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Facility record report · CMS certification number 676461

COUNTRY VIEW LIVING

DIMMITT, 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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 March 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$4,173,840CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,173,840CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,806,091CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,632,251CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$85,078CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,547,173CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,547,173 (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 components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,960CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,119CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,157CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days9,189CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components18,465CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges13CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges8CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges11CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components32CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days86.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,019.63CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days577.03CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1405944, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 February 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$3,863,405CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,863,405CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,531,262CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,667,857CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$182,996CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,484,861CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,484,861 (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 components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,139CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components31CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days129.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,759.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days617.39CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1374120, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$2,983,896CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$20,715CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,963,181CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,668,276CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,705,095CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$112,461CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,592,634CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,592,634 (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 components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,675CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components40CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days194.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days527CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days466.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345903, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,289,904CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,289,904CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,721,154CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,431,250CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,486CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,418,764CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,418,764 (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 components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,733CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components34CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days102.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days761.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days550.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1313711, read from the public cost report file SNF10FY2021.zip.

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 April 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$2,726,142CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$2,726,142CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,628,180CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,902,038CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$71,534CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,830,504CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,830,504 (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 components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,494CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days122.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days425CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days392.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282663, read from the public cost report file SNF10FY2020.zip.

Cost report for 18 April 2019 to 30 September 2019 — a reporting period of 165 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 4 May 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$600,678CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$600,678CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,994,084CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,393,406CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$152,988CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,240,418CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,240,418 (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 components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components4,651CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components16CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.38CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days573.25CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days290.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1254921, read from the public cost report file SNF10FY2019.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
COUNTRY VIEW LIVING6018,465$4,173,840$5,806,091−$1,632,25130 September 2024
D T DAYTON LLC6011,683$2,560,047$2,762,727−$202,68031 December 2024
MUNDAY NURSING CENTER6115,675$2,698,197$2,456,915$241,28230 September 2024
OAKBEND DBA KOUNTZE6016,424$4,252,337$4,305,294−$52,95731 December 2024
RETAMA MANOR NURSING CTR-JOURDANTON6015,763$3,843,926$4,169,377−$325,45131 December 2024
SHADY OAK NURSING AND REHABILITATION6111,343$2,440,816$3,349,297−$908,48131 March 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
KIMBALL, LAURAADP OF THE SNFIndividualNOT APPLICABLEsince 05/07/2025
BILLS, SHELLEYCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/01/2014
BRADFORD, JIMCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2011
SMITH, ZACHARYCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/01/2011
CASTRO COUNTY HOSPITAL DISTRICTINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/18/2019
KIMBALL, LAURAINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 10/01/2018
CASTRO COUNTY HOSPITAL DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2022
KIMBALL, LAURAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2018
ROSIER, ELISHAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CASTRO COUNTY HOSPITAL DISTRICT (enrollment ID O20181212000849).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
LAURA JEANNE KIMBALLIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.5/7/2025
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.
JIM BRADFORDIndividualCORPORATE OFFICER01/1/2011
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.
SHELLEY BILLSIndividualCORPORATE OFFICER010/1/2014
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.
ZACHARY T SMITHIndividualCORPORATE OFFICER010/1/2011
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.
CASTRO COUNTY HOSPITAL DISTRICTOrganizationINDIRECT OWNERSHIP INTEREST04/18/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
LAURA JEANNE KIMBALLIndividualINDIRECT OWNERSHIP INTEREST010/1/2018
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.
CASTRO COUNTY HOSPITAL DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROL1006/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
ELISHA ROSIERIndividualOPERATIONAL/MANAGERIAL CONTROL1006/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAURA JEANNE KIMBALLIndividualOPERATIONAL/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.10/1/2018
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.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
111 December 202511 December 202540
225 September 202425 September 202421
311 August 202311 August 202320

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

Deficiencies cited

8 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
11 December 2025HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correction8 January 2026
11 December 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction8 January 2026
11 December 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction8 January 2026
11 December 2025HealthF 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 correction8 January 2026
25 September 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.DNoDeficient, Provider has date of correction30 October 2024
25 September 2024HealthF 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 correction30 October 2024
11 August 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 correction14 September 2023
11 August 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction14 September 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - Hospital district
Legal Business NameCASTRO COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2019-04-18
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishCastro
Telephone Number8066472984
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds54
Average Number of Residents per Day49.4
Overall Rating5
Health Inspection Rating5
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, COUNTRY VIEW LIVING — facility record report, CMS certification number 676461. https://velarionrecords.com/facility/676461/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676461. 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
2019Q330 September 2019921,7881,911.863,968.58,872.4414,752.8
2019Q431 December 2019922,9112,018.243,605.118,574.1614,197.51
2020Q131 March 2020914,0382,277.753,915.7610,557.5716,751.08
2020Q230 June 2020914,3093,198.734,936.8813,680.3321,815.94
2020Q330 September 2020924,6842,294.914,687.2615,216.7622,198.93
2020Q431 December 2020924,8242,125.354,262.0714,414.0720,801.49
2021Q131 March 2021904,4672,086.264,329.2614,211.1520,626.67
2021Q230 June 2021914,4792,405.44,592.7715,084.3222,082.49
2021Q330 September 2021924,5922,591.14,151.8715,831.6822,574.65
2021Q431 December 2021924,5272,080.893,858.212,654.7718,593.86
2022Q131 March 2022904,3002,607.593,634.1311,559.517,801.22
2022Q230 June 2022914,3442,407.473,722.2812,934.2619,064.01
2022Q330 September 2022924,5432,689.322,937.9214,085.9419,713.18
2022Q431 December 2022924,9752,596.484,346.4412,928.5319,871.45
2023Q131 March 2023904,6492,720.393,544.2912,963.5619,228.24
2023Q230 June 2023914,4773,295.913,810.9113,220.220,327.02
2023Q330 September 2023924,4573,744.223,082.9113,566.2220,393.35
2023Q431 December 2023924,3433,707.812,952.7912,237.8218,898.42
2024Q131 March 2024914,2773,458.392,759.5212,287.318,505.21
2024Q230 June 2024914,6583,522.632,415.2713,012.0718,949.97
2024Q330 September 2024924,7263,153.953,166.3312,686.5819,006.86
2024Q431 December 2024924,3373,122.563,200.1411,915.3318,238.03
2025Q131 March 2025904,5403,050.762,930.0511,471.5517,452.36
2025Q230 June 2025914,9953,065.333,289.1212,467.6718,822.12
2025Q330 September 2025924,7782,782.823,140.7614,308.7620,232.34
2025Q431 December 2025924,7273,322.443,291.6114,440.4721,054.52
2026Q131 March 2026904,4503,451.423,023.7714,130.4720,605.66
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
2019Q31.0692732.2195194.9622158.251007
2019Q40.6933151.2384442.9454354.877193
2020Q10.5640790.9697282.6145544.148361
2020Q20.7423371.1457143.1748275.062878
2020Q30.4899471.0006963.2486684.73931
2020Q40.4405780.8835142.9879914.312083
2021Q10.4670380.9691653.1813634.617567
2021Q20.537041.0254013.3677874.930228
2021Q30.5642640.9041533.4476664.916082
2021Q40.4596620.8522642.7953994.107325
2022Q10.6064160.8451472.6882564.139819
2022Q20.5542060.8568782.97754.388584
2022Q30.591970.6466923.1005814.339243
2022Q40.5219060.8736562.5986993.994261
2023Q10.5851560.7623772.7884624.135995
2023Q20.7361870.851222.9529154.540322
2023Q30.8400760.6917013.0438014.575578
2023Q40.8537440.6798962.8178264.351467
2024Q10.8086020.64522.8728784.32668
2024Q20.7562540.5185212.7934894.068263
2024Q30.6673610.6699812.6844224.021765
2024Q40.7199820.7378692.7473674.205218
2025Q10.6719740.6453852.5267733.844132
2025Q20.613680.6584822.496033.768192
2025Q30.5824240.6573382.9947174.234479
2025Q40.7028640.6963423.0548914.454098
2026Q10.77560.6794993.1753874.630485

How each quarter is derived, and its file

  • 2019Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-09-30.csv
  • 2019Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2019-12-31.csv
  • 2020Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-03-31.csv
  • 2020Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-06-30.csv
  • 2020Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-09-30.csv
  • 2020Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2020-12-31.csv
  • 2021Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-03-31.csv
  • 2021Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-06-30.csv
  • 2021Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-09-30.csv
  • 2021Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. The file's `incomplete` column flags 0 of this facility's days as 1; those days are included as filed. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2021-12-31.csv
  • 2022Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-01-01.csv
  • 2022Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-06-30.csv
  • 2022Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-09-30.csv
  • 2022Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2022-12-31.csv
  • 2023Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-01-01.csv
  • 2023Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-06-01.csv
  • 2023Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-09-01.csv
  • 2023Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2023-12-01.csv
  • 2024Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-01-01.csv
  • 2024Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-04-01.csv
  • 2024Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-09-01.csv
  • 2024Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2024-12-31.csv
  • 2025Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-01-01.csv
  • 2025Q2: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-04-01.csv
  • 2025Q3: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-07-01.csv
  • 2025Q4: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2025-10-01.csv
  • 2026Q1: From CMS file Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv: days_reported = distinct WorkDate rows for this PROVNUM and CY_Qtr; resident_days = sum of MDScensus over those days; hours = each Hrs_* column summed over those days; rn_hours = Hrs_RNDON + Hrs_RNadmin + Hrs_RN; lpn_hours = Hrs_LPNadmin + Hrs_LPN; aide_hours = Hrs_CNA + Hrs_NAtrn + Hrs_MedAide; total_nurse_hours = rn_hours + lpn_hours + aide_hours; each *_hprd = its hours / resident_days, rounded to 6 decimal places, null when resident_days is 0. Payroll_Based_Journal_Daily_Nurse_Staffing_:_2026-01-01.csv

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