Velarion Records

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Facility record report · CMS certification number 676498

THE VILLAGE AT INCARNATE WORD

SAN ANTONIO, 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 September 2024 to 31 August 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2026.

Revenue and expenses, fiscal year 2025
FigureAs filedWhere it comes from
Total patient revenue$7,800,821CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$931,533CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,869,288CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,549,552CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$12,680,264CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,776,500CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,096,236CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,096,236 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,900CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,349CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days2,177CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days15,428CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components19,954CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges63CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges1CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges46CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components110CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,177CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days181.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446773, read from the public cost report file SNF10FY2024.zip.

Cost report for 1 September 2023 to 31 August 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 February 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,573,839CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$866,889CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,706,950CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$18,346,221CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$11,639,271CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,328,491CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,689,220CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,689,220 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,881CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components117CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.7CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days429CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days169.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403784, read from the public cost report file SNF10FY2023.zip.

Cost report for 1 September 2022 to 31 August 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 February 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$7,023,197CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$475,247CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,547,950CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,788,903CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$11,240,953CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,609,261CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,368,308CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,368,308 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,742CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components136CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days422.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days145.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1373122, read from the public cost report file SNF10FY2022.zip.

Cost report for 1 September 2021 to 31 August 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 February 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,622,553CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$851,499CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,771,054CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,091,176CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$11,320,122CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,128,290CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$191,832CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$191,832 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,285CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components81CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days67.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days478.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days213.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1343440, read from the public cost report file SNF10FY2021.zip.

Cost report for 3 June 2021 to 31 August 2021 — a reporting period of 89 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 March 2022.

None of these figures is carried on this report.

CMS report record 1312179, read from the public cost report file SNF10FY2021.zip.

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

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

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
CLARENDON NURSING HOME6120,912$4,331,395$3,922,845$408,55031 August 2025
GRACE CARE CENTER OF HENRIETTA608,088$1,805,790$2,167,639−$361,84931 August 2025
JOURDANTON NURSING AND REHAB6010,516$2,715,507$2,847,513−$132,00631 August 2025
NOCONA HOSPITAL DISTRICT DBA EVERGRE6013,257$3,720,905$3,138,846$582,05931 August 2025
SHADY OAK NURSING AND REHABILITATION619,963$2,402,704$3,148,490−$745,78631 March 2025
THE VILLAGE AT INCARNATE WORD6019,954$6,869,288$19,549,552−$12,680,26431 August 2025

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

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
INCARNATE WORD RETIREMENT COMMUNITY, INC.5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 04/07/1989
CARVAJAL PHARMACY LTCADP OF THE SNFOrganizationNOT APPLICABLEsince 08/14/1997
CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTOADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2024
INCARNATE WORD RETIREMENT COMMUNITY, INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
KLINE, GWENADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2024
NIXON, DANIELADP OF THE SNFIndividualNOT APPLICABLEsince 12/02/2024
SELECT REHABILITATION, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 07/01/2021
ZARATE, RUDOLFOADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2019
BLAND, ELIZABETHCORPORATE OFFICERIndividualNOT APPLICABLEsince 07/17/2024
CAMPBELL, LEROYCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/11/2024
INCARNATE WORD RETIREMENT COMMUNITY, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/07/1989
KLINE, GWENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/19/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of INCARNATE WORD RETIREMENT COMMUNITY, INC. (enrollment ID O20201222000927).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
INCARNATE WORD RETIREMENT COMMUNITY, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST1004/7/1989
Private equity company: No
Real estate investment trust: No
Holding company: No
CARVAJAL PHARMACY LTCOrganizationADP 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.8/14/1997
Private equity company: No
Real estate investment trust: No
Holding company: No
CONGREGATION OF THE SISTERS OF CHARITY OF THE INCARNATE WORD, SAN ANTOOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
DANIEL NIXONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/2/2024
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.
GWEN KLINEIndividualADP 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.10/1/2024
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.
INCARNATE WORD RETIREMENT COMMUNITY, INC.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.5/13/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
RUDOLFO PEDRAZ ZARATEIndividualADP 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.4/1/2019
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.
SELECT REHABILITATION, LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/1/2021
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.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.4/8/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
ELIZABETH BLANDIndividualCORPORATE OFFICER07/17/2024
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.
LEROY CAMPBELLIndividualCORPORATE OFFICER011/11/2024
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.
GWEN KLINEIndividualOPERATIONAL/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.6/19/2024
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.
INCARNATE WORD RETIREMENT COMMUNITY, INC.OrganizationOPERATIONAL/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.4/7/1989
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
112 December 202512 December 202544
227 September 202427 September 202490
311 August 202311 August 202340

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

Deficiencies cited

17 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
12 December 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction22 January 2026
12 December 2025HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.ENoDeficient, Provider has date of correction22 January 2026
12 December 2025HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.CNoDeficient, Provider has date of correction22 January 2026
12 December 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction22 January 2026
16 May 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesPast Non-Compliance23 December 2024
27 September 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction25 October 2024
27 September 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correction25 October 2024
27 September 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correction25 October 2024
27 September 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction25 October 2024
27 September 2024HealthF 0813Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.ENoDeficient, Provider has date of correction25 October 2024
27 September 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction25 October 2024
27 September 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction25 October 2024
27 September 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.ENoDeficient, Provider has date of correction1 October 2024
11 August 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correction12 August 2023
11 August 2023HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DYesDeficient, Provider has date of correction12 August 2023
11 August 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction12 August 2023
11 August 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction12 August 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameINCARNATE WORD RETIREMENT COMMUNITY, INC.
Date First Approved to Provide Medicare and Medicaid Services2021-06-03
Provider Resides in HospitalN
Continuing Care Retirement CommunityY
UrbanY
County/ParishBexar
Telephone Number2108297561
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day56.8
Overall Rating4
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
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, THE VILLAGE AT INCARNATE WORD — facility record report, CMS certification number 676498. https://velarionrecords.com/facility/676498/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 676498. 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
2021Q431 December 2021924,2511,043.646,193.8211,667.0318,904.49
2022Q131 March 2022904,570627.75,477.4311,182.4717,287.6
2022Q230 June 2022914,8311,405.525,507.4511,830.8718,743.84
2022Q330 September 2022925,1251,747.785,490.3712,047.3719,285.52
2022Q431 December 2022925,0961,553.125,736.2312,096.5319,385.88
2023Q131 March 2023904,9851,588.635,002.3211,180.1217,771.07
2023Q230 June 2023914,5611,944.124,485.4411,217.7617,647.32
2023Q330 September 2023924,6772,257.444,884.8712,185.1619,327.47
2023Q431 December 2023924,8412,322.154,977.7711,941.9719,241.89
2024Q131 March 2024914,8062,251.234,170.1112,750.2419,171.58
2024Q230 June 2024914,9352,367.224,878.6913,261.0820,506.99
2024Q330 September 2024924,9701,738.624,701.113,882.8820,322.6
2024Q431 December 2024924,8301,596.714,884.2413,274.5219,755.47
2025Q131 March 2025905,0161,778.015,057.7712,992.0319,827.81
2025Q230 June 2025914,9811,776.085,026.1513,181.8419,984.07
2025Q330 September 2025924,9941,790.44,796.6813,646.7820,233.86
2025Q431 December 2025925,0851,639.35,223.1313,252.7620,115.19
2026Q131 March 2026905,1161,689.194,966.1113,015.1719,670.47
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
2021Q40.2455051.4570272.7445384.447069
2022Q10.1373521.1985622.446933.782845
2022Q20.2909381.1400232.4489483.879909
2022Q30.341031.0712922.3507063.763028
2022Q40.3047721.1256342.373733.804137
2023Q10.3186821.0034742.2427523.564909
2023Q20.4262490.9834332.4594963.869178
2023Q30.4826681.0444452.6053374.13245
2023Q40.4796841.0282522.4668393.974776
2024Q10.4684210.8676882.6529843.989093
2024Q20.479680.988592.6871494.155418
2024Q30.3498230.9458952.7933364.089054
2024Q40.3305821.011232.7483484.090159
2025Q10.3544681.0083272.5901183.952913
2025Q20.3565711.0090642.6464244.01206
2025Q30.358510.9604892.7326354.051634
2025Q40.322381.0271642.6062463.95579
2026Q10.3301780.9707022.5440133.844892

How each quarter is derived, and its file

  • 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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