{"schema_version":"1.0.0","facility":{"id":"cms-045190","ccn":"045190","name":"Nightingale at Crossett","source_name":"NIGHTINGALE AT CROSSETT","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":"1101 Waterwell Road","city":"Crossett","state":"AR","zip":"71635","county_name":"Ashley County","county_fips":"05003","county_method":"name_match","ssa_county_code":"010","urban":false},"location":{"lat":33.1117,"lon":-91.948,"method":"cms_published_coordinates"},"phone":"8703645721","certification":{"authority":"CMS","ccn":"045190","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1992-02-01","certified_beds":83,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/045190"},"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":83,"avg_residents_per_day":59.1},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"CROSSETT 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":3},"health_inspection":{"value":4},"quality_measures":{"value":1},"long_stay_qm":{"value":3},"short_stay_qm":{"value":1},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.2586,"lpn_hprd":0.84774,"rn_hprd":0.44787,"licensed_hprd":1.2956,"total_nurse_hprd":3.5542,"weekend_total_nurse_hprd":2.9544,"weekend_rn_hprd":0.23187,"pt_hprd":0,"nursing_turnover_pct":41.2,"rn_turnover_pct":0,"administrators_left":0,"case_mix_index":1.23859,"case_mix_index_ratio":0.87827,"case_mix_total_nurse_hprd":3.42602,"adjusted_total_nurse_hprd":4.01504,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-22","cycle1_deficiencies":0,"cycle1_score":0,"cycle2_date":"2024-09-19","cycle23_deficiencies":11,"cycle23_score":84,"total_weighted_score":21},"cms_penalty_counts":{"fines":1,"fine_total":12353,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-815","cms_chain_id":"815","name":"NIGHTINGALE"},"operator_id":"op-crossett-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/045190","provenance":[{"source_id":"cms_provider_info","source_record_id":"045190","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=045190&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":"045190","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=045190&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":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2026-04-22","latest_standard_health":"2026-04-22","earliest_date":"2023-10-27","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":27,"health_count":17,"fire_count":10,"open_count":2,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":25,"minimal":2},"by_scope_severity":{"F":10,"C":2,"E":6,"D":9},"by_concept":{"environment_life_safety":10,"food_nutrition":3,"administration":1,"clinical_care":6,"medication":1,"infection_prevention":2,"resident_rights":4},"type_ids":["cms-k0321","cms-k0344","cms-k0347","cms-k0353","cms-k0521","cms-k0345","cms-f0812","cms-f0838","cms-f0690","cms-f0755","cms-f0803","cms-f0880","cms-f0550","cms-f0567","cms-f0644","cms-f0677","cms-f0693","cms-f0584","cms-f0623","cms-f0641","cms-f0684"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":12353,"payment_denials":0,"latest_date":"2024-09-19"},"ownership_summary":{"disclosures":30,"organizations":8,"individuals":17,"not_available":false}},"row":{"id":"cms-045190","ccn":"045190","name":"Nightingale at Crossett","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"AR","city":"Crossett","zip":"71635","county_fips":"05003","county_name":"Ashley County","address":"1101 Waterwell Road","beds":83,"residents":59.1,"ownership":"for_profit","operator_id":"op-crossett-healthcare-llc","operator_name":"Crossett Healthcare LLC","chain_id":"cms-chain-815","chain_name":"Nightingale","lat":33.1117,"lon":-91.948,"overall":3,"health_rating":4,"staffing_rating":4,"qm_rating":1,"nurse_hprd":3.55,"turnover":41.2,"inspections":6,"last_inspection":"2026-04-22","deficiencies":27,"serious":0,"ij":0,"open":2,"penalties":1,"fines_total":12353,"deficiency_type_ids":["cms-k0321","cms-k0344","cms-k0347","cms-k0353","cms-k0521","cms-k0345","cms-f0812","cms-f0838","cms-f0690","cms-f0755","cms-f0803","cms-f0880","cms-f0550","cms-f0567","cms-f0644","cms-f0677","cms-f0693","cms-f0584","cms-f0623","cms-f0641","cms-f0684"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-crossett-healthcare-llc","name":"Crossett Healthcare LLC","legal_name":"CROSSETT HEALTHCARE LLC","facility_count":1,"states":["AR"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-815","name":"Nightingale","cms_chain_id":"815","facility_count":5,"states":["AR"],"cms_reported":{"facility_count":5,"avg_overall_rating":3.8,"avg_health_inspection_rating":4,"avg_staffing_rating":3.8,"avg_qm_rating":3}},"ownership":[{"owner_id":"org-cutlass-op-holdings-llc","owner_type":"organization","owner_name":"Cutlass Op Holdings LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":45,"percentage_raw":"45%","association_date":"2022-08-01"},{"owner_id":"org-ardj-llc","owner_type":"organization","owner_name":"Ardj LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":33,"percentage_raw":"33%","association_date":"2022-08-31"},{"owner_id":"org-cutlass-op-holdings-llc","owner_type":"organization","owner_name":"Cutlass Op Holdings LLC","role":"direct_owner","role_raw":"DIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01"},{"owner_id":"org-sri-nightingale-llc","owner_type":"organization","owner_name":"Sri Nightingale LLC","role":"direct_owner","role_raw":"DIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01"},{"owner_id":"org-cutlass-op-family-trust-ii","owner_type":"organization","owner_name":"Cutlass Op Family Trust II","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":23,"percentage_raw":"23%","association_date":"2022-08-01"},{"owner_type":"individual","owner_name":"Dov Braun","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":23,"percentage_raw":"23%","association_date":"2022-08-01","owner_name_raw":"BRAUN, DOV"},{"owner_id":"org-sri-family-irrevocable-trust","owner_type":"organization","owner_name":"Sri Family Irrevocable Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":11,"percentage_raw":"11%","association_date":"2022-08-01"},{"owner_type":"individual","owner_name":"Steven Isaac","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":11,"percentage_raw":"11%","association_date":"2022-08-01","owner_name_raw":"ISAAC, STEVEN"},{"owner_type":"individual","owner_name":"David Jakobowitch","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"JAKOBOWITCH, DAVID"},{"owner_id":"org-crossett-realty-holdings-llc","owner_type":"organization","owner_name":"Crossett Realty Holdings LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01"},{"owner_id":"org-independence-arkansas-hcm-llc","owner_type":"organization","owner_name":"Independence Arkansas Hcm LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01"},{"owner_id":"org-signet-healthcare-consultants-llc","owner_type":"organization","owner_name":"Signet Healthcare Consultants LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01"},{"owner_type":"individual","owner_name":"Emerald Burris","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-02-17","owner_name_raw":"BURRIS, EMERALD"},{"owner_type":"individual","owner_name":"Steven Isaac","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"ISAAC, STEVEN"},{"owner_type":"individual","owner_name":"David Jakobowitch","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"JAKOBOWITCH, DAVID"},{"owner_type":"individual","owner_name":"Riki Portnoy","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"PORTNOY, RIKI"},{"owner_type":"individual","owner_name":"Tim Simon","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"SIMON, TIM"},{"owner_type":"individual","owner_name":"Dov Braun","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-31","owner_name_raw":"BRAUN, DOV"},{"owner_type":"individual","owner_name":"Steven Isaac","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-31","owner_name_raw":"ISAAC, STEVEN"},{"owner_type":"individual","owner_name":"David Jakobowitch","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-31","owner_name_raw":"JAKOBOWITCH, DAVID"},{"owner_id":"org-sri-family-irrevocable-trust","owner_type":"organization","owner_name":"Sri Family Irrevocable Trust","role":"trustee","role_raw":"TRUSTEE OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01"},{"owner_type":"individual","owner_name":"Aviva Braun","role":"trustee","role_raw":"TRUSTEE OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"BRAUN, AVIVA"},{"owner_type":"individual","owner_name":"Dov Braun","role":"trustee","role_raw":"TRUSTEE OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"BRAUN, DOV"},{"owner_id":"org-crossett-realty-holdings-llc","owner_type":"organization","owner_name":"Crossett Realty Holdings LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01"},{"owner_id":"org-independence-arkansas-hcm-llc","owner_type":"organization","owner_name":"Independence Arkansas Hcm LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-01-16"},{"owner_id":"org-signet-healthcare-consultants-llc","owner_type":"organization","owner_name":"Signet Healthcare Consultants LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-13"},{"owner_type":"individual","owner_name":"Emerald Burris","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-02-17","owner_name_raw":"BURRIS, EMERALD"},{"owner_type":"individual","owner_name":"David Jakobowitch","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"JAKOBOWITCH, DAVID"},{"owner_type":"individual","owner_name":"Riki Portnoy","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"PORTNOY, RIKI"},{"owner_type":"individual","owner_name":"Tim Simon","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"SIMON, TIM"}],"inspections":[{"id":"cms-045190-20260422-fire","ccn":"045190","date":"2026-04-22","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":1,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-20","std":1,"tv":"New"},{"t":"cms-k0344","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-20","std":1,"tv":"New"},{"t":"cms-k0347","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-20","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-20","std":1,"tv":"New"},{"t":"cms-k0521","ss":"C","sl":1,"cs":"no_plan_of_correction","std":1,"tv":"New"}]},{"id":"cms-045190-20260422-health","ccn":"045190","date":"2026-04-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-045190-20240919-fire","ccn":"045190","date":"2024-09-19","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":1,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-17","std":1,"tv":"New"},{"t":"cms-k0347","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-17","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"plan_of_correction","cd":"2024-10-17","std":1,"tv":"New"}]},{"id":"cms-045190-20240919-health","ccn":"045190","date":"2024-09-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1},{"t":"cms-f0567","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1},{"t":"cms-f0690","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-18","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-18","std":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-18","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-18","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-18","std":1},{"t":"cms-f0838","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-18","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-18","std":1}]},{"id":"cms-045190-20231027-fire","ccn":"045190","date":"2023-10-27","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":"E","sl":2,"cs":"corrected","cd":"2023-11-17","std":1,"tv":"New"},{"t":"cms-k0521","ss":"C","sl":1,"cs":"waiver_granted","cd":"2023-12-06","std":1,"tv":"New"}]},{"id":"cms-045190-20231027-health","ccn":"045190","date":"2023-10-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-17","std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-17","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-17","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-17","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-17","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-17","std":1}]}],"deficiency_types":{"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-k0344":{"code":"K-0344","title":"Have an alternate power supply for its alarm system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-f0838":{"code":"F-0838","title":"Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"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-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-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0567":{"code":"F-0567","title":"Honor the resident's right to manage his or her financial affairs.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[{"id":"cms-045190-pen-f92420","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-09-19","amount":12353,"fine_id":"92420","evidence_class":"VERIFIED","source_record_id":"045190|Fine|92420"}],"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=045190&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=045190&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=045190&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=045190&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=045190&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=045190&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":"05003","name":"Ashley County"},"zip":"71635","city":"Crossett"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-045176","ccn":"045176","name":"The Woods, a Nightingale Community","address":"1194 N Chester St","city":"Monticello","state":"AR","zip":"71655","beds":122,"overall":1,"inspections":9,"last_inspection":"2026-06-11","deficiencies":45,"serious":1,"ij":1,"open":1,"fines_total":15940,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045350","ccn":"045350","name":"Nightingale at Arkadelphia","address":"2701 Twin Rivers Drive","city":"Arkadelphia","state":"AR","zip":"71923","beds":100,"overall":5,"inspections":6,"last_inspection":"2025-09-18","deficiencies":14,"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-045403","ccn":"045403","name":"Nightingale at Glenwood","address":"615 Mountain View Road","city":"Glenwood","state":"AR","zip":"71943","beds":80,"overall":5,"inspections":6,"last_inspection":"2025-12-10","deficiencies":13,"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-045437","ccn":"045437","name":"Nightingale at Stonegate","address":"118 Jerry Selby Drive","city":"Crossett","state":"AR","zip":"71635","beds":76,"overall":5,"inspections":6,"last_inspection":"2025-07-24","deficiencies":14,"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"]}],"same_chain_total":4,"same_site_review":[],"nearby":[{"id":"cms-045437","ccn":"045437","name":"Nightingale at Stonegate","address":"118 Jerry Selby Drive","city":"Crossett","state":"AR","zip":"71635","beds":76,"overall":5,"inspections":6,"last_inspection":"2025-07-24","deficiencies":14,"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":2.3}]}}