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Facility record report · CMS certification number 676439

Trinity Rehabilitation & Healthcare Center

Trinity, Texas · Medicare and Medicaid

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$3,989,841CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,989,841CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,808,539CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$818,698CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$9,543CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$828,241CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$828,241 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components27,816CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days833CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days16,742CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days2,634CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components20,209CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges14CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges328CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges42CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components384CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days51.04CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days52.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1436096, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,500,627CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,500,627CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,705,572CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$204,945CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$13,301CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$218,246CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$274,163 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,824CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components422CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days45.98CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days46.98CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389364, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,947,313CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,947,313CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,606,944CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$340,369CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$9,747CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$330,622CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $277,685 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,669CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components506CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days41.51CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days40.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1358781, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 May 2021 to 31 December 2021 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 4 August 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$2,522,744CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$2,522,744CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,795,214CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$272,470CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$272,470CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$295,791 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,048CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components304CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days40.65CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days39.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328992, 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 29 December 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$3,920,768CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,920,768CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,851,302CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$69,466CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$69,466CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $65,243 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,327CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components427CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days40.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days40.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339260, 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 24 September 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$4,230,759CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,230,759CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,997,059CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$233,700CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$233,700CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $207,084 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,687CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components386CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days48.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days48.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1269623, read from the public cost report file SNF10FY2019.zip.

Cost report for 24 January 2018 to 31 December 2018 — a reporting period of 341 days, on form CMS-2540-10, settled, processed by CMS on 23 May 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$2,607,564CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$2,607,564CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,321,610CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$714,046CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$714,046CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$748,435 (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 components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,255CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components271CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days50.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days45.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1225290, read from the public cost report file SNF10FY2018.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
ANDERSON NURSING CENTER7613,254$3,000,966$2,831,587$169,37931 December 2024
AZALEA TRAILS7617,896$3,800,957$4,353,738−$552,78131 December 2024
FOCUSED CARE AT LAMESA8017,684$3,850,814$3,974,823−$124,00931 August 2024
FORREST HILL HEALTHCARE INC.7821,860$7,206,513$6,877,373$329,14030 June 2024
PECAN CREEK HEALTHCARE CENTER768,643$1,932,805$1,826,542$106,26331 August 2024
TRINITY REHABILITATION & HEALTHCARE7620,209$3,989,841$4,808,539−$818,69831 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
SCIARRINI, JOSEPHADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2021
SMITH, MICHAELADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2021
SQUYRES, HULENADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2021
TRINITY RHC LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/08/2025
COOPER, KIMBERLYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/29/2024
NEWTON, ELIZABETHCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/22/2024
TRINITY RHC LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/01/2021
WHATLEY, DARCYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (enrollment ID O20210607001267).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1Organization5% OR GREATER DIRECT OWNERSHIP INTEREST1005/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
HULEN M SQUYRESIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSEPH SCIARRINIIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL W SMITHIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRINITY RHC LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/8/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
ELIZABETH ANN NEWTONIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/22/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KIMBERLY COOPERIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/29/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARCY WHATLEYIndividualOPERATIONAL/MANAGERIAL CONTROL05/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRINITY RHC LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1005/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
115 April 202615 April 2026361
227 February 202527 February 2025195
310 January 202410 January 2024111

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

Deficiencies cited

66 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
15 April 2026HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DNoDeficient, Provider has date of correction6 May 2026
15 April 2026HealthF 0839Administration DeficienciesEmploy staff that are licensed, certified, or registered in accordance with state laws.DNoDeficient, Provider has date of correction6 May 2026
15 April 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0940Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.DNoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0941Administration DeficienciesDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.ENoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0942Resident Rights DeficienciesEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DNoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0943Freedom from Abuse, Neglect, and Exploitation DeficienciesGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DNoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0945Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.ENoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DNoDeficient, Provider has date of correction8 May 2026
15 April 2026HealthF 0949Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.ENoDeficient, Provider has date of correction8 May 2026
4 March 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.GYesDeficient, Provider has date of correction10 April 2026
4 March 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction10 April 2026
4 March 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction1 April 2026
4 March 2026HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DYesDeficient, Provider has date of correction1 April 2026
4 March 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction1 April 2026
28 January 2026HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction27 February 2026
28 January 2026HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction27 February 2026
28 January 2026HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction27 February 2026
28 January 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EYesDeficient, Provider has date of correction27 February 2026
28 January 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correction27 February 2026
17 December 2025HealthF 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.DYesDeficient, Provider has date of correction18 December 2025
17 December 2025HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DYesDeficient, Provider has date of correction18 December 2025
26 November 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correction15 December 2025
26 November 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EYesDeficient, Provider has date of correction15 December 2025
12 November 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.KYesDeficient, Provider has date of correction20 November 2025
12 November 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DYesDeficient, Provider has date of correction8 December 2025
12 November 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.HYesDeficient, Provider has date of correction5 December 2025
12 November 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.KYesDeficient, Provider has date of correction20 November 2025
12 November 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EYesDeficient, Provider has date of correction8 December 2025
12 November 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.KYesDeficient, Provider has date of correction20 November 2025
12 November 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction8 December 2025
27 July 2025HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.EYesDeficient, Provider has date of correction12 August 2025
27 February 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correction28 February 2025
27 February 2025HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.DYesDeficient, Provider has date of correction28 February 2025
27 February 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction13 March 2025
27 February 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEYesDeficient, Provider has date of correction28 February 2025
27 February 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction14 March 2025
27 February 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction14 March 2025
27 February 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction28 February 2025
27 February 2025HealthF 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 correction28 February 2025
27 February 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction28 February 2025
27 February 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction14 March 2025
27 February 2025HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.DNoDeficient, Provider has date of correction13 March 2025
27 February 2025HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.FNoDeficient, Provider has date of correction28 February 2025
27 February 2025HealthF 0941Administration DeficienciesDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.ENoDeficient, Provider has date of correction24 March 2025
27 February 2025HealthF 0945Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.ENoDeficient, Provider has date of correction24 March 2025
27 February 2025HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.ENoDeficient, Provider has date of correction24 March 2025
27 February 2025HealthF 0949Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.ENoDeficient, Provider has date of correction24 March 2025
28 August 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correction24 September 2024
28 August 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction24 September 2024
10 January 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correction1 February 2024
10 January 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction1 February 2024
10 January 2024HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correction1 February 2024
10 January 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction1 February 2024
10 January 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FNoDeficient, Provider has date of correction1 February 2024
10 January 2024HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FNoDeficient, Provider has date of correction1 February 2024
10 January 2024HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.ENoDeficient, Provider has date of correction1 February 2024
10 January 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction1 February 2024
5 November 2023HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.KYesDeficient, Provider has date of correction6 November 2023
5 November 2023HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.KYesDeficient, Provider has date of correction6 November 2023
5 November 2023HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.KYesDeficient, Provider has date of correction6 November 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
28 January 2026Fine$19,115137818
28 January 2026Fine$19,115138613
28 January 2026Payment Denial2 April 20268
12 November 2025Fine$68,640135868
12 November 2025Payment Denial11 December 20254
5 November 2023Fine$168,714111721

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 NameCHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Date First Approved to Provide Medicare and Medicaid Services2018-01-24
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishTrinity
Telephone Number9367441300
Special Focus StatusSFF Candidate
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds76
Average Number of Residents per Day56.3
Overall Rating1
Health Inspection Rating1
QM Rating2
Long-Stay QM Rating4
Short-Stay QM Rating1
Processing Date2026-08-01

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

Every change on this record

How to read this report

Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.

A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.

How to cite this report

Velarion Records, Trinity Rehabilitation & Healthcare Center — facility record report, CMS certification number 676439. https://velarionrecords.com/facility/676439/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676439. 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
2018Q330 September 2018923,5431,190.115,711.617,750.6214,652.34
2018Q431 December 2018924,0059356,325.317,946.0515,206.36
2019Q131 March 2019904,709884.756,241.618,267.1715,393.53
2019Q230 June 2019915,041882.256,329.0710,191.9917,403.31
2019Q330 September 2019924,6471,724.075,409.8110,048.5917,182.47
2020Q131 March 2020915,292691.086,392.0811,989.7519,072.91
2020Q230 June 2020914,161628.254,924.7110,252.515,805.46
2020Q330 September 2020923,9477365,138.4210,275.3716,149.79
2020Q431 December 2020923,924691.924,778.658,54914,019.57
2021Q131 March 2021903,713696.53,822.096,954.5111,473.1
2021Q230 June 2021913,907768.53,904.176,352.1211,024.79
2021Q330 September 2021924,745856.754,201.24,918.789,976.73
2021Q431 December 2021924,9641,051.254,231.646,591.8611,874.75
2022Q131 March 2022905,1061,152.013,462.998,497.213,112.2
2022Q230 June 2022915,4751,139.254,221.9510,008.1215,369.32
2022Q330 September 2022925,3915995,156.178,450.1314,205.3
2022Q431 December 2022925,165381.254,767.419,936.3915,085.05
2023Q131 March 2023905,171583.54,326.789,356.514,266.78
2023Q230 June 2023914,811782.55,414.2110,247.5816,444.29
2023Q330 September 2023924,9708814,968.7510,611.716,461.45
2023Q431 December 2023924,8579574,693.3310,593.7516,244.08
2024Q131 March 2024915,0131,039.755,616.4110,11716,773.16
2024Q230 June 2024915,2061,305.255,029.99,656.515,991.65
2024Q330 September 2024925,0901,153.254,935.4710,341.7716,430.49
2024Q431 December 2024925,2401,027.54,7399,647.7515,414.25
2025Q131 March 2025905,5471,232.754,777.049,420.2315,430.02
2025Q230 June 2025915,7011,693.344,625.0110,552.9116,871.26
2025Q330 September 2025925,6062,135.484,423.4812,558.0819,117.04
2025Q431 December 2025925,3681,237.665,485.2610,538.0317,260.95
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
2018Q30.3359051.6120832.1875874.135574
2018Q40.2334581.5793531.9840323.796844
2019Q10.1878851.3254641.7556113.268959
2019Q20.1750151.2555192.0218193.452353
2019Q30.3710071.1641512.1623823.69754
2020Q10.130591.2078762.2656373.604102
2020Q20.1509851.183542.4639513.798476
2020Q30.1864711.3018552.6033374.091662
2020Q40.176331.2178012.1786443.572775
2021Q10.1875841.0293811.8730163.089981
2021Q20.1966980.9992761.6258312.821804
2021Q30.1805580.8853951.0366242.102577
2021Q40.2117750.8524661.3279332.392174
2022Q10.2256190.678221.664162.567998
2022Q20.2080820.7711321.8279672.807182
2022Q30.1111110.956441.5674512.635003
2022Q40.0738140.9230221.9237932.920629
2023Q10.1128410.836741.8094182.758998
2023Q20.1626481.1253812.1300313.418061
2023Q30.1772640.9997482.1351513.312163
2023Q40.1970350.9663022.181133.344468
2024Q10.2074111.1203692.0181533.345933
2024Q20.250720.9661741.8548793.071773
2024Q30.2265720.969642.0317823.227994
2024Q40.1960880.9043891.8411742.941651
2025Q10.2222370.8611931.6982572.781687
2025Q20.2970250.8112631.8510632.959351
2025Q30.3809280.7890622.2401143.410103
2025Q40.2305631.0218441.963123.215527

How each quarter is derived, and its file

  • 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
  • 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

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