Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.22 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
State regulatory evidence
Texas Health and Human Services Commission is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
Texas Health and Human Services Commission
State regulatory data · checked Aug 2026
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.22 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Aug 14, 2025 cited 10 deficiencies.
View inspection evidenceCMS-published records list 149 ownership or control parties.
CMS records show an ownership change effective September 2025.
View ownership evidenceCMS groups this facility with a chain covering 9 facilities across 1 states or territories.
View chain evidenceCMS records show a $9,113 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
7 currently connected nursing homes share this CMS organization identity with MEDINA COUNTY HOSPITAL DISTRICT.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: May 8, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: May 1, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 8, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 8, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 8, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 8, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 8, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 1, 2025
Other facilities connected through this exact CMS organization identity: 6 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 31, 2017
Other facilities connected through this exact CMS organization identity: 6 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2014
Other facilities connected through this exact CMS organization identity: 6 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2014
Other facilities connected through this exact CMS organization identity: 6 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2014
Other facilities connected through this exact CMS organization identity: 6 across TX.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 1, 2021
Other facilities connected through this exact CMS organization identity: 6 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 10, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2021
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 22, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 15 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 15 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 15 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 15 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: May 8, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 30, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2014
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2021
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2014
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 16 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 16 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2014
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 10, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 15, 2026
Other facilities connected through this exact CMS organization identity: 6 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 10 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 10 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 13 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 13 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 15 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 15 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 16 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 16 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 16 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 16 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 16 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 16 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 15 across TX.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Other facilities connected through this exact CMS organization identity: 15 across TX.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2021
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · CORPORATE DIRECTOR
Published ownership percentage: 14.3%
Association date reported to CMS: Jul 20, 2020
Individual · CORPORATE OFFICER
Association date reported to CMS: May 23, 2011
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: May 23, 2011
Individual · CORPORATE OFFICER
Published ownership percentage: 14.3%
Association date reported to CMS: May 23, 2011
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: May 23, 2011
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 103 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 9 | 2.8 | 1.7 |
| Mon Jun | 9 | 2.6 | 1.6 |
| Fri May | 9 | 2.6 | 1.6 |
| Wed Apr | 9 | 2.6 | 1.6 |
| Sun Mar | 9 | 2.6 | 1.6 |
| Sun Feb | 11 | 2.6 | 1.5 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Jun 4, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Oct 16, 2024)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 2, 2024)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 25, 2024)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jun 1, 2024)
Protect each resident from the wrongful use of the resident's belongings or money.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 1, 2024)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 1, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Feb 24, 2024)
Give the resident's representative the ability to exercise the resident's rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 17, 2023)
Honor the resident's right to manage his or her financial affairs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 17, 2023)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 17, 2023)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 17, 2023)
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 17, 2023)
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 17, 2023)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
Published fine amount: $9,113.00
Published fine amount: $16,149.00
Published fine amount: $93,356.00
Published fine amount: $80,455.00
Questions to ask
Facility history
13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
An ownership change was recorded. New organization: MEDINA COUNTY HOSPITAL DISTRICT.
CARADAY WINDCREST LLC → MEDINA COUNTY HOSPITAL DISTRICT
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $9,113 civil monetary penalty.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $16,149 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a $93,356 civil monetary penalty.
CMS · Recorded event date · View related evidence
11 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $80,455 civil monetary penalty.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.971 | 2.713 |
| RN categories | 0.227 | 0.211 |
Contract staff accounted for 3.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.010 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 2.878 | 0.248 | 0.908 | 1.423 | 3.5% | 91 |
| 2025Q3 | 2.907 | 0.283 | 0.876 | 1.424 | 3.9% | 92 |
| 2025Q4 | 2.912 | 0.212 | 0.988 | 1.468 | 8% | 92 |
| 2026Q1 | 2.896 | 0.222 | 1.002 | 1.376 | 3.3% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.