{"schema_version":"1.0.0","facility":{"id":"cms-055459","ccn":"055459","name":"Buena Vista Care Center","source_name":"BUENA VISTA CARE CENTER","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":"CA","address":{"line1":"1440 S Euclid Avenue","city":"Anaheim","state":"CA","zip":"92802","county_name":"Orange County","county_fips":"06059","county_method":"name_match","ssa_county_code":"400","urban":true},"location":{"lat":33.8115,"lon":-117.94,"method":"cms_published_coordinates"},"phone":"7145357264","certification":{"authority":"CMS","ccn":"055459","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1967-01-01","certified_beds":99,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/055459"},"licenses":[{"state":"CA","authority":"California Department of Public Health (CDPH), Licensing & Certification","license_number":"060000090","state_facility_id":"060000089","license_type":"Skilled Nursing Facility","source_type_code":"SNF","status":"active","facility_status":"open","licensed_beds":99,"initial_license_date":"2001-08-09","effective_date":"2025-11-09","expiration_date":"2026-11-08","licensee":"1440 SOUTH EUCLID STREET LLC","licensee_entity_type":"Limited Liability Company","certification_status":"Licensed and Certified","federal_programs":"Medicare (and possibly Medicaid)","ccn":"055459","as_of":"2026-10-16","evidence_class":"VERIFIED","source_id":"ca_cdph_facility_listing","source_url":"https://data.chhs.ca.gov/dataset/healthcare-facility-locations"}],"capacity":{"certified_beds":99,"licensed_beds":99,"avg_residents_per_day":89.8},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"1440 SOUTH EUCLID ST 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":3},"quality_measures":{"value":3},"long_stay_qm":{"value":4},"short_stay_qm":{"value":3},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.45817,"lpn_hprd":0.94099,"rn_hprd":0.49183,"licensed_hprd":1.43282,"total_nurse_hprd":3.891,"weekend_total_nurse_hprd":3.63403,"weekend_rn_hprd":0.53607,"pt_hprd":0.08687,"nursing_turnover_pct":32.6,"rn_turnover_pct":0,"administrators_left":0,"case_mix_index":1.40783,"case_mix_index_ratio":0.99828,"case_mix_total_nurse_hprd":3.89415,"adjusted_total_nurse_hprd":3.86711,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-12-18","cycle1_deficiencies":18,"cycle1_score":76,"cycle2_date":"2024-11-01","cycle23_deficiencies":33,"cycle23_score":132,"total_weighted_score":90},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-98","cms_chain_id":"98","name":"CAMBRIDGE HEALTHCARE SERVICES"},"operator_id":"op-1440-south-euclid-st-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/055459","provenance":[{"source_id":"cms_provider_info","source_record_id":"055459","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=055459&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":"055459","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=055459&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."},{"source_id":"ca_cdph_facility_listing","source_record_id":"060000089","url":"https://data.chhs.ca.gov/dataset/healthcare-facility-locations","retrieved_at":"2026-11-07T13:31:59.230Z","source_updated_at":"2026-10-16","effective_date":"2026-10-16","jurisdiction":"CA","fields":["state_license","licensed_beds","licensee"],"evidence_class":"VERIFIED","status":"current","note":"Linked to the CMS record by exact CCN."}],"inspection_summary":{"count":11,"health_count":8,"fire_count":3,"complaint_count":5,"latest_date":"2026-05-11","latest_standard_health":"2025-12-18","earliest_date":"2023-02-14","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":101,"health_count":70,"fire_count":31,"open_count":1,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":10,"by_severity":{"potential":88,"minimal":13},"by_scope_severity":{"D":69,"F":4,"E":15,"C":2,"B":11},"by_concept":{"resident_rights":13,"emergency_preparedness":3,"environment_life_safety":32,"food_nutrition":11,"infection_prevention":5,"clinical_care":25,"medication":12},"type_ids":["cms-f0600","cms-f0610","cms-e0039","cms-k0325","cms-k0161","cms-k0223","cms-k0920","cms-k0353","cms-k0363","cms-k0741","cms-k0761","cms-k0912","cms-k0918","cms-f0812","cms-f0880","cms-f0881","cms-f0605","cms-f0656","cms-f0679","cms-f0684","cms-f0686","cms-f0689","cms-f0755","cms-f0759","cms-f0804","cms-f0813","cms-f0908","cms-f0561","cms-f0842","cms-f0687","cms-f0697","cms-k0100","cms-k0324","cms-k0511","cms-k0345","cms-f0565","cms-f0803","cms-f0554","cms-f0694","cms-f0695","cms-f0757","cms-f0758","cms-f0761","cms-f0801","cms-f0805","cms-f0925","cms-f0557","cms-f0584","cms-f0657","cms-f0698","cms-f0580","cms-f0558","cms-e0004","cms-e0006","cms-k0293","cms-k0321","cms-k0352","cms-k0374","cms-k0521","cms-k0711","cms-k0923","cms-f0577","cms-f0578","cms-f0688","cms-f0693","cms-f0760","cms-f0641","cms-f0814"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"state_action_summary":{"count":6,"class_aa":0,"class_a":0,"class_b":5,"death_related":0,"amount_final_total":22500,"earliest":"2003-02-04","latest":"2021-09-15","since_2019":3,"evidence_class":"HISTORICAL","note":"California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies."},"ownership_summary":{"disclosures":35,"organizations":7,"individuals":24,"not_available":false}},"row":{"id":"cms-055459","ccn":"055459","name":"Buena Vista Care Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"CA","city":"Anaheim","zip":"92802","county_fips":"06059","county_name":"Orange County","address":"1440 S Euclid Avenue","beds":99,"residents":89.8,"ownership":"for_profit","operator_id":"op-1440-south-euclid-st-llc","operator_name":"1440 South Euclid St LLC","chain_id":"cms-chain-98","chain_name":"Cambridge Healthcare Services","lat":33.8115,"lon":-117.94,"overall":3,"health_rating":3,"staffing_rating":4,"qm_rating":3,"nurse_hprd":3.89,"turnover":32.6,"inspections":11,"last_inspection":"2026-05-11","deficiencies":101,"serious":0,"ij":0,"open":1,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0600","cms-f0610","cms-e0039","cms-k0325","cms-k0161","cms-k0223","cms-k0920","cms-k0353","cms-k0363","cms-k0741","cms-k0761","cms-k0912","cms-k0918","cms-f0812","cms-f0880","cms-f0881","cms-f0605","cms-f0656","cms-f0679","cms-f0684","cms-f0686","cms-f0689","cms-f0755","cms-f0759","cms-f0804","cms-f0813","cms-f0908","cms-f0561","cms-f0842","cms-f0687","cms-f0697","cms-k0100","cms-k0324","cms-k0511","cms-k0345","cms-f0565","cms-f0803","cms-f0554","cms-f0694","cms-f0695","cms-f0757","cms-f0758","cms-f0761","cms-f0801","cms-f0805","cms-f0925","cms-f0557","cms-f0584","cms-f0657","cms-f0698","cms-f0580","cms-f0558","cms-e0004","cms-e0006","cms-k0293","cms-k0321","cms-k0352","cms-k0374","cms-k0521","cms-k0711","cms-k0923","cms-f0577","cms-f0578","cms-f0688","cms-f0693","cms-f0760","cms-f0641","cms-f0814"],"universe":"cms","licensed_beds":99,"state_license":"CA 060000090","state_actions":6,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-1440-south-euclid-st-llc","name":"1440 South Euclid St LLC","legal_name":"1440 SOUTH EUCLID ST LLC","facility_count":1,"states":["CA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-98","name":"Cambridge Healthcare Services","cms_chain_id":"98","facility_count":32,"states":["CA"],"cms_reported":{"facility_count":32,"avg_overall_rating":2.6,"avg_health_inspection_rating":2.3,"avg_staffing_rating":3.3,"avg_qm_rating":4}},"ownership":[{"owner_id":"org-win-win-enterprises-llc","owner_type":"organization","owner_name":"Win Win Enterprises, LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":58,"percentage_raw":"58%","association_date":"2006-12-01"},{"owner_id":"org-wolff-living-trust-dtd-03-09-2000","owner_type":"organization","owner_name":"Wolff Living Trust Dtd 03/09/2000","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":7,"percentage_raw":"7%","association_date":"2006-12-01"},{"owner_type":"individual","owner_name":"Maureen Latt","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":7,"percentage_raw":"7%","association_date":"2006-12-01","owner_name_raw":"LATT, MAUREEN"},{"owner_id":"org-the-wintner-living-trust-dated-7-08-1992","owner_type":"organization","owner_name":"The Wintner Living Trust Dated 7/08/1992","role":"direct_owner","role_raw":"DIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2024-03-04"},{"owner_type":"individual","owner_name":"Jacob Wintner","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2006-12-01","owner_name_raw":"WINTNER, JACOB"},{"owner_type":"individual","owner_name":"Lance Hassell","role":"partner","role_raw":"INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-07-23","owner_name_raw":"HASSELL, LANCE"},{"owner_type":"individual","owner_name":"Kristina Kuizon","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-01","owner_name_raw":"KUIZON, KRISTINA"},{"owner_type":"individual","owner_name":"Pegah Sahebifard","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2020-04-06","owner_name_raw":"SAHEBIFARD, PEGAH"},{"owner_id":"org-buena-vista-convalescent-hospital-inc","owner_type":"organization","owner_name":"Buena Vista Convalescent Hospital, Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-12-01"},{"owner_id":"org-cambridge-healthcare-services-llc","owner_type":"organization","owner_name":"Cambridge Healthcare Services LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2018-06-11"},{"owner_id":"org-preferred-bank","owner_type":"organization","owner_name":"Preferred Bank","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-24"},{"owner_id":"org-professional-directions-for-health-care","owner_type":"organization","owner_name":"Professional Directions for Health Care","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2013-05-23"},{"owner_type":"individual","owner_name":"Julie Butenko","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-07-24","owner_name_raw":"BUTENKO, JULIE"},{"owner_type":"individual","owner_name":"Heidi Capela","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-03","owner_name_raw":"CAPELA, HEIDI"},{"owner_type":"individual","owner_name":"Remedios Green","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-09-27","owner_name_raw":"GREEN, REMEDIOS"},{"owner_type":"individual","owner_name":"Lance Hassell","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-04-25","owner_name_raw":"HASSELL, LANCE"},{"owner_type":"individual","owner_name":"Kristina Kuizon","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-01","owner_name_raw":"KUIZON, KRISTINA"},{"owner_type":"individual","owner_name":"Linda Lutz","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-02-01","owner_name_raw":"LUTZ, LINDA"},{"owner_type":"individual","owner_name":"Octaviano Roges","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2013-09-30","owner_name_raw":"ROGES, OCTAVIANO"},{"owner_type":"individual","owner_name":"Pegah Sahebifard","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-04-06","owner_name_raw":"SAHEBIFARD, PEGAH"},{"owner_type":"individual","owner_name":"Paulina Salazar","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-12-14","owner_name_raw":"SALAZAR, PAULINA"},{"owner_type":"individual","owner_name":"Jacob Wintner","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2006-12-01","owner_name_raw":"WINTNER, JACOB"},{"owner_id":"org-buena-vista-convalescent-hospital-inc","owner_type":"organization","owner_name":"Buena Vista Convalescent Hospital, Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-17"},{"owner_id":"org-cambridge-healthcare-services-llc","owner_type":"organization","owner_name":"Cambridge Healthcare Services LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-17"},{"owner_id":"org-preferred-bank","owner_type":"organization","owner_name":"Preferred Bank","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-17"},{"owner_id":"org-professional-directions-for-health-care","owner_type":"organization","owner_name":"Professional Directions for Health Care","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-17"},{"owner_type":"individual","owner_name":"Julie Butenko","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-07-24","owner_name_raw":"BUTENKO, JULIE"},{"owner_type":"individual","owner_name":"Heidi Capela","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-03","owner_name_raw":"CAPELA, HEIDI"},{"owner_type":"individual","owner_name":"Remedios Green","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-09-27","owner_name_raw":"GREEN, REMEDIOS"},{"owner_type":"individual","owner_name":"Lance Hassell","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-04-25","owner_name_raw":"HASSELL, LANCE"},{"owner_type":"individual","owner_name":"Kristina Kuizon","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-01","owner_name_raw":"KUIZON, KRISTINA"},{"owner_type":"individual","owner_name":"Linda Lutz","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2012-02-01","owner_name_raw":"LUTZ, LINDA"},{"owner_type":"individual","owner_name":"Octaviano Roges","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2013-09-30","owner_name_raw":"ROGES, OCTAVIANO"},{"owner_type":"individual","owner_name":"Pegah Sahebifard","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-04-06","owner_name_raw":"SAHEBIFARD, PEGAH"},{"owner_type":"individual","owner_name":"Paulina Salazar","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-12-14","owner_name_raw":"SALAZAR, PAULINA"}],"inspections":[{"id":"cms-055459-20260511-health","ccn":"055459","date":"2026-05-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"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-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-22","cmp":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-22","cmp":1}]},{"id":"cms-055459-20251218-fire","ccn":"055459","date":"2025-12-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"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-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"},{"t":"cms-k0161","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"},{"t":"cms-k0223","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"},{"t":"cms-k0325","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"},{"t":"cms-k0741","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"},{"t":"cms-k0761","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"},{"t":"cms-k0912","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"},{"t":"cms-k0918","ss":"C","sl":1,"cs":"corrected","cd":"2026-01-15","std":1,"tv":"New"}]},{"id":"cms-055459-20251218-health","ccn":"055459","date":"2025-12-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":16,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0605","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0804","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0813","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0881","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0908","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0561","ss":"B","sl":1,"cs":"corrected","cd":"2026-01-15","std":1},{"t":"cms-f0842","ss":"B","sl":1,"cs":"corrected","cd":"2026-01-15","std":1}]},{"id":"cms-055459-20250812-health","ccn":"055459","date":"2025-08-12","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":1,"open_count":1,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0610","ss":"B","sl":1,"cs":"no_plan_of_correction","cmp":1}]},{"id":"cms-055459-20241223-health","ccn":"055459","date":"2024-12-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0687","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-15","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-15","cmp":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-15","cmp":1},{"t":"cms-f0686","ss":"B","sl":1,"cs":"corrected","cd":"2025-01-15","cmp":1},{"t":"cms-f0842","ss":"B","sl":1,"cs":"corrected","cd":"2025-01-15","cmp":1}]},{"id":"cms-055459-20241101-fire","ccn":"055459","date":"2024-11-01","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0100","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-18","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-18","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-18","std":1,"tv":"New"},{"t":"cms-k0511","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-18","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-18","std":1,"tv":"New"},{"t":"cms-k0345","ss":"C","sl":1,"cs":"corrected","cd":"2024-11-18","std":1,"tv":"New"}]},{"id":"cms-055459-20241101-health","ccn":"055459","date":"2024-11-01","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":25,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0694","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0801","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0804","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0805","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0908","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0925","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0557","ss":"B","sl":1,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0584","ss":"B","sl":1,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0657","ss":"B","sl":1,"cs":"corrected","cd":"2024-12-01","std":1},{"t":"cms-f0698","ss":"B","sl":1,"cs":"corrected","cd":"2024-12-01","std":1}]},{"id":"cms-055459-20231115-health","ccn":"055459","date":"2023-11-15","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-17","cmp":1}]},{"id":"cms-055459-20231017-health","ccn":"055459","date":"2023-10-17","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-18","cmp":1}]},{"id":"cms-055459-20230214-fire","ccn":"055459","date":"2023-02-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-e0006","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0161","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0293","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0345","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0352","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0374","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0521","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0711","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0918","ss":"E","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-27","std":1,"tv":"New"}]},{"id":"cms-055459-20230214-health","ccn":"055459","date":"2023-02-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":19,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0577","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0881","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0908","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0641","ss":"B","sl":1,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0814","ss":"B","sl":1,"cs":"corrected","cd":"2023-03-15","std":1}]}],"deficiency_types":{"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-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-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0325":{"code":"K-0325","title":"Have properly installed hallway dispensers for alcohol-based hand rub.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0223":{"code":"K-0223","title":"Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems 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-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0912":{"code":"K-0912","title":"Have power receptacles that are properly grounded.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems 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-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-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"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-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-f0679":{"code":"F-0679","title":"Provide activities to meet all resident's needs.","category":"Quality of Life and Care 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"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-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-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-f0813":{"code":"F-0813","title":"Have a policy regarding use and storage of foods brought to residents by family and other visitors.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0561":{"code":"F-0561","title":"Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0687":{"code":"F-0687","title":"Provide appropriate foot care.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0100":{"code":"K-0100","title":"Meet other general requirements.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","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-f0565":{"code":"F-0565","title":"Honor the resident's right to organize and participate in resident/family groups in the facility.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0554":{"code":"F-0554","title":"Allow residents to self-administer drugs if determined clinically appropriate.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0694":{"code":"F-0694","title":"Provide for the safe, appropriate administration of IV fluids for a resident when needed.","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-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-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","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-f0801":{"code":"F-0801","title":"Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0805":{"code":"F-0805","title":"Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-f0557":{"code":"F-0557","title":"Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.","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-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-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-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-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-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0006":{"code":"E-0006","title":"Conduct risk assessment and an All-Hazards approach.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-k0352":{"code":"K-0352","title":"Properly install and monitor supervisory attachments on automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","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-k0711":{"code":"K-0711","title":"Provide a written emergency evacuation plan.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-f0688":{"code":"F-0688","title":"Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.","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-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"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-f0814":{"code":"F-0814","title":"Dispose of garbage and refuse properly.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"}},"penalties":[],"state_actions":[{"id":"cms-055459-ca-060016898","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"060016898","date":"2021-09-15","violation_date":"2019-07-01","type":"Administrative Penalty","detail":"AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)","category":"DHPPD: 2 - 11 Days","class_initial":"AP NHPPD","class":"AP NHPPD","class_label":"AP NHPPD","rank":1,"amount_initial":15000,"amount_final":15000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2021-22","evidence_class":"HISTORICAL","source_record_id":"060016898"},{"id":"cms-055459-ca-060015734","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"060015734","date":"2020-02-14","violation_date":"2019-08-21","type":"Citation","detail":"Citation B (HSC 1424)","category":"Patient Care","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":2000,"amount_final":2000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2019-20","evidence_class":"HISTORICAL","source_record_id":"060015734"},{"id":"cms-055459-ca-060015676","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"060015676","date":"2020-01-15","violation_date":"2019-11-11","type":"Citation","detail":"Citation B (HSC 1424)","category":"Abuse/Facility Not Self Reported","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":2000,"amount_final":2000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2019-20","evidence_class":"HISTORICAL","source_record_id":"060015676"},{"id":"cms-055459-ca-060013750","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"060013750","date":"2018-01-24","violation_date":"2017-10-17","type":"Citation","detail":"Citation B (HSC 1424)","category":"Patient Care","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":2000,"amount_final":2000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2017-18","evidence_class":"HISTORICAL","source_record_id":"060013750"},{"id":"cms-055459-ca-060003643","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"060003643","date":"2007-01-23","violation_date":"2006-09-06","type":"Citation","detail":"Citation B (HSC 1424)","category":"Patient Care","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":1000,"amount_final":1000,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2006-07","evidence_class":"HISTORICAL","source_record_id":"060003643"},{"id":"cms-055459-ca-060001127","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"060001127","date":"2003-02-04","violation_date":"2002-08-16","type":"Citation","detail":"Citation B (HSC 1424)","category":"Patient Care","class_initial":"B","class_final":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":1000,"amount_final":500,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2002-03","evidence_class":"HISTORICAL","source_record_id":"060001127"}],"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=055459&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=055459&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=055459&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=055459&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=055459&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=055459&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":"CA","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":4.2,"staffing_rating":3.3,"avg_residents_per_day":87.6,"cycle1_health_deficiencies":15.7,"cycle1_fire_deficiencies":6.3,"nurse_aide_hprd":2.66,"lpn_hprd":1.2,"rn_hprd":0.67957,"licensed_hprd":1.88,"total_nurse_hprd":4.54292,"weekend_total_nurse_hprd":4.10275,"weekend_rn_hprd":0.52,"pt_hprd":0.1,"nursing_turnover_pct":36.6,"rn_turnover_pct":37.8,"administrators_left":0.4,"case_mix_index":1.5057,"fines":0.8,"fine_amount":23366,"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":"CA","name":"California"},"county":{"fips":"06059","name":"Orange County"},"zip":"92802","city":"Anaheim"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-055147","ccn":"055147","name":"Madera Rehabilitation & Nursing Center","address":"517 South a Street","city":"Madera","state":"CA","zip":"93638","beds":176,"overall":1,"inspections":17,"last_inspection":"2026-02-24","deficiencies":100,"serious":7,"ij":1,"open":0,"fines_total":373733,"status":"active","universe":"cms","licensed_beds":176,"state_actions":7,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055240","ccn":"055240","name":"Watsonville Nursing Center","address":"535 Auto Center Drive","city":"Watsonville","state":"CA","zip":"95076","beds":87,"overall":4,"inspections":6,"last_inspection":"2026-01-09","deficiencies":56,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":87,"state_actions":28,"state_serious":3,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055249","ccn":"055249","name":"Merced Nursing & Rehabilitation Ctr","address":"510 West 26th Street","city":"Merced","state":"CA","zip":"95340","beds":79,"overall":3,"inspections":10,"last_inspection":"2026-07-17","deficiencies":46,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":79,"state_actions":1,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055271","ccn":"055271","name":"La Sierra Care Center","address":"2424 M Street","city":"Merced","state":"CA","zip":"95340","beds":68,"overall":3,"inspections":10,"last_inspection":"2026-01-23","deficiencies":61,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":68,"state_actions":2,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055287","ccn":"055287","name":"Valley Palms Care Center","address":"13400 Sherman Way","city":"N Hollywood","state":"CA","zip":"91605","beds":99,"overall":1,"inspections":23,"last_inspection":"2026-05-18","deficiencies":137,"serious":2,"ij":1,"open":0,"fines_total":33681,"status":"active","universe":"cms","licensed_beds":99,"state_actions":5,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055367","ccn":"055367","name":"Monrovia Gardens Healthcare Center","address":"615 W. Duarte Rd.","city":"Monrovia","state":"CA","zip":"91016","beds":96,"overall":1,"inspections":30,"last_inspection":"2026-07-15","deficiencies":119,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":95,"state_actions":11,"state_serious":3,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055376","ccn":"055376","name":"Huntington Drive Health and Rehabilitation Center","address":"400 W. Huntinton Dr.","city":"Arcadia","state":"CA","zip":"91007","beds":99,"overall":1,"inspections":34,"last_inspection":"2026-07-24","deficiencies":99,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":99,"state_actions":18,"state_serious":3,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055523","ccn":"055523","name":"Glendale Post Acute Center","address":"250 N. Verdugo Road","city":"Glendale","state":"CA","zip":"91206","beds":136,"overall":1,"inspections":38,"last_inspection":"2026-07-08","deficiencies":112,"serious":4,"ij":3,"open":1,"fines_total":161982,"status":"active","universe":"cms","licensed_beds":136,"state_actions":17,"state_serious":4,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":31,"same_site_review":[],"nearby":[{"id":"cms-055983","ccn":"055983","name":"Coventry Court Health Center","address":"2040 S. Euclid Avenue","city":"Anaheim","state":"CA","zip":"92802","beds":97,"overall":4,"inspections":12,"last_inspection":"2026-06-09","deficiencies":74,"serious":0,"ij":0,"open":2,"fines_total":0,"status":"active","universe":"cms","licensed_beds":97,"state_actions":4,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.7},{"id":"cms-555266","ccn":"555266","name":"Sun Mar Nursing Center","address":"1720 West Orange Avenue","city":"Anaheim","state":"CA","zip":"92804","beds":69,"overall":5,"inspections":9,"last_inspection":"2026-08-27","deficiencies":40,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":69,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.5},{"id":"cms-055742","ccn":"055742","name":"Harbor Villa Care Center","address":"861 S. Harbor Blvd","city":"Anaheim","state":"CA","zip":"92805","beds":99,"overall":3,"inspections":16,"last_inspection":"2026-04-10","deficiencies":97,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":99,"state_actions":5,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.3},{"id":"cms-055816","ccn":"055816","name":"Chapman Care Center","address":"12232 Chapman Ave","city":"Garden Grove","state":"CA","zip":"92840","beds":99,"overall":4,"inspections":11,"last_inspection":"2026-05-04","deficiencies":69,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":99,"state_actions":4,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.1},{"id":"cms-555329","ccn":"555329","name":"La Palma Nursing Center","address":"1130 La Palma Ave","city":"Anaheim","state":"CA","zip":"92801","beds":72,"overall":5,"inspections":9,"last_inspection":"2026-02-06","deficiencies":86,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":72,"state_actions":3,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.1},{"id":"cms-555520","ccn":"555520","name":"Leisure Court Nursing Center","address":"1135 Leisure Court","city":"Anaheim","state":"CA","zip":"92801","beds":115,"overall":3,"inspections":11,"last_inspection":"2026-08-27","deficiencies":76,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":115,"state_actions":7,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.1},{"id":"cms-555021","ccn":"555021","name":"The Grove Post Acute","address":"12332 Garden Grove Blvd.","city":"Garden Grove","state":"CA","zip":"92843","beds":97,"overall":4,"inspections":11,"last_inspection":"2026-08-21","deficiencies":66,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":97,"state_actions":6,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.5},{"id":"cms-555667","ccn":"555667","name":"Garden Park Care Center","address":"12681 Haster Street","city":"Garden Grove","state":"CA","zip":"92840","beds":124,"overall":4,"inspections":17,"last_inspection":"2026-07-31","deficiencies":98,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":124,"state_actions":2,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.6}]}}