{"schema_version":"1.0.0","facility":{"id":"cms-165017","ccn":"165017","name":"Harmony Cedar Rapids","source_name":"Harmony Cedar Rapids","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":"IA","address":{"line1":"1940 First Avenue NE","city":"Cedar Rapids","state":"IA","zip":"52402","county_name":"Linn County","county_fips":"19113","county_method":"name_match","ssa_county_code":"560","urban":true},"location":{"lat":41.994,"lon":-91.642,"method":"cms_published_coordinates"},"phone":"3193645151","certification":{"authority":"CMS","ccn":"165017","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1967-01-01","certified_beds":96,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/165017"},"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":96,"avg_residents_per_day":74.7},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"CEDAR RAPIDS SKILLED NURSING FACILITY LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":2},"quality_measures":{"value":3},"long_stay_qm":{"value":4},"short_stay_qm":{"value":3},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.73106,"lpn_hprd":0.50565,"rn_hprd":0.63346,"licensed_hprd":1.13912,"total_nurse_hprd":3.87017,"weekend_total_nurse_hprd":3.54689,"weekend_rn_hprd":0.47285,"pt_hprd":0.03079,"nursing_turnover_pct":69.7,"rn_turnover_pct":69.2,"administrators_left":0,"case_mix_index":1.44844,"case_mix_index_ratio":1.02708,"case_mix_total_nurse_hprd":4.00649,"adjusted_total_nurse_hprd":3.73856,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-03-03","cycle1_deficiencies":11,"cycle1_score":64,"cycle2_date":"2025-01-15","cycle23_deficiencies":11,"cycle23_score":44,"total_weighted_score":59},"cms_penalty_counts":{"fines":1,"fine_total":10509,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-306","cms_chain_id":"306","name":"LEGACY HEALTHCARE"},"operator_id":"op-cedar-rapids-skilled-nursing-facility-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/165017","provenance":[{"source_id":"cms_provider_info","source_record_id":"165017","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=165017&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":"165017","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=165017&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":10,"health_count":7,"fire_count":3,"complaint_count":5,"latest_date":"2026-04-21","latest_standard_health":"2026-03-03","earliest_date":"2024-03-28","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":34,"health_count":24,"fire_count":10,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":0,"serious_count":1,"complaint_count":9,"by_severity":{"potential":32,"actual_harm":1,"minimal":1},"by_scope_severity":{"D":20,"E":6,"G":1,"F":6,"B":1},"by_concept":{"infection_prevention":2,"environment_life_safety":10,"staffing":3,"resident_rights":4,"clinical_care":13,"medication":2},"type_ids":["cms-f0880","cms-k0293","cms-f0725","cms-f0584","cms-f0641","cms-f0657","cms-f0658","cms-f0689","cms-f0698","cms-f0759","cms-f0791","cms-k0346","cms-k0353","cms-k0354","cms-k0321","cms-f0578","cms-f0640","cms-f0645","cms-f0550","cms-f0582","cms-k0345","cms-k0712","cms-k0914","cms-k0372","cms-f0726","cms-f0758"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":10509,"payment_denials":0,"latest_date":"2025-12-23"},"ownership_summary":{"disclosures":15,"organizations":6,"individuals":7,"not_available":false}},"row":{"id":"cms-165017","ccn":"165017","name":"Harmony Cedar Rapids","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"IA","city":"Cedar Rapids","zip":"52402","county_fips":"19113","county_name":"Linn County","address":"1940 First Avenue NE","beds":96,"residents":74.7,"ownership":"for_profit","operator_id":"op-cedar-rapids-skilled-nursing-facility-llc","operator_name":"Cedar Rapids Skilled Nursing Facility LLC","chain_id":"cms-chain-306","chain_name":"Legacy Healthcare","lat":41.994,"lon":-91.642,"overall":2,"health_rating":2,"staffing_rating":2,"qm_rating":3,"nurse_hprd":3.87,"turnover":69.7,"inspections":10,"last_inspection":"2026-04-21","deficiencies":34,"serious":1,"ij":0,"open":0,"penalties":1,"fines_total":10509,"deficiency_type_ids":["cms-f0880","cms-k0293","cms-f0725","cms-f0584","cms-f0641","cms-f0657","cms-f0658","cms-f0689","cms-f0698","cms-f0759","cms-f0791","cms-k0346","cms-k0353","cms-k0354","cms-k0321","cms-f0578","cms-f0640","cms-f0645","cms-f0550","cms-f0582","cms-k0345","cms-k0712","cms-k0914","cms-k0372","cms-f0726","cms-f0758"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-cedar-rapids-skilled-nursing-facility-llc","name":"Cedar Rapids Skilled Nursing Facility LLC","legal_name":"CEDAR RAPIDS SKILLED NURSING FACILITY LLC","facility_count":1,"states":["IA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-306","name":"Legacy Healthcare","cms_chain_id":"306","facility_count":96,"states":["AL","IA","IL","SD"],"cms_reported":{"facility_count":96,"avg_overall_rating":3,"avg_health_inspection_rating":2.8,"avg_staffing_rating":2.7,"avg_qm_rating":3.5}},"ownership":[{"owner_id":"org-gpn-family-trust-u-a-d-4-28-08","owner_type":"organization","owner_name":"Gpn Family Trust U/a/D 4/28/08","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":60,"percentage_raw":"60%","association_date":"2023-04-01"},{"owner_id":"org-doros-generation-trust-u-a-d-1-3-12","owner_type":"organization","owner_name":"Doros Generation Trust U/a/D 1/3/12","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":26,"percentage_raw":"26%","association_date":"2023-04-01"},{"owner_id":"org-oakway-operations-llc","owner_type":"organization","owner_name":"Oakway Operations LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":15,"percentage_raw":"15%","association_date":"2023-04-01"},{"owner_type":"individual","owner_name":"Menachem Shabat","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-01","owner_name_raw":"SHABAT, MENACHEM"},{"owner_id":"org-forbright-bank","owner_type":"organization","owner_name":"Forbright Bank","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-01"},{"owner_id":"org-legacy-healthcare-financial-services-llc","owner_type":"organization","owner_name":"Legacy Healthcare Financial Services LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-01"},{"owner_type":"individual","owner_name":"Justin Knapp","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-29","owner_name_raw":"KNAPP, JUSTIN"},{"owner_type":"individual","owner_name":"Menachem Shabat","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-01","owner_name_raw":"SHABAT, MENACHEM"},{"owner_type":"individual","owner_name":"Eric Stenberg","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-01","owner_name_raw":"STENBERG, ERIC"},{"owner_id":"org-forbright-bank","owner_type":"organization","owner_name":"Forbright Bank","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-01"},{"owner_id":"org-legacy-healthcare-financial-services-llc","owner_type":"organization","owner_name":"Legacy Healthcare Financial Services LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-11-18"},{"owner_id":"org-miller-cooper-and-co-ltd","owner_type":"organization","owner_name":"Miller Cooper & Co, Ltd","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-01"},{"owner_type":"individual","owner_name":"Justin Knapp","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-29","owner_name_raw":"KNAPP, JUSTIN"},{"owner_type":"individual","owner_name":"Menachem Shabat","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-01","owner_name_raw":"SHABAT, MENACHEM"},{"owner_type":"individual","owner_name":"Eric Stenberg","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-01","owner_name_raw":"STENBERG, ERIC"}],"inspections":[{"id":"cms-165017-20260421-health","ccn":"165017","date":"2026-04-21","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-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-15","cmp":1}]},{"id":"cms-165017-20260303-fire","ccn":"165017","date":"2026-03-03","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0293","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-27","std":1,"tv":"New"}]},{"id":"cms-165017-20260303-health","ccn":"165017","date":"2026-03-03","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1},{"t":"cms-f0791","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-24","std":1}]},{"id":"cms-165017-20251223-health","ccn":"165017","date":"2025-12-23","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":"past_noncompliance","cmp":1}]},{"id":"cms-165017-20250115-fire","ccn":"165017","date":"2025-01-15","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-27","std":1,"tv":"New"},{"t":"cms-k0346","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-04","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-04","std":1,"tv":"New"},{"t":"cms-k0354","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-04","std":1,"tv":"New"}]},{"id":"cms-165017-20250115-health","ccn":"165017","date":"2025-01-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"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-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-31","std":1},{"t":"cms-f0640","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-31","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-31","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-31","cmp":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-31","std":1}]},{"id":"cms-165017-20241107-health","ccn":"165017","date":"2024-11-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","cmp":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-01","cmp":1}]},{"id":"cms-165017-20240612-health","ccn":"165017","date":"2024-06-12","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":"2024-06-13","cmp":1},{"t":"cms-f0582","ss":"B","sl":1,"cs":"corrected","cd":"2024-06-13","cmp":1}]},{"id":"cms-165017-20240328-fire","ccn":"165017","date":"2024-03-28","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"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-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-05","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-26","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-10","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-05","std":1,"tv":"New"},{"t":"cms-k0914","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-10","std":1,"tv":"New"}]},{"id":"cms-165017-20240328-health","ccn":"165017","date":"2024-03-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0726","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-11","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-11","std":1}]}],"deficiency_types":{"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-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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-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-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0791":{"code":"F-0791","title":"Provide or obtain dental services for each resident.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0346":{"code":"K-0346","title":"Follow proper procedures when the fire alarm was out of service for more than 4 hours.","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-k0354":{"code":"K-0354","title":"Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.","category":"Smoke 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-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-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-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-f0582":{"code":"F-0582","title":"Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-k0914":{"code":"K-0914","title":"Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.","category":"Gas, Vacuum, and Electrical Systems 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-f0726":{"code":"F-0726","title":"Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"}},"penalties":[{"id":"cms-165017-pen-f137644","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-12-23","amount":10509,"fine_id":"137644","evidence_class":"VERIFIED","source_record_id":"165017|Fine|137644"}],"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=165017&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=165017&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=165017&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=165017&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=165017&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=165017&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":"IA","overall_rating":3.1,"health_inspection_rating":2.8,"qm_rating":3.4,"staffing_rating":3.8,"avg_residents_per_day":52.2,"cycle1_health_deficiencies":6.6,"cycle1_fire_deficiencies":3.6,"nurse_aide_hprd":2.56,"lpn_hprd":0.56,"rn_hprd":0.74471,"licensed_hprd":1.3,"total_nurse_hprd":3.86085,"weekend_total_nurse_hprd":3.38424,"weekend_rn_hprd":0.51,"pt_hprd":0.04,"nursing_turnover_pct":44.1,"rn_turnover_pct":42.1,"administrators_left":0.4,"case_mix_index":1.22602,"fines":0.6,"fine_amount":18804,"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":"IA","name":"Iowa"},"county":{"fips":"19113","name":"Linn County"},"zip":"52402","city":"Cedar Rapids"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-165033","ccn":"165033","name":"Harmony Davenport","address":"815 East Locust Street","city":"Davenport","state":"IA","zip":"52803","beds":88,"overall":2,"inspections":14,"last_inspection":"2026-08-03","deficiencies":50,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165034","ccn":"165034","name":"Harmony Waterloo","address":"201 West Ridgeway Avenue","city":"Waterloo","state":"IA","zip":"50701","beds":88,"overall":1,"inspections":12,"last_inspection":"2026-06-11","deficiencies":57,"serious":1,"ij":1,"open":0,"fines_total":95440,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165104","ccn":"165104","name":"Harmony Dubuque","address":"901 West Third Street","city":"Dubuque","state":"IA","zip":"52001","beds":75,"overall":2,"inspections":13,"last_inspection":"2026-08-25","deficiencies":48,"serious":2,"ij":0,"open":5,"fines_total":19371,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165152","ccn":"165152","name":"Harmony House Health Care Center","address":"2950 West Shaulis Road","city":"Waterloo","state":"IA","zip":"50701","beds":65,"overall":1,"inspections":11,"last_inspection":"2026-06-30","deficiencies":39,"serious":4,"ij":2,"open":0,"fines_total":31736,"sff":"SFF Candidate","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165303","ccn":"165303","name":"Rehabilitation Centers of Independence West Campus","address":"1610 Third Street NE","city":"Independence","state":"IA","zip":"50644","beds":70,"overall":3,"inspections":11,"last_inspection":"2026-04-01","deficiencies":30,"serious":2,"ij":2,"open":0,"fines_total":22740,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165325","ccn":"165325","name":"Manor House Care Center","address":"1212 South Stuart Street","city":"Sigourney","state":"IA","zip":"52591","beds":55,"overall":3,"inspections":6,"last_inspection":"2026-06-25","deficiencies":17,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165326","ccn":"165326","name":"Bloomfield Care Center","address":"800 North Davis Street","city":"Bloomfield","state":"IA","zip":"52537","beds":91,"overall":3,"inspections":9,"last_inspection":"2026-07-30","deficiencies":18,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165333","ccn":"165333","name":"Hallmark Care Center","address":"215 Highway 30 SW","city":"Mount Vernon","state":"IA","zip":"52314","beds":55,"overall":2,"inspections":6,"last_inspection":"2026-04-09","deficiencies":18,"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":95,"same_site_review":[],"nearby":[{"id":"cms-165322","ccn":"165322","name":"Cottage Grove Place","address":"2115 First Avenue SE","city":"Cedar Rapids","state":"IA","zip":"52402","beds":64,"overall":1,"inspections":11,"last_inspection":"2026-06-25","deficiencies":29,"serious":2,"ij":1,"open":0,"fines_total":44526,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.5},{"id":"cms-165278","ccn":"165278","name":"Living Center West","address":"1050 4th Avenue SE","city":"Cedar Rapids","state":"IA","zip":"52403","beds":94,"overall":3,"inspections":12,"last_inspection":"2026-06-08","deficiencies":34,"serious":8,"ij":3,"open":0,"fines_total":91680,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.9},{"id":"cms-165389","ccn":"165389","name":"St Luke's Helen G Nassif Transitional Care Center","address":"1420 Unitypoint Way","city":"Cedar Rapids","state":"IA","zip":"52402","beds":46,"overall":5,"inspections":7,"last_inspection":"2026-03-05","deficiencies":19,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.8},{"id":"cms-165511","ccn":"165511","name":"Linn Manor Care Center","address":"1140 Elim Drive","city":"Marion","state":"IA","zip":"52302","beds":38,"overall":2,"inspections":9,"last_inspection":"2026-06-10","deficiencies":30,"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":4.3},{"id":"cms-165542","ccn":"165542","name":"Meth-Wick Health Center","address":"1625 Brendelwood Drive","city":"Cedar Rapids","state":"IA","zip":"52405","beds":69,"overall":5,"inspections":6,"last_inspection":"2026-08-13","deficiencies":11,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.4},{"id":"cms-165587","ccn":"165587","name":"Northbrook Healthcare and Rehabilitation Center","address":"6420 Council Street NE","city":"Cedar Rapids","state":"IA","zip":"52402","beds":130,"overall":1,"inspections":16,"last_inspection":"2026-07-10","deficiencies":69,"serious":4,"ij":2,"open":0,"fines_total":55222,"sff":"SFF Candidate","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.5},{"id":"cms-165567","ccn":"165567","name":"West Ridge Care Center","address":"3131 F Avenue NW","city":"Cedar Rapids","state":"IA","zip":"52405","beds":60,"overall":5,"inspections":6,"last_inspection":"2026-01-29","deficiencies":14,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.1},{"id":"cms-165171","ccn":"165171","name":"Silver Oak Nursing and Rehabilitation Center LLC","address":"455 31st Street","city":"Marion","state":"IA","zip":"52302","beds":91,"overall":1,"inspections":14,"last_inspection":"2026-08-26","deficiencies":76,"serious":3,"ij":1,"open":0,"fines_total":16068,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.6}]}}