{"schema_version":"1.0.0","facility":{"id":"cms-045341","ccn":"045341","name":"Meadowview Healthcare and Rehab","source_name":"MEADOWVIEW HEALTHCARE AND REHAB","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":"825 North Gaskill","city":"Huntsville","state":"AR","zip":"72740","county_name":"Madison County","county_fips":"05087","county_method":"name_match","ssa_county_code":"430","urban":true},"location":{"lat":36.0929,"lon":-93.743,"method":"cms_published_coordinates"},"phone":"4797382021","certification":{"authority":"CMS","ccn":"045341","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1998-04-01","certified_beds":105,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/045341"},"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":105,"avg_residents_per_day":69.6},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"MEADOWVIEW HEALTHCARE AND REHAB","flags":{"ccrc":false,"special_focus":"SFF Candidate","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":2},"health_inspection":{"value":1},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"footnote":"2"},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.51074,"lpn_hprd":0.46518,"rn_hprd":0.45998,"licensed_hprd":0.92516,"total_nurse_hprd":3.4359,"weekend_total_nurse_hprd":2.91627,"weekend_rn_hprd":0.34672,"pt_hprd":0.04499,"nursing_turnover_footnote":"26","rn_turnover_footnote":"26","administrator_turnover_footnote":"26","case_mix_index":1.21882,"case_mix_index_ratio":0.86425,"case_mix_total_nurse_hprd":3.37133,"adjusted_total_nurse_hprd":3.94437,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-05-07","cycle1_deficiencies":1,"cycle1_score":4,"cycle2_date":"2024-10-16","cycle23_deficiencies":42,"cycle23_score":1265,"total_weighted_score":319.25},"cms_penalty_counts":{"fines":2,"fine_total":18446,"payment_denials":2,"total":4},"operator_id":"op-meadowview-healthcare-and-rehab","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/045341","provenance":[{"source_id":"cms_provider_info","source_record_id":"045341","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=045341&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":"045341","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=045341&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":8,"health_count":5,"fire_count":3,"complaint_count":3,"latest_date":"2026-05-07","latest_standard_health":"2026-05-07","earliest_date":"2023-10-13","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":63,"health_count":53,"fire_count":10,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":7,"serious_count":7,"complaint_count":3,"by_severity":{"potential":54,"immediate_jeopardy":7,"minimal":2},"by_scope_severity":{"F":24,"D":14,"L":4,"K":2,"E":16,"C":2,"J":1},"by_concept":{"environment_life_safety":11,"clinical_care":9,"resident_rights":17,"administration":11,"staffing":3,"food_nutrition":6,"infection_prevention":2,"medication":2,"emergency_preparedness":2},"type_ids":["cms-k0321","cms-f0684","cms-f0609","cms-k0347","cms-k0712","cms-f0689","cms-f0835","cms-f0837","cms-f0867","cms-f0600","cms-f0919","cms-f0725","cms-f0726","cms-f0814","cms-f0838","cms-f0851","cms-f0880","cms-f0925","cms-f0926","cms-f0940","cms-f0941","cms-f0944","cms-f0946","cms-f0949","cms-f0550","cms-f0567","cms-f0568","cms-f0584","cms-f0607","cms-f0610","cms-f0641","cms-f0656","cms-f0658","cms-f0700","cms-f0803","cms-f0804","cms-f0812","cms-f0569","cms-f0580","cms-f0583","cms-f0605","cms-f0757","cms-f0836","cms-f0577","cms-f0732","cms-e0026","cms-e0041","cms-k0351","cms-f0761","cms-f0558","cms-f0578","cms-f0677","cms-f0695"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":4,"fines":2,"fine_total":18446,"payment_denials":2,"latest_date":"2024-10-16"},"ownership_summary":{"disclosures":6,"organizations":0,"individuals":6,"not_available":false}},"row":{"id":"cms-045341","ccn":"045341","name":"Meadowview Healthcare and Rehab","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"AR","city":"Huntsville","zip":"72740","county_fips":"05087","county_name":"Madison County","address":"825 North Gaskill","beds":105,"residents":69.6,"ownership":"for_profit","operator_id":"op-meadowview-healthcare-and-rehab","operator_name":"Meadowview Healthcare and Rehab","lat":36.0929,"lon":-93.743,"overall":2,"health_rating":1,"staffing_rating":2,"qm_rating":5,"nurse_hprd":3.44,"sff":"SFF Candidate","inspections":8,"last_inspection":"2026-05-07","deficiencies":63,"serious":7,"ij":7,"open":0,"penalties":4,"fines_total":18446,"deficiency_type_ids":["cms-k0321","cms-f0684","cms-f0609","cms-k0347","cms-k0712","cms-f0689","cms-f0835","cms-f0837","cms-f0867","cms-f0600","cms-f0919","cms-f0725","cms-f0726","cms-f0814","cms-f0838","cms-f0851","cms-f0880","cms-f0925","cms-f0926","cms-f0940","cms-f0941","cms-f0944","cms-f0946","cms-f0949","cms-f0550","cms-f0567","cms-f0568","cms-f0584","cms-f0607","cms-f0610","cms-f0641","cms-f0656","cms-f0658","cms-f0700","cms-f0803","cms-f0804","cms-f0812","cms-f0569","cms-f0580","cms-f0583","cms-f0605","cms-f0757","cms-f0836","cms-f0577","cms-f0732","cms-e0026","cms-e0041","cms-k0351","cms-f0761","cms-f0558","cms-f0578","cms-f0677","cms-f0695"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-meadowview-healthcare-and-rehab","name":"Meadowview Healthcare and Rehab","legal_name":"MEADOWVIEW HEALTHCARE AND REHAB","facility_count":1,"states":["AR"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_type":"individual","owner_name":"Twilla Bryant","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2008-04-09","owner_name_raw":"BRYANT, TWILLA"},{"owner_type":"individual","owner_name":"Travis Embry","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2008-04-08","owner_name_raw":"EMBRY, TRAVIS"},{"owner_type":"individual","owner_name":"Clyde Norris","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2008-04-09","owner_name_raw":"NORRIS, CLYDE"},{"owner_type":"individual","owner_name":"Ruby Pyle","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"1998-09-01","owner_name_raw":"PYLE, RUBY"},{"owner_type":"individual","owner_name":"Charles Shinn","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2008-04-08","owner_name_raw":"SHINN, CHARLES"},{"owner_type":"individual","owner_name":"Ruby Pyle","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2007-07-09","owner_name_raw":"PYLE, RUBY"}],"inspections":[{"id":"cms-045341-20260507-fire","ccn":"045341","date":"2026-05-07","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"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-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2026-06-06","std":1,"tv":"New"}]},{"id":"cms-045341-20260507-health","ccn":"045341","date":"2026-05-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"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-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-06","std":1}]},{"id":"cms-045341-20250612-health","ccn":"045341","date":"2025-06-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-11","cmp":1}]},{"id":"cms-045341-20241016-fire","ccn":"045341","date":"2024-10-16","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":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0347","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1,"tv":"New"}]},{"id":"cms-045341-20241016-health","ccn":"045341","date":"2024-10-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":40,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"K","sl":4,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0689","ss":"L","sl":4,"cs":"corrected","cd":"2024-11-15","cmp":1,"std":1},{"t":"cms-f0835","ss":"L","sl":4,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0837","ss":"L","sl":4,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0867","ss":"L","sl":4,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0919","ss":"K","sl":4,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0550","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0567","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0568","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0569","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0583","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0605","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0607","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0610","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0641","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0700","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0725","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0726","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0814","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0836","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0838","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0851","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0925","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0926","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0940","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0941","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0944","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0946","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0949","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0577","ss":"C","sl":1,"cs":"corrected","cd":"2024-11-15","std":1},{"t":"cms-f0732","ss":"C","sl":1,"cs":"corrected","cd":"2024-11-15","std":1}]},{"id":"cms-045341-20231213-health","ccn":"045341","date":"2023-12-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2024-01-12","cmp":1}]},{"id":"cms-045341-20231013-fire","ccn":"045341","date":"2023-10-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-e0026","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-12","std":1,"tv":"New"},{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-12","std":1,"tv":"New"},{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-12","std":1,"tv":"New"},{"t":"cms-k0347","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-12","std":1,"tv":"New"},{"t":"cms-k0351","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-12","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-12","std":1,"tv":"New"}]},{"id":"cms-045341-20231013-health","ccn":"045341","date":"2023-10-13","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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-12","std":1},{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-12","std":1},{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-12","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-12","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-12","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-12","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-12","std":1},{"t":"cms-f0803","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-12","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-12","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-12","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-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"},"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-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-f0835":{"code":"F-0835","title":"Administer the facility in a manner that enables it to use its resources effectively and efficiently.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0837":{"code":"F-0837","title":"Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0867":{"code":"F-0867","title":"Set up an ongoing quality assessment and assurance group to review quality deficiencies  and develop corrective plans of action.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0919":{"code":"F-0919","title":"Make sure that a working call system is available in each resident's  bathroom and bathing area.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0726":{"code":"F-0726","title":"Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0814":{"code":"F-0814","title":"Dispose of garbage and refuse properly.","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-f0851":{"code":"F-0851","title":"Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-f0925":{"code":"F-0925","title":"Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0926":{"code":"F-0926","title":"Have policies on smoking.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0940":{"code":"F-0940","title":"Develop, implement, and/or maintain an effective training program for all new and existing staff members.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0941":{"code":"F-0941","title":"Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0944":{"code":"F-0944","title":"Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0946":{"code":"F-0946","title":"Provide training in compliance and ethics.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0949":{"code":"F-0949","title":"Provide behavior health training consistent with the requirements and as determined by a facility assessment.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-f0568":{"code":"F-0568","title":"Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0607":{"code":"F-0607","title":"Develop and implement policies and procedures to prevent abuse, neglect, and theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation 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-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-f0700":{"code":"F-0700","title":"Try different approaches before using a bed rail.  If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.","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-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","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-f0569":{"code":"F-0569","title":"Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0605":{"code":"F-0605","title":"Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0836":{"code":"F-0836","title":"Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0577":{"code":"F-0577","title":"Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0732":{"code":"F-0732","title":"Post nurse staffing information every day.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-e0026":{"code":"E-0026","title":"Establish roles under a Waiver declared by secretary.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-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"}},"penalties":[{"id":"cms-045341-pen-d20241016","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2024-10-16","denial_start":"2024-11-14","denial_days":1,"evidence_class":"VERIFIED","source_record_id":"045341|Payment Denial|2024-11-14"},{"id":"cms-045341-pen-f92422","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-10-16","amount":11000,"fine_id":"92422","evidence_class":"VERIFIED","source_record_id":"045341|Fine|92422"},{"id":"cms-045341-pen-d20231213","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2023-12-13","denial_start":"2024-01-11","denial_days":1,"evidence_class":"VERIFIED","source_record_id":"045341|Payment Denial|2024-01-11"},{"id":"cms-045341-pen-f92309","type":"fine","type_label":"Civil money penalty (fine)","date":"2023-12-13","amount":7446,"fine_id":"92309","evidence_class":"VERIFIED","source_record_id":"045341|Fine|92309"}],"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=045341&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=045341&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=045341&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=045341&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=045341&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=045341&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":"05087","name":"Madison County"},"zip":"72740","city":"Huntsville"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[]}}