,200.9416,024.47
2021Q230 June 2021916,5011,089.36,537.1510,191.0717,817.52
2021Q330 September 2021926,3741,044.576,368.3210,927.3418,340.23
2021Q431 December 2021926,1661,105.216,960.3811,458.9519,524.54
2022Q131 March 2022906,0571,338.676,185.678,394.1315,918.47
2022Q230 June 2022915,8911,688.365,442.359,099.1916,229.9
2022Q330 September 2022925,691947.336,209.7310,472.7317,629.79
2022Q431 December 2022925,7771,314.476,404.4510,809.3318,528.25
2023Q131 March 2023905,7041,112.536,538.0312,359.4820,010.04
2023Q230 June 2023915,580893.136,770.8612,251.7419,915.73
2023Q330 September 2023925,2031,318.086,108.9910,977.7718,404.84
2023Q431 December 2023924,8801,401.995,836.619,493.3316,731.93
2024Q131 March 2024915,0411,469.185,539.159,634.6516,642.98
2024Q230 June 2024915,0831,417.325,581.7510,069.3917,068.46
2024Q330 September 2024925,5181,530.485,563.9511,302.3318,396.76
2024Q431 December 2024925,3142,660.165,054.0810,145.417,859.64
2025Q131 March 2025905,6392,192.555,165.5510,882.4518,240.55
2025Q230 June 2025916,2332,289.585,500.3212,760.6420,550.54
2025Q330 September 2025926,2572,014.084,865.2512,895.319,774.63
2025Q431 December 2025926,7611,886.355,952.1314,306.3722,144.85
2026Q131 March 2026906,2871,623.365,564.8812,722.1419,910.38
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
2017Q40.3078591.3747891.9799533.662601
2018Q10.186991.098342.0477683.333097
2018Q20.1844091.1441112.0337933.362312
2018Q30.1748641.0477382.0612033.283805
2018Q40.2041951.1784782.2048843.587557
2019Q10.2001011.1473512.0773613.424813
2019Q20.2286371.0407191.8700233.13938
2019Q30.2238940.9915192.0899353.305348
2019Q40.2322241.110522.0274273.370171
2020Q10.2224121.1126251.9896213.324658
2020Q20.2344751.2097572.1115143.555746
2020Q30.1932441.2164021.8732553.282902
2020Q40.157421.2292611.8451023.231783
2021Q10.1676931.1986521.8423993.208744
2021Q20.1675591.0055611.5676162.740735
2021Q30.163880.9991091.7143612.87735
2021Q40.1792431.1288321.8584093.166484
2022Q10.2210121.0212431.3858562.628111
2022Q20.28660.9238411.5445922.755033
2022Q30.1664611.0911491.8402273.097837
2022Q40.2275351.1086121.8710973.207244
2023Q10.1950441.1462182.1668093.508072
2023Q20.1600591.2134162.1956523.569127
2023Q30.2533311.1741282.1098923.537352
2023Q40.2872931.1960271.9453553.428674
2024Q10.2914461.098821.9112583.301524
2024Q20.2788351.0981211.9809943.35795
2024Q30.2773611.0083272.0482663.333954
2024Q40.5005950.9510881.9091833.360866
2025Q10.3888190.916041.9298553.234714
2025Q20.3673320.8824512.0472713.297054
2025Q30.3218920.7775692.060943.160401
2025Q40.2790050.8803622.1160143.275381
2026Q10.2582090.8851412.0235633.166913

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

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