Facility record report · CMS certification number 676475
AVIR AT MADISONVILLE
MADISONVILLE, 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 April 2024 to 31 March 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,557,622 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $465,112 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,092,510 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,979,329 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $113,181 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $546,757 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $659,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $659,938 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,850 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,255 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 17,598 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,043 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,896 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 12 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 45 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 104.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 391.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 312.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441116, read from the public cost report file SNF10FY2024.zip.
Cost report for 14 December 2023 to 31 March 2024 — a reporting period of 108 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,389,761 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$61,970 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,451,731 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,440,125 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $11,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $80,180 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $91,786 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $91,786 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,367 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 105.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 740 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396755, read from the public cost report file SNF10FY2024.zip.
Cost report for 1 January 2023 to 13 December 2023 — a reporting period of 346 days, on form CMS-2540-10, settled, processed by CMS on 8 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,790,244 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,790,244 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,874,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$83,764 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $322,500 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $238,736 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $238,736 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,378 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 99.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 366.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 263.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391658, read from the public cost report file SNF10FY2023.zip.
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 July 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,606,207 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $270,541 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,335,666 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,983,312 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $352,354 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $103,821 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $456,175 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $456,175 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,300 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 128.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 750 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 440.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360146, read from the public cost report file SNF10FY2022.zip.
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,443,846 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $470,827 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,973,019 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,502,157 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$529,138 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,022 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$473,116 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$473,116 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,743 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 28 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 96.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,385 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 383.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334721, read from the public cost report file SNF10FY2021.zip.
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,673,412 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $243,695 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,429,717 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,988,878 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$559,161 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $68,373 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$490,788 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$490,788 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,087 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 13 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 123.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,437.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 929.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301780, read from the public cost report file SNF10FY2020.zip.
Cost report for 1 November 2019 to 31 December 2019 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 14 October 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $273,976 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $19,644 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $254,332 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $394,550 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$140,218 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$140,218 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$140,218 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 945 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 3 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, all patients, in days | 315 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1270534, read from the public cost report file SNF10FY2020.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.
| Facility | Total facility beds | Total patient days | Net patient revenue | Total operating expenses | Net income from service to patients | Period ended |
|---|---|---|---|---|---|---|
| CITY OF ENNIS DBA PARKS HEALTH CTR | 90 | 15,569 | $6,126,922 | $6,202,639 | −$75,717 | 31 August 2025 |
| CITY OF ENNIS TRINITY GRANBURY | 90 | 11,832 | $2,824,386 | $2,707,666 | $116,720 | 31 August 2025 |
| FOSSIL CREEK HEALTHCARE INC. | 92 | 20,938 | $6,694,558 | $5,880,689 | $813,869 | 30 June 2025 |
| GANADO NURSING AND REHABILITATION CE | 91 | 17,052 | $4,628,835 | $4,729,264 | −$100,429 | 31 March 2025 |
| RIVERWOOD HEALTHCARE | 90 | 21,896 | $5,092,510 | $4,979,329 | $113,181 | 31 March 2025 |
| SEYMOUR REHABILITATION AND HEALTHCAR | 90 | 17,836 | $3,932,164 | $4,198,428 | −$266,264 | 31 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 manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| 1424 FALLBROOK DR PROPERTY OWNER LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2025 |
| JIAN, PETER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/14/2023 |
| PARKER, KAREN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/22/2024 |
| WELLTOWER NNN GROUP, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2025 |
| WELLTOWER OP, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2025 |
| THOMPSON, JOHNNY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/14/2023 |
| DAGAN, AMITAI | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/09/2026 |
| GOLDBERGER, ABRAHAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/09/2026 |
| GOLDBERGER, FAIGY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/09/2026 |
| 600 BACON ST OPCO, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/01/2025 |
| FREUND, NOCHUM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2025 |
| JIAN, PETER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/14/2023 |
| PARKER, KAREN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/22/2024 |
| TRAVITSKY, AARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2025 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20240118002386).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/14/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| 1424 FALLBROOK DR PROPERTY OWNER LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| KAREN L PARKER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/22/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PETER JIAN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/14/2023 | 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. |
| WELLTOWER NNN GROUP, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| WELLTOWER OP, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/14/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| JOHNNY THOMPSON | Individual | CORPORATE OFFICER | 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. | 12/14/2023 | 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. |
| 600 BACON ST OPCO, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| AARON TRAVITSKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/1/2025 | 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. |
| KAREN L PARKER | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/22/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NOCHUM FREUND | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/1/2025 | 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. |
| PETER JIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/14/2023 | 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. |
Changes in ownership
- 1 July 2026: JOHNNY THOMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN L PARKER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN L PARKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHNNY THOMPSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN L PARKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN L PARKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: CASSANDRA L MISTRETTA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MARY F PFEIFER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MADISONVILLETX LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MADISONVILLETX LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: WELLTOWER OP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: WELLTOWER NNN GROUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: AARON TRAVITSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: 1424 FALLBROOK DR PROPERTY OWNER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: NOCHUM FREUND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: 600 BACON ST OPCO, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 July 2025: CASSANDRA L MISTRETTA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PETER JIAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PETER JIAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MADISONVILLETX LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOHNNY THOMPSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KAREN L PARKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KAREN L PARKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 April 2024: MICHAEL GOLDSTEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: ADELIDE YBARRA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: CASSANDRA L MISTRETTA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: CASSANDRA L MISTRETTA appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MARY F PFEIFER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: WEST WHARTON COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MADISONVILLETX LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: DAVID MAK appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 10 April 2025 | 10 April 2025 | 17 | 0 |
| 2 | 29 February 2024 | 29 February 2024 | 8 | 10 |
| 3 | 2 January 2023 | 2 January 2023 | 24 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
49 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 15 April 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 16 April 2026 |
| 27 January 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure 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. | D | Yes | Deficient, Provider has date of correction | 30 January 2026 |
| 27 January 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | 30 January 2026 |
| 20 May 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | Yes | Deficient, Provider has date of correction | 21 May 2025 |
| 20 May 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | 21 May 2025 |
| 10 April 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide 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. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure 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. | E | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 10 April 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | No | Deficient, Provider has date of correction | 11 April 2025 |
| 3 October 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | 24 August 2024 |
| 10 May 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | E | Yes | Deficient, Provider has date of correction | 7 June 2024 |
| 25 April 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | 9 May 2024 |
| 29 February 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | 18 March 2024 |
| 29 February 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 18 March 2024 |
| 29 February 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | 18 March 2024 |
| 29 February 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | 18 March 2024 |
| 29 February 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 18 March 2024 |
| 14 November 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 11 December 2023 |
| 14 November 2023 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Yes | Deficient, Provider has date of correction | 11 December 2023 |
| 14 November 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 11 December 2023 |
| 14 November 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Yes | Deficient, Provider has date of correction | 11 December 2023 |
| 25 October 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | 17 November 2023 |
| 14 September 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | 8 October 2023 |
| 14 September 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | 8 October 2023 |
| 14 September 2023 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Yes | Deficient, Provider has date of correction | 8 October 2023 |
| 14 September 2023 | Health | F 0836 | Administration Deficiencies | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | E | Yes | Deficient, Provider has date of correction | 8 October 2023 |
| 2 January 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | K | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0742 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | E | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | No | Deficient, Provider has date of correction | 5 February 2023 |
| 2 January 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 5 February 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 3 October 2024 | Fine | $8,827 | 113260 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Partnership |
| Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2019-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Madison |
| Telephone Number | 9363489097 |
| Chain Name | GULF COAST LTC PARTNERS |
| Chain ID | 243 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 90 |
| Average Number of Residents per Day | 58.5 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Every change on this record
- 1 July 2026: JOHNNY THOMPSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN L PARKER no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN L PARKER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: JOHNNY THOMPSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN L PARKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: KAREN L PARKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: CASSANDRA L MISTRETTA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MARY F PFEIFER no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MADISONVILLETX LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: MADISONVILLETX LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: WELLTOWER OP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: WELLTOWER NNN GROUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: AARON TRAVITSKY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: 1424 FALLBROOK DR PROPERTY OWNER LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: NOCHUM FREUND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: 600 BACON ST OPCO, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 20 October 2025: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- 1 July 2025: CASSANDRA L MISTRETTA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: DAVID MAK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PETER JIAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: PETER JIAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: MADISONVILLETX LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: JOHNNY THOMPSON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KAREN L PARKER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 1 July 2025: KAREN L PARKER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- 16 October 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 8 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 April 2024: MICHAEL GOLDSTEIN no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: ADELIDE YBARRA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: CASSANDRA L MISTRETTA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: CASSANDRA L MISTRETTA appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MARY F PFEIFER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: WEST WHARTON COUNTY HOSPITAL DISTRICT appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: MADISONVILLETX LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 1 April 2024: DAVID MAK appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- 27 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 30 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 30 September 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 14 October 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2020.zip
How to read this report
Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.
A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.
This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.
How to cite this report
Velarion Records, AVIR AT MADISONVILLE — facility record report, CMS certification number 676475. https://velarionrecords.com/facility/676475/report.
- Cost report figures: CMS Healthcare Cost Report Information System, form CMS-2540-10, publication year 2024, file
SNF10FY2024.zip. - Provider information, inspections, deficiencies and penalties: CMS Care Compare, file dated 1 August 2026.
- Care Compare ownership: CMS file dated 1 August 2026.
- Medicare enrollment ownership: CMS file dated 1 August 2026.
- Nurse staffing: CMS Payroll-Based Journal, quarters 2020Q2 to 2026Q1.
Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676475. Velarion Records publishes these records as filed.
Nurse staffing, quarter by quarter
Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.
| Quarter | Quarter ended | Days reported | Resident days | Registered nurse hours | Licensed practical nurse hours | Nurse aide hours | Total nurse hours |
|---|---|---|---|---|---|---|---|
| 2020Q2 | 30 June 2020 | 91 | 2,080 | 1,371.25 | 2,528 | 7,322.4 | 11,221.65 |
| 2020Q3 | 30 September 2020 | 92 | 3,338 | 1,166 | 2,187.5 | 6,493.11 | 9,846.61 |
| 2020Q4 | 31 December 2020 | 92 | 3,287 | 897.5 | 3,272.66 | 7,486.9 | 11,657.06 |
| 2021Q1 | 31 March 2021 | 90 | 2,576 | 1,023.25 | 3,468.16 | 6,404.31 | 10,895.72 |
| 2021Q2 | 30 June 2021 | 91 | 2,295 | 1,965.96 | 2,606.81 | 6,683.93 | 11,256.7 |
| 2021Q3 | 30 September 2021 | 92 | 2,854 | 1,852.92 | 3,023.1 | 7,240.36 | 12,116.38 |
| 2021Q4 | 31 December 2021 | 92 | 3,505 | 1,686.25 | 3,381.25 | 8,649.5 | 13,717 |
| 2022Q1 | 31 March 2022 | 90 | 3,505 | 1,464 | 3,465.56 | 10,369.42 | 15,298.98 |
| 2022Q3 | 30 September 2022 | 92 | 5,319 | 920 | 4,932.82 | 11,597.57 | 17,450.39 |
| 2022Q4 | 31 December 2022 | 92 | 5,372 | 496 | 5,295.9 | 11,209.78 | 17,001.68 |
| 2023Q4 | 31 December 2023 | 92 | 5,210 | 1,149.56 | 2,414.85 | 7,650.09 | 11,214.5 |
| 2024Q1 | 31 March 2024 | 91 | 5,352 | 1,225.11 | 4,421.54 | 10,499.23 | 16,145.88 |
| 2024Q2 | 30 June 2024 | 91 | 5,217 | 1,346.64 | 4,870.58 | 10,273.08 | 16,490.3 |
| 2024Q3 | 30 September 2024 | 92 | 5,350 | 1,091.41 | 4,648.72 | 9,784.54 | 15,524.67 |
| 2024Q4 | 31 December 2024 | 92 | 5,369 | 1,209.92 | 5,151.81 | 9,945.74 | 16,307.47 |
| 2025Q1 | 31 March 2025 | 90 | 6,029 | 1,098.09 | 3,800.85 | 9,469.54 | 14,368.48 |
| 2025Q2 | 30 June 2025 | 91 | 6,110 | 2,417.88 | 3,321.76 | 10,118.39 | 15,858.03 |
| 2025Q3 | 30 September 2025 | 92 | 5,639 | 2,658.04 | 3,532.13 | 10,373.81 | 16,563.98 |
| 2025Q4 | 31 December 2025 | 92 | 5,390 | 1,727.64 | 3,998.44 | 10,382.79 | 16,108.87 |
| 2026Q1 | 31 March 2026 | 90 | 5,267 | 1,836.68 | 3,995.87 | 10,861.48 | 16,694.03 |
| Quarter | Registered nurse hours per resident day | Licensed practical nurse hours per resident day | Nurse aide hours per resident day | Total nurse hours per resident day |
|---|---|---|---|---|
| 2020Q2 | 0.659255 | 1.215385 | 3.520385 | 5.395024 |
| 2020Q3 | 0.349311 | 0.655333 | 1.94521 | 2.949853 |
| 2020Q4 | 0.273045 | 0.995637 | 2.27773 | 3.546413 |
| 2021Q1 | 0.397224 | 1.346335 | 2.486145 | 4.229705 |
| 2021Q2 | 0.856627 | 1.135865 | 2.912388 | 4.90488 |
| 2021Q3 | 0.649236 | 1.05925 | 2.536917 | 4.245403 |
| 2021Q4 | 0.481098 | 0.964693 | 2.46776 | 3.913552 |
| 2022Q1 | 0.417689 | 0.988748 | 2.958465 | 4.364902 |
| 2022Q3 | 0.172965 | 0.927396 | 2.180404 | 3.280765 |
| 2022Q4 | 0.092331 | 0.985834 | 2.086705 | 3.16487 |
| 2023Q4 | 0.220645 | 0.463503 | 1.468347 | 2.152495 |
| 2024Q1 | 0.228907 | 0.826147 | 1.96174 | 3.016794 |
| 2024Q2 | 0.258125 | 0.933598 | 1.969155 | 3.160878 |
| 2024Q3 | 0.204002 | 0.86892 | 1.828886 | 2.901807 |
| 2024Q4 | 0.225353 | 0.959547 | 1.852438 | 3.037338 |
| 2025Q1 | 0.182135 | 0.630428 | 1.570665 | 2.383228 |
| 2025Q2 | 0.395725 | 0.54366 | 1.656038 | 2.595422 |
| 2025Q3 | 0.471367 | 0.626375 | 1.839654 | 2.937397 |
| 2025Q4 | 0.320527 | 0.741826 | 1.926306 | 2.988659 |
| 2026Q1 | 0.348715 | 0.758661 | 2.062176 | 3.169552 |
How each quarter is derived, and its file
- 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 - 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 - 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