Facility record report · CMS certification number 676443
THE CENTER AT GRANDE
TYLER, Texas · Medicare
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 12 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,922,456 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,301,733 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,620,723 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,972,369 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $648,354 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $166,619 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $814,973 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $814,973 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 35,136 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 11,464 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Other-payer patient days | 9,644 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,108 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 417 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Other-payer discharges | 695 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 1,112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 18.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444514, 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 21 April 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,128,686 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,351,749 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,776,937 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,067,974 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$291,037 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,333,652 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,042,615 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,042,615 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,309 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 2,133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 9.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1421152, 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 27 February 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,651,896 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,006,460 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,645,436 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,037,602 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,392,166 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,950,902 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $558,736 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $558,736 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,784 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,096 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 19.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1373948, 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 20 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,848,677 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,415,342 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,433,335 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,323,951 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$890,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,638,002 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $747,386 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $747,386 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,193 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,287 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 20.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359390, 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 30 December 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,817,119 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,465,065 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,352,054 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,708,859 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$356,805 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $354,506 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,299 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,299 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,195 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,289 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 19.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1339371, 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 March 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,637,742 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,364,528 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,273,214 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,140,303 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $132,911 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,572 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $140,483 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $140,483 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,633 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1,181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 17.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 22.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311729, read from the public cost report file SNF10FY2019.zip.
Cost report for 5 April 2018 to 31 December 2018 — a reporting period of 270 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,229,596 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,820,529 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,409,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,005,832 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,596,765 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,232 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,593,533 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,593,533 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,379 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 538 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 23.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 21.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241877, 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.
| Facility | Total facility beds | Total patient days | Net patient revenue | Total operating expenses | Net income from service to patients | Period ended |
|---|---|---|---|---|---|---|
| CARE NURSING & REHABILITATION | 97 | 20,596 | $5,874,627 | $5,943,307 | −$68,680 | 31 March 2024 |
| COASTAL PALMS NURSING & REHABILITATN | 97 | 28,135 | $7,487,509 | $7,050,069 | $437,440 | 31 March 2024 |
| NORTHERN OAKS HEALTHCARE INC. | 96 | 26,494 | $8,672,226 | $7,518,156 | $1,154,070 | 30 June 2024 |
| STERLING HILLS REHABILITATION AND HE | 96 | 25,684 | $6,260,612 | $6,065,557 | $195,055 | 31 December 2024 |
| THE CENTER AT GRANDE | 96 | 21,108 | $11,620,723 | $10,972,369 | $648,354 | 31 December 2024 |
| UVALDE HOSP DIST DBA LLANO | 96 | 12,665 | $2,724,575 | $3,854,342 | −$1,129,767 | 30 June 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 manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 10% | since 12/01/2016 |
| KELLY, JULIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/05/2018 |
| ESMAS, BARTOLOME | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2016 |
| MICHAELS, JAMES | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2016 |
| GOLDEN ROAD INVESTMENTS LLC | GENERAL PARTNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2016 |
| KELLY, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/05/2018 |
| MURDOCK, MONTE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2016 |
| SENKOFF, ALEXANDER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2016 |
| VERITAS MANAGEMENT GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/07/2016 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE CENTER AT GRANDE LLC (enrollment ID O20170718001477).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10.31 | 12/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| JULIE L KELLY | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/5/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/8/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| 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. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/8/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BARTOLOME ESMAS | Individual | CORPORATE DIRECTOR | 100 | 12/1/2016 | 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. |
| JAMES P MICHAELS | Individual | CORPORATE OFFICER | 5 | 12/1/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | DIRECT OWNERSHIP INTEREST | 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. | 5/1/2018 | 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. |
| GOLDEN ROAD INVESTMENTS LLC | Organization | GENERAL PARTNERSHIP INTEREST | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALEXANDER SENKOFF | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 4/1/2016 | 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. |
| JULIE L KELLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/5/2018 | 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. |
| MONTE S. MURDOCK | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 4/1/2016 | 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. |
| VERITAS MANAGEMENT GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/7/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: JULIE L KELLY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VERITAS MANAGEMENT GROUP LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GOLDEN ROAD INVESTMENTS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VERITAS MANAGEMENT GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under DIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JULIE L KELLY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JULIE L KELLY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GOLDEN ROAD INVESTMENTS LLC appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 20 May 2026 | 20 May 2026 | 2 | 1 |
| 2 | 12 March 2025 | 12 March 2025 | 2 | 0 |
| 3 | 7 February 2024 | 7 February 2024 | 5 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
9 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 20 May 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 3 July 2026 |
| 16 November 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 15 December 2025 |
| 12 March 2025 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | No | Deficient, Provider has date of correction | 13 March 2025 |
| 6 March 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | E | Yes | Deficient, Provider has date of correction | 7 March 2025 |
| 7 February 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 15 March 2024 |
| 7 February 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 15 March 2024 |
| 7 February 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 15 March 2024 |
| 7 February 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 15 March 2024 |
| 7 February 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 15 March 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | THE CENTER AT GRANDE LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2018-04-05 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Smith |
| Telephone Number | 7195222000 |
| Chain Name | VERITAS MANAGEMENT GROUP |
| Chain ID | 545 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 96 |
| Average Number of Residents per Day | 70.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Every change on this record
- 1 July 2026: JULIE L KELLY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VERITAS MANAGEMENT GROUP LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GOLDEN ROAD INVESTMENTS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: VERITAS MANAGEMENT GROUP LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under DIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JULIE L KELLY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JULIE L KELLY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GOLDEN ROAD INVESTMENTS LLC appears as GENERAL PARTNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 12 December 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 21 April 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 27 February 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 20 July 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 30 December 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 9 March 2022: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 22 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
How to read this report
Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.
A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.
This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.
How to cite this report
Velarion Records, THE CENTER AT GRANDE — facility record report, CMS certification number 676443. https://velarionrecords.com/facility/676443/report.
- Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file
SNF10FY2024.zip. - Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
- Care Compare ownership: CMS file dated 1 August 2026.
- Medicare enrollment ownership: CMS file dated 1 August 2026.
- Nurse staffing: CMS Payroll-Based Journal, quarters 2018Q4 to 2026Q1.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676443. Velarion Records publishes these records as filed.
Nurse staffing, quarter by quarter
Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.
| Quarter | Quarter ended | Days reported | Resident days | Registered nurse hours | Licensed practical nurse hours | Nurse aide hours | Total nurse hours |
|---|---|---|---|---|---|---|---|
| 2018Q4 | 31 December 2018 | 92 | 5,194 | 7,523.6 | 6,486.99 | 13,143.78 | 27,154.37 |
| 2019Q1 | 31 March 2019 | 90 | 5,180 | 7,086.61 | 7,063.44 | 13,427.81 | 27,577.86 |
| 2019Q2 | 30 June 2019 | 91 | 6,157 | 7,181.22 | 7,775.94 | 14,363 | 29,320.16 |
| 2019Q3 | 30 September 2019 | 92 | 7,956 | 8,507.21 | 8,462.23 | 16,931.31 | 33,900.75 |
| 2019Q4 | 31 December 2019 | 92 | 7,383 | 9,748.43 | 9,169.89 | 17,592.25 | 36,510.57 |
| 2020Q1 | 31 March 2020 | 91 | 7,210 | 8,482.5 | 10,754.87 | 19,159.74 | 38,397.11 |
| 2020Q2 | 30 June 2020 | 91 | 6,209 | 7,523.32 | 8,263.85 | 16,354.27 | 32,141.44 |
| 2020Q3 | 30 September 2020 | 92 | 5,880 | 8,012.11 | 8,276.09 | 14,118.04 | 30,406.24 |
| 2020Q4 | 31 December 2020 | 92 | 5,822 | 7,106.78 | 8,526.37 | 14,105.49 | 29,738.64 |
| 2021Q1 | 31 March 2021 | 90 | 5,502 | 6,279.58 | 8,828.97 | 16,207.39 | 31,315.94 |
| 2021Q2 | 30 June 2021 | 91 | 6,671 | 5,043.44 | 11,505.72 | 17,950.92 | 34,500.08 |
| 2021Q3 | 30 September 2021 | 92 | 6,948 | 5,126.24 | 11,654.78 | 21,552.21 | 38,333.23 |
| 2021Q4 | 31 December 2021 | 92 | 6,979 | 5,137.6 | 11,096.09 | 20,310.53 | 36,544.22 |
| 2022Q1 | 31 March 2022 | 90 | 6,551 | 4,381.09 | 11,257.91 | 17,943.92 | 33,582.92 |
| 2022Q2 | 30 June 2022 | 91 | 5,153 | 3,618.09 | 11,309.76 | 14,696.94 | 29,624.79 |
| 2022Q3 | 30 September 2022 | 92 | 5,568 | 5,240.99 | 10,374.4 | 15,407.65 | 31,023.04 |
| 2022Q4 | 31 December 2022 | 92 | 4,354 | 3,409.09 | 8,158.69 | 10,806.75 | 22,374.53 |
| 2023Q1 | 31 March 2023 | 90 | 5,705 | 5,179.73 | 8,466.67 | 12,220.84 | 25,867.24 |
| 2023Q2 | 30 June 2023 | 91 | 5,484 | 3,639.82 | 9,225.01 | 11,734.36 | 24,599.19 |
| 2023Q3 | 30 September 2023 | 92 | 5,446 | 3,333.88 | 9,348.89 | 11,826.03 | 24,508.8 |
| 2023Q4 | 31 December 2023 | 92 | 4,729 | 3,659.07 | 7,910.78 | 10,174.34 | 21,744.19 |
| 2024Q1 | 31 March 2024 | 91 | 5,798 | 2,922.06 | 8,950.92 | 11,752.27 | 23,625.25 |
| 2024Q2 | 30 June 2024 | 91 | 5,495 | 2,980.4 | 8,818.2 | 11,604.74 | 23,403.34 |
| 2024Q3 | 30 September 2024 | 92 | 4,615 | 3,311.84 | 7,794.72 | 9,650.91 | 20,757.47 |
| 2024Q4 | 31 December 2024 | 92 | 5,251 | 3,150.54 | 9,600.09 | 11,419.42 | 24,170.05 |
| 2025Q1 | 31 March 2025 | 90 | 5,967 | 3,399.51 | 9,039.96 | 13,818.04 | 26,257.51 |
| 2025Q2 | 30 June 2025 | 91 | 5,978 | 2,899.34 | 9,586.38 | 14,102.07 | 26,587.79 |
| 2025Q3 | 30 September 2025 | 92 | 6,185 | 3,401.32 | 9,313.65 | 14,580.66 | 27,295.63 |
| 2025Q4 | 31 December 2025 | 92 | 5,766 | 2,354.84 | 10,415.29 | 13,841.57 | 26,611.7 |
| 2026Q1 | 31 March 2026 | 90 | 6,317 | 2,271.87 | 10,214 | 13,988.54 | 26,474.41 |
| Quarter | Registered nurse hours per resident day | Licensed practical nurse hours per resident day | Nurse aide hours per resident day | Total nurse hours per resident day |
|---|---|---|---|---|
| 2018Q4 | 1.448518 | 1.248939 | 2.53057 | 5.228027 |
| 2019Q1 | 1.368071 | 1.363598 | 2.592241 | 5.323911 |
| 2019Q2 | 1.16635 | 1.262943 | 2.332792 | 4.762085 |
| 2019Q3 | 1.069282 | 1.063629 | 2.128118 | 4.261029 |
| 2019Q4 | 1.320389 | 1.242028 | 2.382805 | 4.945221 |
| 2020Q1 | 1.176491 | 1.49166 | 2.657384 | 5.325535 |
| 2020Q2 | 1.21168 | 1.330947 | 2.633962 | 5.176589 |
| 2020Q3 | 1.362604 | 1.407498 | 2.401027 | 5.171129 |
| 2020Q4 | 1.220677 | 1.464509 | 2.422791 | 5.107977 |
| 2021Q1 | 1.141327 | 1.604684 | 2.945727 | 5.691738 |
| 2021Q2 | 0.756025 | 1.724737 | 2.690889 | 5.17165 |
| 2021Q3 | 0.737801 | 1.677429 | 3.10193 | 5.51716 |
| 2021Q4 | 0.736151 | 1.589925 | 2.910235 | 5.236312 |
| 2022Q1 | 0.668767 | 1.718503 | 2.739112 | 5.126381 |
| 2022Q2 | 0.702133 | 2.194791 | 2.852113 | 5.749037 |
| 2022Q3 | 0.94127 | 1.863218 | 2.767179 | 5.571667 |
| 2022Q4 | 0.782979 | 1.873838 | 2.482028 | 5.138845 |
| 2023Q1 | 0.907928 | 1.484079 | 2.142128 | 4.534135 |
| 2023Q2 | 0.663716 | 1.682168 | 2.139745 | 4.485629 |
| 2023Q3 | 0.61217 | 1.716653 | 2.171508 | 4.500331 |
| 2023Q4 | 0.773751 | 1.672823 | 2.151478 | 4.598052 |
| 2024Q1 | 0.503977 | 1.543794 | 2.026952 | 4.074724 |
| 2024Q2 | 0.542384 | 1.604768 | 2.111873 | 4.259025 |
| 2024Q3 | 0.717625 | 1.688997 | 2.091205 | 4.497827 |
| 2024Q4 | 0.599989 | 1.82824 | 2.174713 | 4.602942 |
| 2025Q1 | 0.569718 | 1.514992 | 2.315743 | 4.400454 |
| 2025Q2 | 0.485002 | 1.60361 | 2.358995 | 4.447606 |
| 2025Q3 | 0.54993 | 1.505845 | 2.357423 | 4.413198 |
| 2025Q4 | 0.408401 | 1.806328 | 2.40055 | 4.615279 |
| 2026Q1 | 0.359644 | 1.616907 | 2.214428 | 4.190978 |
How each quarter is derived, and its file
- 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