Velarion Records

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Facility record report · CMS certification number 676450

Terra Bella Health and Wellness Suites

Houston, 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 June 2024 to 31 May 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 December 2025.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$14,236,083CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,499,721CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,736,362CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,398,519CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,662,157CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$974,766CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$687,391CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$687,391 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components128CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components46,720CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days923CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days34,646CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,369CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components38,938CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges9CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges36CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges63CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components108CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days102.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days962.39CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days360.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1445261, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 January 2024 to 31 May 2024 — a reporting period of 151 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 19 December 2024.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,634,276CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,076,886CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,557,390CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,265,286CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$707,896CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$285,604CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$422,292CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$422,292 (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 components128CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,147CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components35CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days83.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days834.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days432.77CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1401314, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 June 2022 to 31 May 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 October 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$12,173,017CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,766,883CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,406,134CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,940,855CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,534,721CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,144,562CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$390,159CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$390,159 (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 components128CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,298CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components268CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days69.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days176.31CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days142.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398461, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 June 2021 to 31 May 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$11,199,599CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,303,619CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,895,980CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,399,809CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,503,829CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,321,069CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$182,760CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$182,760 (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 components128CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,770CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components238CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days67.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days195.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days146.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365301, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 June 2020 to 31 May 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 March 2023.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$9,408,250CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,430,481CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,977,769CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,510,269CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,532,500CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,236,155CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$296,345CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$296,345 (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 components128CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,987CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components173CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days62.64CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days241.13CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days173.34CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343826, read from the public cost report file SNF10FY2020.zip.

Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 5 May 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,950,912CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,615,822CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,335,090CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,483,242CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,148,152CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$93,674CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,054,478CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,054,478 (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 components128CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,557CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components144CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days395.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days184.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1315424, read from the public cost report file SNF10FY2019.zip.

Cost report for 28 June 2018 to 31 May 2019 — a reporting period of 337 days, on form CMS-2540-10, settled, processed by CMS on 14 November 2019.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,178,621CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,523,999CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,654,622CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,883,669CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,229,047CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,072CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,221,975CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,221,975 (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 components128CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,478CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components88CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days68.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days301.49CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days164.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1245703, read from the public cost report file SNF10FY2018.zip.

Five facilities of a similar size in Texas, fiscal year 2025

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
GREENVIEW MANOR12831,768$8,178,424$9,462,909−$1,284,48531 August 2025
OASIS NURSING & REHABILITATION CENTE13034,681$9,513,471$8,075,232$1,438,23931 March 2025
SULPHUR SPRINGS HEALTH & REHABILITAT12813,688$5,465,901$5,283,419$182,48231 August 2025
TERRA BELLA HEALTH AND WELLNESS SUIT12838,938$8,736,362$10,398,519−$1,662,15731 May 2025
TREEMONT HEALTHCARE AND REHABILITATI13028,150$6,916,949$7,621,168−$704,21931 March 2025
WEDGEWOOD NURSING HOME12818,648$6,760,742$8,198,680−$1,437,93831 August 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
SOUTH LIMESTONE HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 01/01/2024
DAY, WENDYADP OF THE SNFIndividualNOT APPLICABLEsince 12/30/2022
FUNDAMENTAL ADMINISTRATIVE SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2024
FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2024
LOCKHART, CHRISTOPHERADP OF THE SNFIndividualNOT APPLICABLEsince 04/20/2023
PRICE, LARRYCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
FORMAN, MURRAYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 11/30/2025
CITY PARK CARE CENTER LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2024
DAY, WENDYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/30/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SOUTH LIMESTONE HOSPITAL DISTRICT (enrollment ID O20240516001801).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
SOUTH LIMESTONE HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
CHRISTOPHER R LOCKHARTIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/20/2023
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.
FUNDAMENTAL ADMINISTRATIVE SERVICES 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.1/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, 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.1/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
WENDY LOU DAYIndividualADP 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.12/30/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LARRY N PRICEIndividualCORPORATE OFFICERCMS 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.1/1/2024
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.
CITY PARK CARE CENTER LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1001/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
WENDY LOU DAYIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/30/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
126 March 202626 March 2026116
223 December 202423 December 2024182
328 October 202328 October 2023162

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

Deficiencies cited

45 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
9 June 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 no plan of correction
23 May 2026HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction19 June 2026
23 May 2026HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GYesDeficient, Provider has date of correction19 June 2026
23 May 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction19 June 2026
23 May 2026HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.HYesDeficient, Provider has date of correction19 June 2026
26 March 2026HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction20 April 2026
13 January 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 correction23 January 2026
13 January 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction23 January 2026
26 November 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction1 December 2025
26 November 2025HealthF 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 December 2025
20 November 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction11 December 2025
21 July 2025HealthF 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.KYesDeficient, Provider has date of correction8 August 2025
21 July 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correction8 August 2025
21 July 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.KYesDeficient, Provider has date of correction8 August 2025
21 July 2025HealthF 0687Quality of Life and Care DeficienciesProvide appropriate foot care.KYesDeficient, Provider has date of correction8 August 2025
21 July 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.DYesDeficient, Provider has date of correction8 August 2025
25 April 2025HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DYesDeficient, Provider has date of correction10 May 2025
24 February 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.HYesDeficient, Provider has date of correction14 March 2025
24 February 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.KYesDeficient, Provider has date of correction14 March 2025
7 February 2025HealthF 0557Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DYesDeficient, Provider has date of correction3 March 2025
7 February 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction3 March 2025
23 December 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDYesDeficient, Provider has date of correction17 January 2025
23 December 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 correction17 January 2025
23 December 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction17 January 2025
23 December 2024HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.DYesDeficient, Provider has date of correction17 January 2025
14 November 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correction14 November 2024
29 August 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.EYesDeficient, Provider has date of correction27 September 2024
29 August 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction27 September 2024
29 August 2024HealthF 0688Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DYesDeficient, Provider has date of correction27 September 2024
10 June 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DYesDeficient, Provider has date of correction24 June 2024
18 January 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction21 January 2024
18 January 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.KYesDeficient, Provider has date of correction21 January 2024
18 January 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EYesDeficient, Provider has date of correction21 January 2024
18 January 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correction21 January 2024
14 November 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.KYesDeficient, Provider has date of correction24 November 2023
14 November 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.KYesDeficient, Provider has date of correction24 November 2023
28 October 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EYesDeficient, Provider has date of correction10 November 2023
28 October 2023HealthF 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 correction10 November 2023
28 October 2023HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correction10 November 2023
28 October 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.KYesDeficient, Provider has date of correction10 November 2023
28 October 2023HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DYesDeficient, Provider has date of correction10 November 2023
28 October 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction10 November 2023
10 October 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction30 October 2023
10 October 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction30 October 2023
11 August 2023HealthF 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 correction12 August 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
23 May 2026Fine$24,740139402
21 July 2025Fine$45,679134602
7 February 2025Fine$26,943113669
18 January 2024Fine$38,705112174
14 November 2023Fine$32,548111784
10 October 2023Fine$13,029111676

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 TypeFor profit - Corporation
Legal Business NameSOUTH LIMESTONE HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2018-06-28
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishHarris
Telephone Number3469983500
Chain NameFUNDAMENTAL HEALTHCARE
Chain ID231
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 Beds128
Average Number of Residents per Day106.8
Overall Rating2
Health Inspection Rating1
QM Rating5
Long-Stay QM Rating5
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, Terra Bella Health and Wellness Suites — facility record report, CMS certification number 676450. https://velarionrecords.com/facility/676450/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676450. 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
2018Q431 December 2018922,5591,507.283,8697,357.0512,733.33
2019Q131 March 2019905,2901,430.85,538.019,680.916,649.71
2019Q230 June 2019916,4871,8807,195.3613,498.0322,573.39
2019Q330 September 2019926,4761,349.467,175.0613,489.9222,014.44
2019Q431 December 2019926,5251,725.516,604.8413,295.9321,626.28
2020Q131 March 2020917,0162,965.916,967.0213,231.5723,164.5
2020Q230 June 2020916,8553,072.796,930.9713,550.3623,554.12
2020Q330 September 2020927,3333,656.946,416.0214,499.2324,572.19
2020Q431 December 2020927,8053,600.377,645.3916,365.0227,610.78
2021Q131 March 2021907,6943,457.438,352.5516,820.8428,630.82
2021Q230 June 2021917,5173,287.87,150.8916,501.4426,940.13
2021Q330 September 2021928,7243,859.447,949.1517,968.3129,776.9
2021Q431 December 2021716,5752,193.946,994.2214,222.2923,410.45
2022Q131 March 2022908,6842,450.699,194.3818,207.1329,852.2
2022Q230 June 2022919,4952,367.169,916.0619,585.2131,868.43
2022Q330 September 2022929,4912,396.758,740.1220,714.7231,851.59
2022Q431 December 2022929,3992,025.59,079.219,866.0330,970.73
2023Q131 March 2023909,2713,020.937,934.5917,923.2428,878.76
2023Q230 June 20239110,4992,672.99,504.3922,637.3634,814.65
2023Q330 September 2023929,9553,067.8910,085.4520,645.6433,798.98
2023Q431 December 2023929,6102,879.399,362.4619,126.8531,368.7
2024Q131 March 2024919,1762,623.4210,813.5419,953.6133,390.57
2024Q230 June 2024919,0163,092.339,707.7318,939.2431,739.3
2024Q330 September 2024929,3583,737.279,663.9218,831.6232,232.81
2024Q431 December 2024929,7464,634.718,538.6217,238.6830,412.01
2025Q131 March 20259010,2434,583.519,118.5119,085.1732,787.19
2025Q230 June 2025919,8394,024.949,197.4119,266.3132,488.66
2025Q330 September 20259210,1344,592.018,252.1120,037.0232,881.14
2025Q431 December 20259210,3814,843.899,516.8121,035.0235,395.72
2026Q131 March 2026909,6085,253.658,392.1518,600.0432,245.84
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
2018Q40.5890111.5119192.8749714.975901
2019Q10.2704731.0468831.8300383.147393
2019Q20.289811.1091972.0807823.479789
2019Q30.2083791.1079462.0830643.399389
2019Q40.2644461.0122362.037693.314372
2020Q10.4227350.9930191.8859143.301668
2020Q20.4482551.0110821.9767123.43605
2020Q30.4986960.8749521.9772583.350905
2020Q40.461290.979552.0967353.537576
2021Q10.4493671.0855932.1862283.721188
2021Q20.4373820.9512962.1952163.583894
2021Q30.4423930.9111822.0596413.413216
2021Q40.3336791.063762.1630863.560525
2022Q10.2822081.0587722.0966293.437609
2022Q20.2493061.0443452.0626873.356338
2022Q30.2525290.9208852.1825653.355978
2022Q40.2155020.9659752.1136323.295109
2023Q10.3258470.8558511.9332593.114956
2023Q20.2545860.9052662.1561443.315997
2023Q30.3081761.0131042.0738973.395176
2023Q40.2996240.9742411.9903073.264173
2024Q10.28591.1784592.1745433.638903
2024Q20.3429821.0767222.1006263.520331
2024Q30.3993661.0326912.0123553.444412
2024Q40.475550.8761151.7687953.120461
2025Q10.4474770.8902191.863243.200936
2025Q20.409080.9347911.9581573.302029
2025Q30.4531290.8142991.9772073.244636
2025Q40.4666110.9167532.02633.409664
2026Q10.54680.8734541.9358913.356145

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 71 of this facility's days as 1; those days are included as filed. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv
  • 2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv
  • 2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
  • 2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
  • 2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
  • 2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
  • 2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
  • 2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
  • 2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
  • 2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
  • 2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
  • 2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
  • 2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
  • 2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
  • 2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
  • 2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
  • 2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
  • 2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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