{"schema_version":"1.0.0","facility":{"id":"cms-145405","ccn":"145405","name":"Bria of Westmont","source_name":"BRIA OF WESTMONT","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":"6501 South Cass","city":"Westmont","state":"IL","zip":"60559","county_name":"DuPage County","county_fips":"17043","county_method":"point_in_polygon","ssa_county_code":"250","urban":true},"location":{"lat":41.77,"lon":-87.974,"method":"cms_published_coordinates"},"phone":"6309602026","certification":{"authority":"CMS","ccn":"145405","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1980-07-17","certified_beds":215,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/145405"},"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":215,"avg_residents_per_day":184.9},"ownership_type":"For profit - Individual","ownership_class":"for_profit","legal_business_name":"WESTMONT NURSING AND REHABILITATION CENTER LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Both","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":3},"long_stay_qm":{"value":4},"short_stay_qm":{"value":1},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.12423,"lpn_hprd":0.66352,"rn_hprd":0.62374,"licensed_hprd":1.28726,"total_nurse_hprd":3.41148,"weekend_total_nurse_hprd":2.9187,"weekend_rn_hprd":0.41361,"pt_hprd":0.03146,"nursing_turnover_pct":56.3,"rn_turnover_pct":43.8,"administrators_left":0,"case_mix_index":1.87312,"case_mix_index_ratio":1.32821,"case_mix_total_nurse_hprd":5.18117,"adjusted_total_nurse_hprd":2.54832,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-11-21","cycle1_deficiencies":25,"cycle1_score":224,"cycle2_date":"2024-09-26","cycle23_deficiencies":47,"cycle23_score":336,"total_weighted_score":252},"cms_penalty_counts":{"fines":6,"fine_total":195907,"payment_denials":1,"total":7},"chain":{"id":"cms-chain-88","cms_chain_id":"88","name":"BRIA HEALTH SERVICES"},"operator_id":"op-westmont-nursing-and-rehabilitation-center-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/145405","provenance":[{"source_id":"cms_provider_info","source_record_id":"145405","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=145405&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":"145405","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=145405&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":"cms_provider_info","source_record_id":"145405","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=145405&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":["county_fips"],"evidence_class":"INFERRED","status":"current","note":"County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list)."}],"inspection_summary":{"count":37,"health_count":34,"fire_count":3,"complaint_count":32,"latest_date":"2026-08-18","latest_standard_health":"2025-11-21","earliest_date":"2023-10-11","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":114,"health_count":77,"fire_count":37,"open_count":0,"actual_harm_count":10,"immediate_jeopardy_count":0,"serious_count":10,"complaint_count":53,"by_severity":{"actual_harm":10,"potential":104},"by_scope_severity":{"G":10,"D":42,"F":19,"E":43},"by_concept":{"clinical_care":45,"resident_rights":9,"environment_life_safety":39,"food_nutrition":9,"medication":6,"administration":1,"infection_prevention":3,"emergency_preparedness":2},"type_ids":["cms-f0692","cms-f0684","cms-f0604","cms-f0921","cms-f0584","cms-f0806","cms-f0760","cms-f0689","cms-f0925","cms-f0558","cms-f0677","cms-f0803","cms-f0804","cms-k0345","cms-k0353","cms-k0712","cms-k0211","cms-k0321","cms-k0341","cms-k0351","cms-k0363","cms-k0372","cms-k0524","cms-k0920","cms-f0801","cms-f0812","cms-f0761","cms-f0688","cms-f0693","cms-f0745","cms-f0755","cms-f0850","cms-f0880","cms-f0686","cms-k0133","cms-k0324","cms-k0362","cms-k0741","cms-k0781","cms-k0923","cms-f0805","cms-f0883","cms-f0578","cms-f0644","cms-f0657","cms-f0697","cms-f0842","cms-f0695","cms-f0698","cms-f0585","cms-f0600","cms-f0809","cms-f0658","cms-e0022","cms-e0037","cms-k0311","cms-k0521","cms-k0918","cms-k0930","cms-f0690"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":7,"fines":6,"fine_total":195907,"payment_denials":1,"latest_date":"2026-08-01"},"ownership_summary":{"disclosures":4,"organizations":0,"individuals":4,"not_available":false}},"row":{"id":"cms-145405","ccn":"145405","name":"Bria of Westmont","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"IL","city":"Westmont","zip":"60559","county_fips":"17043","county_name":"DuPage County","address":"6501 South Cass","beds":215,"residents":184.9,"ownership":"for_profit","operator_id":"op-westmont-nursing-and-rehabilitation-center-llc","operator_name":"Westmont Nursing and Rehabilitation Center LLC","chain_id":"cms-chain-88","chain_name":"Bria Health Services","lat":41.77,"lon":-87.974,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":3,"nurse_hprd":3.41,"turnover":56.3,"inspections":37,"last_inspection":"2026-08-18","deficiencies":114,"serious":10,"ij":0,"open":0,"penalties":7,"fines_total":195907,"deficiency_type_ids":["cms-f0692","cms-f0684","cms-f0604","cms-f0921","cms-f0584","cms-f0806","cms-f0760","cms-f0689","cms-f0925","cms-f0558","cms-f0677","cms-f0803","cms-f0804","cms-k0345","cms-k0353","cms-k0712","cms-k0211","cms-k0321","cms-k0341","cms-k0351","cms-k0363","cms-k0372","cms-k0524","cms-k0920","cms-f0801","cms-f0812","cms-f0761","cms-f0688","cms-f0693","cms-f0745","cms-f0755","cms-f0850","cms-f0880","cms-f0686","cms-k0133","cms-k0324","cms-k0362","cms-k0741","cms-k0781","cms-k0923","cms-f0805","cms-f0883","cms-f0578","cms-f0644","cms-f0657","cms-f0697","cms-f0842","cms-f0695","cms-f0698","cms-f0585","cms-f0600","cms-f0809","cms-f0658","cms-e0022","cms-e0037","cms-k0311","cms-k0521","cms-k0918","cms-k0930","cms-f0690"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-westmont-nursing-and-rehabilitation-center-llc","name":"Westmont Nursing and Rehabilitation Center LLC","legal_name":"WESTMONT NURSING AND REHABILITATION CENTER LLC","facility_count":1,"states":["IL"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-88","name":"Bria Health Services","cms_chain_id":"88","facility_count":10,"states":["IL"],"cms_reported":{"facility_count":10,"avg_overall_rating":1.5,"avg_health_inspection_rating":1.7,"avg_staffing_rating":1.3,"avg_qm_rating":2.9}},"ownership":[{"owner_type":"individual","owner_name":"Miriam Robinson","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":20,"percentage_raw":"20%","association_date":"2008-09-01","owner_name_raw":"ROBINSON, MIRIAM"},{"owner_type":"individual","owner_name":"Dvorah Weinfeld","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":20,"percentage_raw":"20%","association_date":"2008-09-01","owner_name_raw":"WEINFELD, DVORAH"},{"owner_type":"individual","owner_name":"Rebecca Weiss","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":20,"percentage_raw":"20%","association_date":"2008-09-01","owner_name_raw":"WEISS, REBECCA"},{"owner_type":"individual","owner_name":"Kim Boulton","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2016-06-28","owner_name_raw":"BOULTON, KIM"}],"inspections":[{"id":"cms-145405-20260818-health","ccn":"145405","date":"2026-08-18","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-f0692","ss":"G","sl":3,"cs":"corrected","cd":"2026-08-20","cmp":1,"idr":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-20","cmp":1}]},{"id":"cms-145405-20260801-health","ccn":"145405","date":"2026-08-01","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-f0604","ss":"G","sl":3,"cs":"corrected","cd":"2026-08-04","cmp":1}]},{"id":"cms-145405-20260608-health","ccn":"145405","date":"2026-06-08","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0921","ss":"F","sl":2,"cs":"corrected","cd":"2026-06-09","cmp":1}]},{"id":"cms-145405-20260529-health","ccn":"145405","date":"2026-05-29","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-02","cmp":1}]},{"id":"cms-145405-20260518-health","ccn":"145405","date":"2026-05-18","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0806","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-20","cmp":1}]},{"id":"cms-145405-20260219-health","ccn":"145405","date":"2026-02-19","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0760","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-23","cmp":1}]},{"id":"cms-145405-20260128-health","ccn":"145405","date":"2026-01-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"G","sl":3,"cs":"corrected","cd":"2026-01-29","cmp":1},{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2026-01-29","cmp":1},{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-29","cmp":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-29","cmp":1},{"t":"cms-f0925","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-29","cmp":1}]},{"id":"cms-145405-20260104-health","ccn":"145405","date":"2026-01-04","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-05","cmp":1}]},{"id":"cms-145405-20251210-health","ccn":"145405","date":"2025-12-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-17","cmp":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-17","cmp":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-17","cmp":1}]},{"id":"cms-145405-20251121-fire","ccn":"145405","date":"2025-11-21","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-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-14","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-15","std":1,"tv":"New"},{"t":"cms-k0341","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-13","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2025-12-13","std":1,"tv":"New"},{"t":"cms-k0351","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-19","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-12-12","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-12","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-13","std":1,"tv":"New"},{"t":"cms-k0524","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-15","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2025-12-13","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-13","std":1,"tv":"New"}]},{"id":"cms-145405-20251121-health","ccn":"145405","date":"2025-11-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-28","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-17","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-28","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2025-11-28","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-28","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-28","std":1},{"t":"cms-f0745","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-28","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2025-11-28","std":1},{"t":"cms-f0801","ss":"F","sl":2,"cs":"corrected","cd":"2025-11-28","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-11-28","std":1}]},{"id":"cms-145405-20250912-health","ccn":"145405","date":"2025-09-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-13","cmp":1}]},{"id":"cms-145405-20250827-health","ccn":"145405","date":"2025-08-27","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-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-28","cmp":1}]},{"id":"cms-145405-20250529-health","ccn":"145405","date":"2025-05-29","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-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-02","cmp":1}]},{"id":"cms-145405-20250319-health","ccn":"145405","date":"2025-03-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-21","cmp":1},{"t":"cms-f0745","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-21","cmp":1},{"t":"cms-f0850","ss":"F","sl":2,"cs":"corrected","cd":"2025-03-21","cmp":1}]},{"id":"cms-145405-20250116-health","ccn":"145405","date":"2025-01-16","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-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-18","cmp":1}]},{"id":"cms-145405-20241201-health","ccn":"145405","date":"2024-12-01","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-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-04","cmp":1}]},{"id":"cms-145405-20241020-health","ccn":"145405","date":"2024-10-20","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-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-21","cmp":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-21","cmp":1}]},{"id":"cms-145405-20241003-health","ccn":"145405","date":"2024-10-03","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-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-04","cmp":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-04","cmp":1}]},{"id":"cms-145405-20240926-fire","ccn":"145405","date":"2024-09-26","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0133","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"},{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-15","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-09","std":1,"tv":"New"},{"t":"cms-k0362","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"},{"t":"cms-k0524","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"},{"t":"cms-k0781","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-04","std":1,"tv":"New"}]},{"id":"cms-145405-20240926-health","ccn":"145405","date":"2024-09-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-30","std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-30","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-30","std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-30","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-30","std":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-30","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-30","std":1},{"t":"cms-f0805","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-30","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-30","std":1},{"t":"cms-f0883","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-30","std":1}]},{"id":"cms-145405-20240828-health","ccn":"145405","date":"2024-08-28","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-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-29","cmp":1}]},{"id":"cms-145405-20240812-health","ccn":"145405","date":"2024-08-12","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-f0921","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-13","cmp":1}]},{"id":"cms-145405-20240702-health","ccn":"145405","date":"2024-07-02","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-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-03","cmp":1}]},{"id":"cms-145405-20240620-health","ccn":"145405","date":"2024-06-20","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-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-21","cmp":1}]},{"id":"cms-145405-20240522-health","ccn":"145405","date":"2024-05-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"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":"2024-05-23","cmp":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-23","cmp":1}]},{"id":"cms-145405-20240426-health","ccn":"145405","date":"2024-04-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"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-f0684","ss":"G","sl":3,"cs":"corrected","cd":"2024-04-27","cmp":1},{"t":"cms-f0585","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-27","cmp":1}]},{"id":"cms-145405-20240419-health","ccn":"145405","date":"2024-04-19","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-f0755","ss":"G","sl":3,"cs":"corrected","cd":"2024-04-20","cmp":1}]},{"id":"cms-145405-20240117-health","ccn":"145405","date":"2024-01-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"G","sl":3,"cs":"corrected","cd":"2024-01-18","cmp":1},{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2024-01-18","cmp":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-18","cmp":1}]},{"id":"cms-145405-20231219-health","ccn":"145405","date":"2023-12-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"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-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-20","cmp":1},{"t":"cms-f0809","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-20","cmp":1}]},{"id":"cms-145405-20231208-health","ccn":"145405","date":"2023-12-08","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-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-13","cmp":1}]},{"id":"cms-145405-20231130-health","ccn":"145405","date":"2023-11-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"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-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-20","cmp":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-13","cmp":1}]},{"id":"cms-145405-20231114-health","ccn":"145405","date":"2023-11-14","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":"2023-11-15","cmp":1}]},{"id":"cms-145405-20231101-health","ccn":"145405","date":"2023-11-01","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"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-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-05","cmp":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-20","cmp":1}]},{"id":"cms-145405-20231027-fire","ccn":"145405","date":"2023-10-27","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0022","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-17","std":1,"tv":"New"},{"t":"cms-e0037","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-17","std":1,"tv":"New"},{"t":"cms-k0311","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-08","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-03","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-17","std":1,"tv":"New"},{"t":"cms-k0351","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-06","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-08","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-06","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-06","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-06","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-20","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-13","std":1,"tv":"New"},{"t":"cms-k0930","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-08","std":1,"tv":"New"}]},{"id":"cms-145405-20231027-health","ccn":"145405","date":"2023-10-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-31","cmp":1,"std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-20","cmp":1,"std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-15","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-31","cmp":1,"std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-31","cmp":1,"std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-31","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-31","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-05","std":1}]},{"id":"cms-145405-20231011-health","ccn":"145405","date":"2023-10-11","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-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-16","cmp":1}]}],"deficiency_types":{"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","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-f0604":{"code":"F-0604","title":"Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-f0806":{"code":"F-0806","title":"Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-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-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-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-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0803":{"code":"F-0803","title":"Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-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-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-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-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","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-k0341":{"code":"K-0341","title":"Install a fire alarm system that can be heard throughout the facility.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","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-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0524":{"code":"K-0524","title":"Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.","category":"Services 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-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-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-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-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-f0745":{"code":"F-0745","title":"Provide medically-related social services to help each resident achieve the highest possible quality of life.","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-f0850":{"code":"F-0850","title":"Hire a qualified full-time social worker in a facility with more than 120 beds.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-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-k0133":{"code":"K-0133","title":"Install a two-hour-resistant firewall separation.","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-k0362":{"code":"K-0362","title":"Ensure that corridors are separated from use areas by walls constructed to limit the passage of 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-k0781":{"code":"K-0781","title":"Have restrictions on the use of portable space heaters.","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-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-f0883":{"code":"F-0883","title":"Develop and implement policies and procedures for flu and pneumonia vaccinations.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"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-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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-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-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-f0585":{"code":"F-0585","title":"Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0809":{"code":"F-0809","title":"Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests.  Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-e0022":{"code":"E-0022","title":"Establish policies and procedures for sheltering.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0037":{"code":"E-0037","title":"Establish staff and initial training requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0311":{"code":"K-0311","title":"Have an enclosure around a vertical opening shaft.","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-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-k0930":{"code":"K-0930","title":"Ensure proper storage of liquid oxygen.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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"}},"penalties":[{"id":"cms-145405-pen-f145834","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-08-01","amount":56000,"fine_id":"145834","evidence_class":"VERIFIED","source_record_id":"145405|Fine|145834"},{"id":"cms-145405-pen-f70078","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-05-22","amount":14050,"fine_id":"70078","evidence_class":"VERIFIED","source_record_id":"145405|Fine|70078"},{"id":"cms-145405-pen-f70037","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-04-19","amount":14050,"fine_id":"70037","evidence_class":"VERIFIED","source_record_id":"145405|Fine|70037"},{"id":"cms-145405-pen-f70036","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-04-19","amount":12035,"fine_id":"70036","evidence_class":"VERIFIED","source_record_id":"145405|Fine|70036"},{"id":"cms-145405-pen-f69257","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-01-17","amount":23647,"fine_id":"69257","evidence_class":"VERIFIED","source_record_id":"145405|Fine|69257"},{"id":"cms-145405-pen-d20231027","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2023-10-27","denial_start":"2023-12-01","denial_days":35,"evidence_class":"VERIFIED","source_record_id":"145405|Payment Denial|2023-12-01"},{"id":"cms-145405-pen-f69004","type":"fine","type_label":"Civil money penalty (fine)","date":"2023-10-27","amount":76125,"fine_id":"69004","evidence_class":"VERIFIED","source_record_id":"145405|Fine|69004"}],"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=145405&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=145405&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=145405&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=145405&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=145405&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=145405&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":"17043","name":"DuPage County"},"zip":"60559","city":"Westmont"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-145419","ccn":"145419","name":"Nexus at Elmwood","address":"7733 West Grand Avenue","city":"Elmwood Park","state":"IL","zip":"60707","beds":245,"overall":1,"inspections":30,"last_inspection":"2026-07-09","deficiencies":172,"serious":24,"ij":5,"open":1,"fines_total":663222,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-145613","ccn":"145613","name":"Bria of Cahokia","address":"3354 Jerome Lane","city":"Cahokia","state":"IL","zip":"62206","beds":133,"overall":1,"inspections":31,"last_inspection":"2026-05-14","deficiencies":95,"serious":17,"ij":2,"open":1,"fines_total":544403,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"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"]},{"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"]},{"id":"cms-145668","ccn":"145668","name":"Nexus at Belleville","address":"150 North 27th Street","city":"Belleville","state":"IL","zip":"62226","beds":140,"overall":1,"inspections":27,"last_inspection":"2026-06-30","deficiencies":80,"serious":12,"ij":0,"open":1,"fines_total":334819,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-145735","ccn":"145735","name":"Bria of River Oaks","address":"14500 South Manistee","city":"Burnham","state":"IL","zip":"60633","beds":309,"overall":2,"inspections":20,"last_inspection":"2026-05-23","deficiencies":119,"serious":12,"ij":1,"open":0,"fines_total":219662,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-145864","ccn":"145864","name":"Bria of Forest Edge","address":"8001 South Western Avenue","city":"Chicago","state":"IL","zip":"60620","beds":328,"overall":2,"inspections":19,"last_inspection":"2026-08-20","deficiencies":64,"serious":5,"ij":1,"open":0,"fines_total":95203,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-145898","ccn":"145898","name":"Nexus at Chicago Heights","address":"120 West 26th Street","city":"South Chicago Height","state":"IL","zip":"60411","beds":112,"overall":2,"inspections":12,"last_inspection":"2026-02-07","deficiencies":86,"serious":6,"ij":1,"open":0,"fines_total":149055,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":9,"same_site_review":[],"nearby":[{"id":"cms-145219","ccn":"145219","name":"Burgess Square Healthcare Ctr","address":"5801 South Cass Avenue","city":"Westmont","state":"IL","zip":"60559","beds":203,"overall":4,"inspections":10,"last_inspection":"2026-05-21","deficiencies":29,"serious":3,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.4},{"id":"cms-145804","ccn":"145804","name":"Oak Trace","address":"250 Village Drive","city":"Downers Grove","state":"IL","zip":"60516","beds":104,"overall":5,"inspections":7,"last_inspection":"2026-03-20","deficiencies":31,"serious":2,"ij":0,"open":0,"fines_total":13780,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":1.5},{"id":"cms-145614","ccn":"145614","name":"Chateau Nrsg & Rehab Center","address":"7050 Madison Street","city":"Willowbrook","state":"IL","zip":"60521","beds":150,"overall":2,"inspections":12,"last_inspection":"2026-04-27","deficiencies":57,"serious":4,"ij":0,"open":0,"fines_total":76220,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.4},{"id":"cms-146094","ccn":"146094","name":"Eden Vista Burr Ridge","address":"6801 Highgrove Boulevard","city":"Burr Ridge","state":"IL","zip":"60527","beds":29,"overall":4,"inspections":9,"last_inspection":"2026-07-02","deficiencies":36,"serious":3,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":3.7},{"id":"cms-145338","ccn":"145338","name":"Oakwood Rehab and Nursing Center","address":"512 East Ogden Avenue","city":"Westmont","state":"IL","zip":"60559","beds":149,"overall":1,"inspections":21,"last_inspection":"2026-07-01","deficiencies":80,"serious":4,"ij":0,"open":0,"fines_total":96215,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.6},{"id":"cms-145246","ccn":"145246","name":"The Pearl of Hinsdale","address":"600 West Ogden Avenue","city":"Hinsdale","state":"IL","zip":"60521","beds":202,"overall":4,"inspections":16,"last_inspection":"2026-07-22","deficiencies":35,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.5},{"id":"cms-145784","ccn":"145784","name":"Briar Place Nursing","address":"6800 West Joliet","city":"Indian Head Park","state":"IL","zip":"60525","beds":232,"overall":1,"inspections":17,"last_inspection":"2026-08-12","deficiencies":101,"serious":9,"ij":2,"open":0,"fines_total":147914,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.8},{"id":"cms-145657","ccn":"145657","name":"The Pearl of Downers Grove","address":"3450 Saratoga Avenue","city":"Downers Grove","state":"IL","zip":"60515","beds":145,"overall":2,"inspections":15,"last_inspection":"2026-07-09","deficiencies":86,"serious":3,"ij":0,"open":0,"fines_total":30794,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.9}]}}