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Facility record report · CMS certification number 676473

CARADAY OF LAMPASAS

LAMPASAS, Texas · Medicare and Medicaid

Finances, as filed

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

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 June 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$4,924,902CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$408,047CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,516,855CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,833,511CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$316,656CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$274,883CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$41,773CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$41,773 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components29,280CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,206CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days12,489CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days5,871CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components19,566CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges14CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges27CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges8CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components49CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days86.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days462.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days399.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1432456, read from the public cost report file SNF10FY2024.zip.

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

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$5,133,123CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$532,499CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,600,624CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,542,464CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$58,160CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$278,319CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$336,479CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $336,479 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,510CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components56CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days175.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days326.12CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days330.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390757, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 June 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,887,367CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$242,952CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,644,415CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,111,028CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$466,613CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$345,039CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$121,574CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$121,574 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,936CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components18CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days204.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days3,868CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days774.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1355731, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 August 2021 to 31 December 2021 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$1,051,011CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$420,401CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,471,412CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$1,614,672CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$143,260CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$88,241CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$55,019CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$55,019 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,366CMS-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 days95.2CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days332.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days157.82CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1325696, read from the public cost report file SNF10FY2021.zip.

Cost report for 23 January 2020 to 31 December 2020 — a reporting period of 343 days, on form CMS-2540-10, settled, processed by CMS on 25 August 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$2,311,896CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$230,296CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,081,600CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,788,995CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,707,395CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$236,636CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,470,759CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,470,759 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components76CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,499CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components58CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days65.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days243.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days198.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1296360, read from the public cost report file SNF10FY2020.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
BCHD DBA ST JOSEPH MANOR8120,118$10,089,852$8,724,395$1,365,45731 December 2024
BEAUMONT HEALTH CARE CENTER825,451$1,397,035$1,343,532$53,50331 August 2024
CARADAY OF LAMPASAS8019,566$4,516,855$4,833,511−$316,65631 December 2024
CROWELL NURSING CENTER8016,886$3,689,890$3,596,523$93,36731 August 2024
FOCUSED CARE AT LAMESA8017,684$3,850,814$3,974,823−$124,00931 August 2024
TEXAN NURSING & REHAB OF GONZALES8015,322$3,484,870$3,158,909$325,96131 December 2024

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
STRATFORD HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 01/01/2024
CHUDLEIGH, JAMESADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2021
HOSS, RALPHADP OF THE SNFIndividualNOT APPLICABLEsince 04/07/2025
CHUMLEY, RICHARDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2024
CHOI, MARYANNINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/02/2025
CHOI, ROBERTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/02/2025
CUNNINGHAM, ERNESTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/02/2025
O'DONOGHUE-STALLARD, MAIREINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/02/2025
STALLARD, THOMASINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/02/2025
WOOD, STEPHENINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/02/2025
CARADAY LAMPASAS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2024
HOSS, RALPHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/07/2025
MOORE, GREGORYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of STRATFORD HOSPITAL DISTRICT (enrollment ID O20240422001318).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
STRATFORD HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
JAMES CHUDLEIGHIndividualADP 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.8/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RALPH HOSSIndividualADP 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.4/7/2025
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.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
RICHARD L CHUMLEYIndividualCORPORATE DIRECTOR01/1/2024
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.
CARADAY LAMPASAS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1001/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
GREGORY W MOOREIndividualOPERATIONAL/MANAGERIAL CONTROL1001/1/2024
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.
RALPH HOSSIndividualOPERATIONAL/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.4/7/2025
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.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
126 February 202626 February 202633
27 November 20247 November 202442
314 September 202314 September 202361

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

Deficiencies cited

13 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
26 February 2026HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FNoDeficient, Provider has date of correction27 February 2026
26 February 2026HealthF 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 correction27 February 2026
22 December 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction23 December 2025
7 November 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 correction8 November 2024
7 November 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.GNoDeficient, Provider has date of correction8 November 2024
7 November 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction8 November 2024
7 November 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 correction8 November 2024
6 March 2024HealthF 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.HYesPast Non-Compliance29 February 2024
14 September 2023HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correction16 September 2023
14 September 2023HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction16 September 2023
14 September 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correction16 September 2023
14 September 2023HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.GNoDeficient, Provider has date of correction16 September 2023
14 September 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction16 September 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
7 November 2024Fine$2,243113337
6 March 2024Fine$10,829112478
14 September 2023Fine$3,354111499

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - Hospital district
Legal Business NameSTRATFORD HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services2019-11-26
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishLampasas
Telephone Number5125566267
Chain NameCARADAY HEALTHCARE
Chain ID103
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds76
Average Number of Residents per Day50.0
Overall Rating3
Health Inspection Rating4
QM Rating2
Long-Stay QM Rating3
Short-Stay QM Rating1
Processing Date2026-08-01

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

Every change on this record

How to read this report

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

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

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

How to cite this report

Velarion Records, CARADAY OF LAMPASAS — facility record report, CMS certification number 676473. https://velarionrecords.com/facility/676473/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676473. 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
2020Q431 December 2020922,7332,558.581,083.5110,208.313,850.39
2021Q131 March 2021903,1011,953.531,410.469,000.5612,364.55
2021Q230 June 2021913,2021,402.8666.838,525.8510,595.48
2021Q330 September 2021923,265799.531,830.494,968.457,598.47
2021Q431 December 2021923,1322,078.72,301.4110,367.2514,747.36
2022Q131 March 2022903,0301,531.193,228.619,148.4913,908.29
2022Q230 June 2022913,131897.624,477.3510,155.815,530.77
2022Q330 September 2022923,6301,199.814,680.159,110.8714,990.83
2022Q431 December 2022924,1381,420.44,228.179,338.3614,986.93
2023Q131 March 2023904,2511,7854,257.599,796.2215,838.81
2023Q230 June 2023914,4382,221.664,083.8310,153.3216,458.81
2023Q330 September 2023924,7632,055.023,869.89,747.6115,672.43
2023Q431 December 2023924,7801,862.53,982.419,350.115,195.01
2024Q131 March 2024914,9071,846.253,428.949,024.6214,299.81
2024Q230 June 2024915,0822,574.252,966.1210,384.3215,924.69
2024Q330 September 2024924,8882,712.922,916.3111,565.2517,194.48
2024Q431 December 2024924,6772,518.63,273.910,897.5516,690.05
2025Q131 March 2025904,4592,7082,165.259,335.2514,208.5
2025Q230 June 2025914,8162,704.252,55110,379.515,634.75
2025Q330 September 2025924,7731,8813,762.9511,003.7516,647.7
2025Q431 December 2025924,6781,655.573,903.619,334.3514,893.53
2026Q131 March 2026904,4961,104.223,526.58,254.0612,884.78
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
2020Q40.936180.3964543.7351995.067834
2021Q10.6299680.454842.902473.987278
2021Q20.4381010.2082542.6626643.309019
2021Q30.2448790.560641.521732.32725
2021Q40.6636970.7348053.3101054.708608
2022Q10.5053431.0655483.0193044.590195
2022Q20.2866881.4300063.2436284.960323
2022Q30.3305261.2892982.5098824.129705
2022Q40.3432581.0217912.2567333.621781
2023Q10.4199011.001552.3044513.725902
2023Q20.5005990.9201962.2878143.70861
2023Q30.4314550.8124712.0465273.290453
2023Q40.3896440.833141.9560883.178872
2024Q10.3762480.6987851.8391322.914165
2024Q20.5065430.5836522.0433533.133548
2024Q30.5550160.5966262.366053.517692
2024Q40.5385080.72.330033.568538
2025Q10.6073110.4855912.0935753.186477
2025Q20.5615140.5296932.1552123.246418
2025Q30.3940920.7883832.3054163.48789
2025Q40.3539060.8344611.9953723.183739
2026Q10.2456010.7843641.8358672.865832

How each quarter is derived, and its file

  • 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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