{"schema_version":"1.0.0","facility":{"id":"cms-145121","ccn":"145121","name":"Alton Memorial Rehab & Therapy","source_name":"ALTON MEMORIAL REHAB & THERAPY","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":"IL","address":{"line1":"1251 College Avenue","city":"Alton","state":"IL","zip":"62002","county_name":"Madison County","county_fips":"17119","county_method":"name_match","ssa_county_code":"680","urban":true},"location":{"lat":38.9034,"lon":-90.158,"method":"cms_published_coordinates"},"phone":"6184637330","certification":{"authority":"CMS","ccn":"145121","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1967-01-24","certified_beds":64,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/145121"},"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":64,"avg_residents_per_day":42},"ownership_type":"Non profit - Corporation","ownership_class":"non_profit","legal_business_name":"ALTON MEMORIAL HOSPITAL","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":2},"long_stay_qm":{"value":2},"short_stay_qm":{"value":3},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.57175,"lpn_hprd":1.20064,"rn_hprd":1.02186,"licensed_hprd":2.22251,"total_nurse_hprd":4.79425,"weekend_total_nurse_hprd":4.24231,"weekend_rn_hprd":0.64299,"pt_hprd":0.06833,"nursing_turnover_pct":48.3,"rn_turnover_pct":66.7,"administrators_left":0,"case_mix_index":1.50405,"case_mix_index_ratio":1.06651,"case_mix_total_nurse_hprd":4.16031,"adjusted_total_nurse_hprd":4.45998,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-12-05","cycle1_deficiencies":8,"cycle1_score":68,"cycle2_date":"2024-10-10","cycle23_deficiencies":11,"cycle23_score":116,"total_weighted_score":80},"cms_penalty_counts":{"fines":2,"fine_total":34801,"payment_denials":0,"total":2},"chain":{"id":"cms-chain-783","cms_chain_id":"783","name":"BJC HEALTHCARE"},"operator_id":"op-alton-memorial-hospital","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/145121","provenance":[{"source_id":"cms_provider_info","source_record_id":"145121","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=145121&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":"145121","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=145121&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":12,"health_count":9,"fire_count":3,"complaint_count":6,"latest_date":"2026-07-16","latest_standard_health":"2025-12-05","earliest_date":"2023-11-30","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":29,"health_count":25,"fire_count":4,"open_count":0,"actual_harm_count":5,"immediate_jeopardy_count":0,"serious_count":5,"complaint_count":8,"by_severity":{"actual_harm":5,"potential":24},"by_scope_severity":{"G":5,"D":11,"E":9,"F":4},"by_concept":{"clinical_care":10,"resident_rights":6,"environment_life_safety":4,"food_nutrition":4,"medication":3,"staffing":1,"infection_prevention":1},"type_ids":["cms-f0689","cms-f0580","cms-k0222","cms-k0761","cms-f0804","cms-f0557","cms-f0657","cms-f0808","cms-f0802","cms-f0609","cms-f0610","cms-f0677","cms-f0760","cms-f0761","cms-f0550","cms-f0640","cms-f0725","cms-f0812","cms-k0363","cms-f0565","cms-f0679","cms-f0690","cms-f0695","cms-f0880"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":2,"fines":2,"fine_total":34801,"payment_denials":0,"latest_date":"2026-07-16"},"ownership_summary":{"disclosures":30,"organizations":4,"individuals":25,"not_available":false}},"row":{"id":"cms-145121","ccn":"145121","name":"Alton Memorial Rehab & Therapy","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"IL","city":"Alton","zip":"62002","county_fips":"17119","county_name":"Madison County","address":"1251 College Avenue","beds":64,"residents":42,"ownership":"non_profit","operator_id":"op-alton-memorial-hospital","operator_name":"Alton Memorial Hospital","chain_id":"cms-chain-783","chain_name":"Bjc Healthcare","lat":38.9034,"lon":-90.158,"overall":3,"health_rating":3,"staffing_rating":4,"qm_rating":2,"nurse_hprd":4.79,"turnover":48.3,"inspections":12,"last_inspection":"2026-07-16","deficiencies":29,"serious":5,"ij":0,"open":0,"penalties":2,"fines_total":34801,"deficiency_type_ids":["cms-f0689","cms-f0580","cms-k0222","cms-k0761","cms-f0804","cms-f0557","cms-f0657","cms-f0808","cms-f0802","cms-f0609","cms-f0610","cms-f0677","cms-f0760","cms-f0761","cms-f0550","cms-f0640","cms-f0725","cms-f0812","cms-k0363","cms-f0565","cms-f0679","cms-f0690","cms-f0695","cms-f0880"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-alton-memorial-hospital","name":"Alton Memorial Hospital","legal_name":"ALTON MEMORIAL HOSPITAL","facility_count":1,"states":["IL"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-783","name":"Bjc Healthcare","cms_chain_id":"783","facility_count":4,"states":["IL","MO"],"cms_reported":{"facility_count":4,"avg_overall_rating":4,"avg_health_inspection_rating":4,"avg_staffing_rating":3.5,"avg_qm_rating":3}},"ownership":[{"owner_id":"org-alton-memorial-hospital","owner_type":"organization","owner_name":"Alton Memorial Hospital","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01"},{"owner_id":"org-bethesda-health-group-inc","owner_type":"organization","owner_name":"Bethesda Health Group Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01"},{"owner_id":"org-bjc-health-system","owner_type":"organization","owner_name":"Bjc Health System","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2016-03-11"},{"owner_id":"org-christian-health-services-development-corp","owner_type":"organization","owner_name":"Christian Health Services Development Corporation","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01"},{"owner_type":"individual","owner_name":"Gary Ayres","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2010-01-01","owner_name_raw":"AYRES, GARY"},{"owner_type":"individual","owner_name":"Roger Byrne","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01","owner_name_raw":"BYRNE, ROGER"},{"owner_type":"individual","owner_name":"Behfar Dianati","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"DIANATI, BEHFAR"},{"owner_type":"individual","owner_name":"Kathryn Liszewski","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-09-05","owner_name_raw":"LISZEWSKI, KATHRYN"},{"owner_type":"individual","owner_name":"Gary Ayres","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2010-01-01","owner_name_raw":"AYRES, GARY"},{"owner_type":"individual","owner_name":"David Braasch","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2006-04-01","owner_name_raw":"BRAASCH, DAVID"},{"owner_type":"individual","owner_name":"Roger Byrne","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01","owner_name_raw":"BYRNE, ROGER"},{"owner_type":"individual","owner_name":"Timothy Childers","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"CHILDERS, TIMOTHY"},{"owner_type":"individual","owner_name":"Melissa Erker","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2010-01-01","owner_name_raw":"ERKER, MELISSA"},{"owner_type":"individual","owner_name":"Sheila Goins","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2017-01-01","owner_name_raw":"GOINS, SHEILA"},{"owner_type":"individual","owner_name":"Craig Harms","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"HARMS, CRAIG"},{"owner_type":"individual","owner_name":"Ebony Huddleston","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"HUDDLESTON, EBONY"},{"owner_type":"individual","owner_name":"Kenneth Loy","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2003-01-01","owner_name_raw":"LOY, KENNETH"},{"owner_type":"individual","owner_name":"Joan Magruder","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2019-01-01","owner_name_raw":"MAGRUDER, JOAN"},{"owner_type":"individual","owner_name":"Tanya Patton","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2023-01-01","owner_name_raw":"PATTON, TANYA"},{"owner_type":"individual","owner_name":"Edward Ryrie","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2011-01-01","owner_name_raw":"RYRIE, EDWARD"},{"owner_type":"individual","owner_name":"Michael Tchoukaleff","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2023-01-01","owner_name_raw":"TCHOUKALEFF, MICHAEL"},{"owner_type":"individual","owner_name":"Stephen Thompson","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2010-01-01","owner_name_raw":"THOMPSON, STEPHEN"},{"owner_type":"individual","owner_name":"Kenneth Trzaska","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"TRZASKA, KENNETH"},{"owner_type":"individual","owner_name":"Geoffrey Turner","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2019-01-01","owner_name_raw":"TURNER, GEOFFREY"},{"owner_type":"individual","owner_name":"Debra Turpin","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"TURPIN, DEBRA"},{"owner_type":"individual","owner_name":"David Braasch","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2007-05-01","owner_name_raw":"BRAASCH, DAVID"},{"owner_type":"individual","owner_name":"Roger Byrne","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2026-04-02","owner_name_raw":"BYRNE, ROGER"},{"owner_id":"org-bethesda-health-group-inc","owner_type":"organization","owner_name":"Bethesda Health Group Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-18"},{"owner_type":"individual","owner_name":"Behfar Dianati","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-10-02","owner_name_raw":"DIANATI, BEHFAR"},{"owner_type":"individual","owner_name":"Kathryn Liszewski","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-10-02","owner_name_raw":"LISZEWSKI, KATHRYN"}],"inspections":[{"id":"cms-145121-20260716-health","ccn":"145121","date":"2026-07-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2026-07-27","cmp":1}]},{"id":"cms-145121-20260106-health","ccn":"145121","date":"2026-01-06","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2026-01-12","cmp":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-12","cmp":1}]},{"id":"cms-145121-20251205-fire","ccn":"145121","date":"2025-12-05","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-28","std":1,"tv":"New"},{"t":"cms-k0761","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-27","std":1,"tv":"New"}]},{"id":"cms-145121-20251205-health","ccn":"145121","date":"2025-12-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0557","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-19","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-19","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-19","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-19","std":1},{"t":"cms-f0808","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-19","std":1}]},{"id":"cms-145121-20250110-health","ccn":"145121","date":"2025-01-10","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-f0802","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-21","cmp":1}]},{"id":"cms-145121-20250108-health","ccn":"145121","date":"2025-01-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-09","cmp":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-09","cmp":1}]},{"id":"cms-145121-20241010-fire","ccn":"145121","date":"2024-10-10","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-22","std":1,"tv":"New"}]},{"id":"cms-145121-20241010-health","ccn":"145121","date":"2024-10-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"G","sl":3,"cs":"corrected","cd":"2024-10-24","std":1},{"t":"cms-f0760","ss":"G","sl":3,"cs":"corrected","cd":"2024-10-24","std":1},{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-24","std":1},{"t":"cms-f0640","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-24","std":1},{"t":"cms-f0725","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-24","std":1},{"t":"cms-f0761","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-24","std":1}]},{"id":"cms-145121-20240510-health","ccn":"145121","date":"2024-05-10","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2024-05-14","cmp":1}]},{"id":"cms-145121-20240206-health","ccn":"145121","date":"2024-02-06","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-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-01","cmp":1}]},{"id":"cms-145121-20231130-fire","ccn":"145121","date":"2023-11-30","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"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-k0363","ss":"F","sl":2,"cs":"corrected","cd":"2023-12-08","std":1,"tv":"New"}]},{"id":"cms-145121-20231130-health","ccn":"145121","date":"2023-11-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-15","std":1},{"t":"cms-f0679","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-15","std":1},{"t":"cms-f0690","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-15","std":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-15","std":1},{"t":"cms-f0761","ss":"F","sl":2,"cs":"corrected","cd":"2023-12-15","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-15","std":1}]}],"deficiency_types":{"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-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-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress 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-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-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-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-f0808":{"code":"F-0808","title":"Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0802":{"code":"F-0802","title":"Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-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-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-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-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-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-f0640":{"code":"F-0640","title":"Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-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-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-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-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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"}},"penalties":[{"id":"cms-145121-pen-f144487","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-07-16","amount":19175,"fine_id":"144487","evidence_class":"VERIFIED","source_record_id":"145121|Fine|144487"},{"id":"cms-145121-pen-f70113","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-10-10","amount":15626,"fine_id":"70113","evidence_class":"VERIFIED","source_record_id":"145121|Fine|70113"}],"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=145121&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=145121&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=145121&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=145121&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=145121&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=145121&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":"IL","overall_rating":2.6,"health_inspection_rating":2.7,"qm_rating":3.1,"staffing_rating":2.2,"avg_residents_per_day":95.4,"cycle1_health_deficiencies":12.7,"cycle1_fire_deficiencies":5.3,"nurse_aide_hprd":2.12,"lpn_hprd":0.64,"rn_hprd":0.71394,"licensed_hprd":1.36,"total_nurse_hprd":3.47099,"weekend_total_nurse_hprd":3.07542,"weekend_rn_hprd":0.55,"pt_hprd":0.05,"nursing_turnover_pct":43.7,"rn_turnover_pct":41.5,"administrators_left":0.5,"case_mix_index":1.65671,"fines":2.2,"fine_amount":109278,"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":"IL","name":"Illinois"},"county":{"fips":"17119","name":"Madison County"},"zip":"62002","city":"Alton"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-145102","ccn":"145102","name":"Memorial Care Center","address":"4315 Memorial Drive","city":"Belleville","state":"IL","zip":"62226","beds":82,"overall":5,"inspections":6,"last_inspection":"2026-03-05","deficiencies":8,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":3,"same_site_review":[],"nearby":[{"id":"cms-145651","ccn":"145651","name":"La Bella of Alton","address":"3490 Humbert Road","city":"Alton","state":"IL","zip":"62002","beds":180,"overall":1,"inspections":23,"last_inspection":"2026-01-07","deficiencies":74,"serious":4,"ij":0,"open":0,"fines_total":33936,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.6},{"id":"cms-145427","ccn":"145427","name":"Nexus at Alton","address":"3523 Wickenhauser","city":"Alton","state":"IL","zip":"62002","beds":181,"overall":1,"inspections":32,"last_inspection":"2026-08-14","deficiencies":105,"serious":24,"ij":2,"open":0,"fines_total":277040,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3},{"id":"cms-145655","ccn":"145655","name":"Bria of Woodriver","address":"393 Edwardsville Road","city":"Wood River","state":"IL","zip":"62095","beds":106,"overall":1,"inspections":30,"last_inspection":"2026-07-02","deficiencies":65,"serious":18,"ij":7,"open":0,"fines_total":496750,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.1},{"id":"cms-145656","ccn":"145656","name":"Bria of Godfrey","address":"1623 29 West Delmar","city":"Godfrey","state":"IL","zip":"62035","beds":68,"overall":2,"inspections":22,"last_inspection":"2026-07-16","deficiencies":59,"serious":12,"ij":0,"open":0,"fines_total":196008,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":8.3},{"id":"cms-265365","ccn":"265365","name":"Stonebridge Florissant","address":"6768 North Highway 67","city":"Florissant","state":"MO","zip":"63034","beds":120,"overall":3,"inspections":10,"last_inspection":"2026-08-18","deficiencies":55,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":11.6},{"id":"cms-265341","ccn":"265341","name":"The Pillars of North County Health & Rehab Center","address":"13700 Old Halls Ferry Road","city":"Florissant","state":"MO","zip":"63033","beds":120,"overall":2,"inspections":11,"last_inspection":"2026-06-04","deficiencies":72,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":14.8},{"id":"cms-265402","ccn":"265402","name":"Rancho Rehab and Healthcare Center","address":"615 Rancho Lane","city":"Florissant","state":"MO","zip":"63031","beds":120,"overall":1,"inspections":14,"last_inspection":"2026-06-05","deficiencies":72,"serious":3,"ij":2,"open":0,"fines_total":28060,"abuse":true,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":16.8},{"id":"cms-265120","ccn":"265120","name":"St Sophia Health & Rehabilitation Center","address":"936 Charbonier Road","city":"Florissant","state":"MO","zip":"63031","beds":240,"overall":1,"inspections":22,"last_inspection":"2026-05-01","deficiencies":116,"serious":4,"ij":4,"open":0,"fines_total":69203,"status":"active","universe":"cms","licensed_beds":240,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":19.8}]}}