{"schema_version":"1.0.0","facility":{"id":"cms-045142","ccn":"045142","name":"The Springs of Park Ave","source_name":"THE SPRINGS OF PARK AVE","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"AR","address":{"line1":"1401 Park Avenue","city":"Hot Springs","state":"AR","zip":"71901","county_name":"Garland County","county_fips":"05051","county_method":"name_match","ssa_county_code":"250","urban":true},"location":{"lat":34.533,"lon":-93.038,"method":"cms_published_coordinates"},"phone":"5016233781","certification":{"authority":"CMS","ccn":"045142","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1989-04-10","certified_beds":95,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/045142"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":95,"avg_residents_per_day":70.5},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"CANYON SPRINGS HEALTHCARE LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":4},"health_inspection":{"value":3},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":5},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.4099,"lpn_hprd":1.03013,"rn_hprd":0.38079,"licensed_hprd":1.41093,"total_nurse_hprd":3.82082,"weekend_total_nurse_hprd":3.50625,"weekend_rn_hprd":0.35076,"pt_hprd":0.13089,"nursing_turnover_pct":45.8,"rn_turnover_pct":50,"administrators_left":0,"case_mix_index":1.18547,"case_mix_index_ratio":0.84061,"case_mix_total_nurse_hprd":3.27908,"adjusted_total_nurse_hprd":4.50965,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-08-06","cycle1_deficiencies":3,"cycle1_score":24,"cycle2_date":"2024-05-08","cycle23_deficiencies":10,"cycle23_score":64,"total_weighted_score":34},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-516","cms_chain_id":"516","name":"THE SPRINGS ARKANSAS"},"operator_id":"op-canyon-springs-healthcare-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/045142","provenance":[{"source_id":"cms_provider_info","source_record_id":"045142","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045142&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"045142","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045142&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2025-08-06","latest_standard_health":"2025-08-06","earliest_date":"2023-05-12","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":26,"health_count":23,"fire_count":3,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":2,"by_severity":{"potential":26},"by_scope_severity":{"E":11,"D":11,"F":4},"by_concept":{"clinical_care":11,"food_nutrition":3,"infection_prevention":3,"resident_rights":3,"environment_life_safety":3,"medication":2,"administration":1},"type_ids":["cms-f0677","cms-f0803","cms-f0812","cms-f0880","cms-f0609","cms-k0347","cms-f0759","cms-f0761","cms-f0578","cms-f0655","cms-f0657","cms-f0693","cms-k0321","cms-k0341","cms-f0583","cms-f0689","cms-f0690","cms-f0695","cms-f0645","cms-f0656","cms-f0658","cms-f0698","cms-f0772"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":7,"organizations":2,"individuals":4,"not_available":false}},"row":{"id":"cms-045142","ccn":"045142","name":"The Springs of Park Ave","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"AR","city":"Hot Springs","zip":"71901","county_fips":"05051","county_name":"Garland County","address":"1401 Park Avenue","beds":95,"residents":70.5,"ownership":"for_profit","operator_id":"op-canyon-springs-healthcare-llc","operator_name":"Canyon Springs Healthcare LLC","chain_id":"cms-chain-516","chain_name":"The Springs Arkansas","lat":34.533,"lon":-93.038,"overall":4,"health_rating":3,"staffing_rating":4,"qm_rating":5,"nurse_hprd":3.82,"turnover":45.8,"inspections":7,"last_inspection":"2025-08-06","deficiencies":26,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0677","cms-f0803","cms-f0812","cms-f0880","cms-f0609","cms-k0347","cms-f0759","cms-f0761","cms-f0578","cms-f0655","cms-f0657","cms-f0693","cms-k0321","cms-k0341","cms-f0583","cms-f0689","cms-f0690","cms-f0695","cms-f0645","cms-f0656","cms-f0658","cms-f0698","cms-f0772"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-canyon-springs-healthcare-llc","name":"Canyon Springs Healthcare LLC","legal_name":"CANYON SPRINGS HEALTHCARE LLC","facility_count":1,"states":["AR"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-516","name":"The Springs Arkansas","cms_chain_id":"516","facility_count":26,"states":["AR"],"cms_reported":{"facility_count":26,"avg_overall_rating":3.5,"avg_health_inspection_rating":3.1,"avg_staffing_rating":3.3,"avg_qm_rating":4.3}},"ownership":[{"owner_id":"org-black-river-healthcare-llc","owner_type":"organization","owner_name":"Black River Healthcare LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-31"},{"owner_type":"individual","owner_name":"Ferdinand Roda","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-31","owner_name_raw":"RODA, FERDINAND"},{"owner_type":"individual","owner_name":"Amy Trulove","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-02-27","owner_name_raw":"TRULOVE, AMY"},{"owner_id":"org-black-river-healthcare-llc","owner_type":"organization","owner_name":"Black River Healthcare LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-15"},{"owner_id":"org-canyon-springs-reality-holdings-llc","owner_type":"organization","owner_name":"Canyon Springs Reality Holdings LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-31"},{"owner_type":"individual","owner_name":"Ferdinand Roda","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-31","owner_name_raw":"RODA, FERDINAND"},{"owner_type":"individual","owner_name":"Amy Trulove","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-02-27","owner_name_raw":"TRULOVE, AMY"}],"inspections":[{"id":"cms-045142-20250806-fire","ccn":"045142","date":"2025-08-06","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-045142-20250806-health","ccn":"045142","date":"2025-08-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2025-08-28","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2025-08-28","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2025-08-28","std":1}]},{"id":"cms-045142-20241231-health","ccn":"045142","date":"2024-12-31","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-21","cmp":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-21","cmp":1}]},{"id":"cms-045142-20240508-fire","ccn":"045142","date":"2024-05-08","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0347","ss":"F","sl":2,"cs":"corrected","cd":"2024-05-21","std":1,"tv":"New"}]},{"id":"cms-045142-20240508-health","ccn":"045142","date":"2024-05-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-29","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-29","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-29","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-29","std":1},{"t":"cms-f0759","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-29","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-29","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-05-29","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-29","std":1}]},{"id":"cms-045142-20230512-fire","ccn":"045142","date":"2023-05-12","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2023-06-11","std":1,"tv":"New"},{"t":"cms-k0341","ss":"F","sl":2,"cs":"corrected","cd":"2023-06-11","std":1,"tv":"New"}]},{"id":"cms-045142-20230512-health","ccn":"045142","date":"2023-05-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0583","ss":"E","sl":2,"cs":"corrected","cd":"2023-06-11","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-11","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-11","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-11","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2023-06-11","std":1},{"t":"cms-f0690","ss":"E","sl":2,"cs":"corrected","cd":"2023-06-11","std":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2023-06-11","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2023-06-11","std":1},{"t":"cms-f0772","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-12","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-06-11","std":1}]}],"deficiency_types":{"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0803":{"code":"F-0803","title":"Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0347":{"code":"K-0347","title":"Properly provide smoke detection systems in areas open to corridors.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0578":{"code":"F-0578","title":"Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0693":{"code":"F-0693","title":"Ensure that feeding tubes are  not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0341":{"code":"K-0341","title":"Install a fire alarm system that can be heard throughout the facility.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0583":{"code":"F-0583","title":"Keep residents' personal and medical records private and confidential.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0772":{"code":"F-0772","title":"Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045142&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045142&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045142&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045142&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045142&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045142&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"AR","overall_rating":3.5,"health_inspection_rating":3.1,"qm_rating":3.9,"staffing_rating":3.4,"avg_residents_per_day":78.1,"cycle1_health_deficiencies":2.7,"cycle1_fire_deficiencies":2.1,"nurse_aide_hprd":2.73,"lpn_hprd":0.93,"rn_hprd":0.41408,"licensed_hprd":1.35,"total_nurse_hprd":4.07811,"weekend_total_nurse_hprd":3.44921,"weekend_rn_hprd":0.28,"pt_hprd":0.03,"nursing_turnover_pct":49,"rn_turnover_pct":42.5,"administrators_left":0.3,"case_mix_index":1.20145,"fines":0.5,"fine_amount":8582,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"AR","name":"Arkansas"},"county":{"fips":"05051","name":"Garland County"},"zip":"71901","city":"Hot Springs"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-045134","ccn":"045134","name":"The Springs Jonesboro","address":"1705 Latourette Drive","city":"Jonesboro","state":"AR","zip":"72404","beds":136,"overall":4,"inspections":9,"last_inspection":"2026-01-14","deficiencies":16,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045135","ccn":"045135","name":"The Springs Magnolia","address":"2642 North Dudney Road","city":"Magnolia","state":"AR","zip":"71753","beds":140,"overall":4,"inspections":8,"last_inspection":"2025-08-28","deficiencies":23,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045140","ccn":"045140","name":"The Springs Searcy","address":"1205 Skyline Drive","city":"Searcy","state":"AR","zip":"72143","beds":245,"overall":3,"inspections":8,"last_inspection":"2026-03-26","deficiencies":22,"serious":1,"ij":0,"open":0,"fines_total":12735,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045153","ccn":"045153","name":"The Springs of Fairfield Bay","address":"265 Dave Creek Parkway","city":"Fairfield Bay","state":"AR","zip":"72088","beds":55,"overall":3,"inspections":7,"last_inspection":"2026-07-16","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045158","ccn":"045158","name":"The Springs of Greers Ferry","address":"1040 Wedding Ford Road","city":"Heber Springs","state":"AR","zip":"72543","beds":140,"overall":4,"inspections":6,"last_inspection":"2026-01-08","deficiencies":21,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045180","ccn":"045180","name":"The Springs of Mine Creek","address":"1407 North Main Street","city":"Nashville","state":"AR","zip":"71852","beds":78,"overall":5,"inspections":6,"last_inspection":"2026-02-20","deficiencies":13,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045189","ccn":"045189","name":"The Springs of Camden","address":"900 Magnolia Road","city":"Camden","state":"AR","zip":"71701","beds":106,"overall":5,"inspections":6,"last_inspection":"2025-05-08","deficiencies":35,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045192","ccn":"045192","name":"The Springs of Mt Vista","address":"202 Tims Avenue","city":"Harrison","state":"AR","zip":"72601","beds":154,"overall":5,"inspections":6,"last_inspection":"2026-04-30","deficiencies":23,"serious":0,"ij":0,"open":0,"fines_total":32965,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":25,"same_site_review":[],"nearby":[{"id":"cms-045463","ccn":"045463","name":"Belvedere Nursing and Rehabilitation Center, LLC","address":"2600 Park Ave","city":"Hot Springs","state":"AR","zip":"71901","beds":120,"overall":2,"inspections":8,"last_inspection":"2026-05-07","deficiencies":21,"serious":3,"ij":1,"open":0,"fines_total":10188,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3},{"id":"cms-045098","ccn":"045098","name":"The Blossoms at Hot Springs Rehab and Nursing Cent","address":"552 Golf Links Road","city":"Hot Springs","state":"AR","zip":"71901","beds":152,"overall":5,"inspections":6,"last_inspection":"2026-06-17","deficiencies":11,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.8},{"id":"cms-045254","ccn":"045254","name":"The Blossoms at the Village Rehab & Nursing Center","address":"1208 North Highway 7","city":"Hot Springs","state":"AR","zip":"71909","beds":120,"overall":4,"inspections":6,"last_inspection":"2025-12-19","deficiencies":21,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.4},{"id":"cms-045243","ccn":"045243","name":"The Pines Nursing and Rehabilitation Center","address":"524 Carpenter Dam Road","city":"Hot Springs","state":"AR","zip":"71901","beds":125,"overall":2,"inspections":7,"last_inspection":"2026-07-30","deficiencies":24,"serious":1,"ij":1,"open":0,"fines_total":13863,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.8},{"id":"cms-045404","ccn":"045404","name":"The Springs of Red Oak","address":"260 Lakepark Drive","city":"Hot Springs","state":"AR","zip":"71901","beds":80,"overall":3,"inspections":7,"last_inspection":"2026-05-14","deficiencies":21,"serious":1,"ij":1,"open":0,"fines_total":14935,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":9.1},{"id":"cms-045338","ccn":"045338","name":"Quapaw Care and Rehabilitation Center LLC","address":"138 Brighton Terrace","city":"Hot Springs","state":"AR","zip":"71913","beds":126,"overall":4,"inspections":6,"last_inspection":"2025-07-24","deficiencies":29,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":10.4},{"id":"cms-045445","ccn":"045445","name":"Lake Hamilton Health and Rehab","address":"120 Pittman Road","city":"Hot Springs","state":"AR","zip":"71913","beds":84,"overall":3,"inspections":6,"last_inspection":"2025-05-21","deficiencies":27,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":14.8},{"id":"cms-045191","ccn":"045191","name":"Lake Forest Senior Living at Hot Springs Village","address":"121 Cortez Rd","city":"Hot Springs Village","state":"AR","zip":"71909","beds":50,"overall":2,"inspections":7,"last_inspection":"2025-09-05","deficiencies":17,"serious":1,"ij":1,"open":0,"fines_total":13627,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":17.7}]}}