{"schema_version":"1.0.0","facility":{"id":"cms-165362","ccn":"165362","name":"Clarion Wellness and Rehabilitation Center","source_name":"Clarion Wellness and Rehabilitation Center","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"IA","address":{"line1":"110 13th Avenue SW","city":"Clarion","state":"IA","zip":"50525","county_name":"Wright County","county_fips":"19197","county_method":"name_match","ssa_county_code":"980","urban":false},"location":{"lat":42.7207,"lon":-93.734,"method":"cms_published_coordinates"},"phone":"5155322893","certification":{"authority":"CMS","ccn":"165362","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1997-09-17","certified_beds":76,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/165362"},"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":76,"avg_residents_per_day":63.5},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"CENTRAL AVENUE HEALTHCARE, INC.","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":1},"health_inspection":{"value":1},"quality_measures":{"value":4},"long_stay_qm":{"value":5},"short_stay_qm":{"value":4},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.00133,"lpn_hprd":0.57994,"rn_hprd":0.40921,"licensed_hprd":0.98915,"total_nurse_hprd":2.99048,"weekend_total_nurse_hprd":2.70279,"weekend_rn_hprd":0.30136,"pt_hprd":0.167,"nursing_turnover_pct":42.3,"rn_turnover_pct":57.1,"administrators_left":0,"case_mix_index":1.31172,"case_mix_index_ratio":0.93013,"case_mix_total_nurse_hprd":3.62829,"adjusted_total_nurse_hprd":3.1899,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-08-28","cycle1_deficiencies":8,"cycle1_score":32,"cycle2_date":"2024-10-17","cycle23_deficiencies":12,"cycle23_score":444,"total_weighted_score":135},"cms_penalty_counts":{"fines":1,"fine_total":24174,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-507","cms_chain_id":"507","name":"THE ENSIGN GROUP"},"operator_id":"op-central-avenue-healthcare-inc","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/165362","provenance":[{"source_id":"cms_provider_info","source_record_id":"165362","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=165362&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":"165362","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=165362&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":9,"health_count":6,"fire_count":3,"complaint_count":4,"latest_date":"2025-11-25","latest_standard_health":"2025-08-28","earliest_date":"2023-07-20","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":53,"health_count":37,"fire_count":16,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":4,"serious_count":4,"complaint_count":5,"by_severity":{"potential":49,"immediate_jeopardy":4},"by_scope_severity":{"D":30,"F":9,"E":10,"K":2,"J":2},"by_concept":{"medication":4,"environment_life_safety":14,"clinical_care":12,"administration":2,"infection_prevention":3,"staffing":2,"resident_rights":11,"emergency_preparedness":2,"food_nutrition":3},"type_ids":["cms-f0760","cms-k0353","cms-k0222","cms-k0223","cms-k0753","cms-f0656","cms-f0689","cms-f0842","cms-f0865","cms-f0868","cms-f0880","cms-f0686","cms-f0725","cms-f0550","cms-e0039","cms-k0347","cms-k0920","cms-k0351","cms-f0609","cms-f0610","cms-f0600","cms-f0812","cms-f0943","cms-f0578","cms-f0803","cms-e0013","cms-k0354","cms-k0761","cms-k0918","cms-k0293","cms-k0321","cms-k0374","cms-f0584","cms-f0657","cms-f0561","cms-f0567","cms-f0580","cms-f0658","cms-f0676","cms-f0684","cms-f0695","cms-f0740","cms-f0761"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":24174,"payment_denials":0,"latest_date":"2024-10-17"},"ownership_summary":{"disclosures":23,"organizations":10,"individuals":13,"not_available":false}},"row":{"id":"cms-165362","ccn":"165362","name":"Clarion Wellness and Rehabilitation Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"IA","city":"Clarion","zip":"50525","county_fips":"19197","county_name":"Wright County","address":"110 13th Avenue SW","beds":76,"residents":63.5,"ownership":"for_profit","operator_id":"op-central-avenue-healthcare-inc","operator_name":"Central Avenue Healthcare, Inc","chain_id":"cms-chain-507","chain_name":"The Ensign Group","lat":42.7207,"lon":-93.734,"overall":1,"health_rating":1,"staffing_rating":2,"qm_rating":4,"nurse_hprd":2.99,"turnover":42.3,"inspections":9,"last_inspection":"2025-11-25","deficiencies":53,"serious":4,"ij":4,"open":0,"penalties":1,"fines_total":24174,"deficiency_type_ids":["cms-f0760","cms-k0353","cms-k0222","cms-k0223","cms-k0753","cms-f0656","cms-f0689","cms-f0842","cms-f0865","cms-f0868","cms-f0880","cms-f0686","cms-f0725","cms-f0550","cms-e0039","cms-k0347","cms-k0920","cms-k0351","cms-f0609","cms-f0610","cms-f0600","cms-f0812","cms-f0943","cms-f0578","cms-f0803","cms-e0013","cms-k0354","cms-k0761","cms-k0918","cms-k0293","cms-k0321","cms-k0374","cms-f0584","cms-f0657","cms-f0561","cms-f0567","cms-f0580","cms-f0658","cms-f0676","cms-f0684","cms-f0695","cms-f0740","cms-f0761"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-central-avenue-healthcare-inc","name":"Central Avenue Healthcare, Inc","legal_name":"CENTRAL AVENUE HEALTHCARE, INC","facility_count":1,"states":["IA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-507","name":"The Ensign Group","cms_chain_id":"507","facility_count":347,"states":["AK","AL","AZ","CA","CO","IA","ID","KS","NE","NV","OR","SC","TN","TX","UT","WA","WI"],"cms_reported":{"facility_count":347,"avg_overall_rating":3.3,"avg_health_inspection_rating":2.8,"avg_staffing_rating":2.8,"avg_qm_rating":4.4}},"ownership":[{"owner_type":"individual","owner_name":"Barry Port","role":"partner","role_raw":"INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-28","owner_name_raw":"PORT, BARRY"},{"owner_type":"individual","owner_name":"Soon Burnam","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18","owner_name_raw":"BURNAM, SOON"},{"owner_type":"individual","owner_name":"Spencer Cozzens","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2015-09-30","owner_name_raw":"COZZENS, SPENCER"},{"owner_type":"individual","owner_name":"Dustin Smith","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-08","owner_name_raw":"SMITH, DUSTIN"},{"owner_id":"org-aerofund-holdings-inc","owner_type":"organization","owner_name":"Aerofund Holdings Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18"},{"owner_id":"org-elohim-medical-staffing-agency-inc","owner_type":"organization","owner_name":"Elohim Medical Staffing Agency Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18"},{"owner_id":"org-helping-hands-nursing-solution-inc","owner_type":"organization","owner_name":"Helping Hands Nursing Solution Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18"},{"owner_id":"org-onshift-inc","owner_type":"organization","owner_name":"Onshift Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18"},{"owner_type":"individual","owner_name":"Spencer Cozzens","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-09-30","owner_name_raw":"COZZENS, SPENCER"},{"owner_type":"individual","owner_name":"Dustin Smith","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-08","owner_name_raw":"SMITH, DUSTIN"},{"owner_type":"individual","owner_name":"David Jorgensen","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-09-09","owner_name_raw":"JORGENSEN, DAVID"},{"owner_type":"individual","owner_name":"Soon Burnam","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18","owner_name_raw":"BURNAM, SOON"},{"owner_type":"individual","owner_name":"Chad Keetch","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2011-03-01","owner_name_raw":"KEETCH, CHAD"},{"owner_type":"individual","owner_name":"Debra Koenig","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-09-09","owner_name_raw":"KOENIG, DEBRA"},{"owner_type":"individual","owner_name":"Ami Sato","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-09-09","owner_name_raw":"SATO, AMI"},{"owner_id":"org-caretrust-gp-llc","owner_type":"organization","owner_name":"Caretrust Gp LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18"},{"owner_id":"org-caretrust-reit-inc","owner_type":"organization","owner_name":"Caretrust Reit Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18"},{"owner_id":"org-ctr-partnership-lp","owner_type":"organization","owner_name":"Ctr Partnership LP","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18"},{"owner_id":"org-ensign-services-inc","owner_type":"organization","owner_name":"Ensign Services Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2011-06-01"},{"owner_id":"org-gazebo-park-health-holdings-llc","owner_type":"organization","owner_name":"Gazebo Park Health Holdings LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18"},{"owner_id":"org-the-ensign-group-inc","owner_type":"organization","owner_name":"The Ensign Group Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2011-07-18"},{"owner_type":"individual","owner_name":"Spencer Cozzens","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-11","owner_name_raw":"COZZENS, SPENCER"},{"owner_type":"individual","owner_name":"Dustin Smith","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-12","owner_name_raw":"SMITH, DUSTIN"}],"inspections":[{"id":"cms-165362-20251125-health","ccn":"165362","date":"2025-11-25","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":"D","sl":2,"cs":"corrected","cd":"2025-12-24","cmp":1}]},{"id":"cms-165362-20250828-fire","ccn":"165362","date":"2025-08-28","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"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-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-16","std":1,"tv":"New"},{"t":"cms-k0223","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-16","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-19","std":1,"tv":"New"},{"t":"cms-k0753","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-30","std":1,"tv":"New"}]},{"id":"cms-165362-20250828-health","ccn":"165362","date":"2025-08-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0865","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0868","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-22","std":1}]},{"id":"cms-165362-20250709-health","ccn":"165362","date":"2025-07-09","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-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-18","cmp":1},{"t":"cms-f0725","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-18","cmp":1}]},{"id":"cms-165362-20250211-health","ccn":"165362","date":"2025-02-11","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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-14","cmp":1}]},{"id":"cms-165362-20241017-fire","ccn":"165362","date":"2024-10-17","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-04","std":1,"tv":"New"},{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-04","std":1,"tv":"New"},{"t":"cms-k0347","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-25","std":1,"tv":"New"},{"t":"cms-k0351","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-24","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-21","std":1,"tv":"New"}]},{"id":"cms-165362-20241017-health","ccn":"165362","date":"2024-10-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"J","sl":4,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0609","ss":"K","sl":4,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0610","ss":"K","sl":4,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0760","ss":"J","sl":4,"cs":"corrected","cd":"2024-11-04","cmp":1,"std":1},{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0803","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0943","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1}]},{"id":"cms-165362-20230720-fire","ccn":"165362","date":"2023-07-20","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0013","ss":"F","sl":2,"cs":"corrected","cd":"2023-07-26","std":1,"tv":"New"},{"t":"cms-k0293","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-20","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0354","ss":"F","sl":2,"cs":"corrected","cd":"2023-07-27","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2023-07-26","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2023-07-26","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2023-07-27","std":1,"tv":"New"}]},{"id":"cms-165362-20230720-health","ccn":"165362","date":"2023-07-20","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":17,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0561","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0567","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0676","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0725","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0740","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-16","std":1}]}],"deficiency_types":{"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-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-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0223":{"code":"K-0223","title":"Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0753":{"code":"K-0753","title":"Have restrictions on the use of highly flammable decorations.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-f0865":{"code":"F-0865","title":"Have a  plan that describes the process for conducting QAPI and QAA activities.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0868":{"code":"F-0868","title":"Have the Quality Assessment and Assurance group have the required members and meet at least quarterly","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-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-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-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0347":{"code":"K-0347","title":"Properly provide smoke detection systems in areas open to corridors.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-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-f0943":{"code":"F-0943","title":"Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0578":{"code":"F-0578","title":"Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-e0013":{"code":"E-0013","title":"Develop Emergency Preparedness policies and procedures.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0561":{"code":"F-0561","title":"Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0567":{"code":"F-0567","title":"Honor the resident's right to manage his or her financial affairs.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-f0676":{"code":"F-0676","title":"Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.","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-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-f0740":{"code":"F-0740","title":"Ensure each resident must receive and the facility must provide necessary behavioral health care and services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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"}},"penalties":[{"id":"cms-165362-pen-f79501","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-10-17","amount":24174,"fine_id":"79501","evidence_class":"VERIFIED","source_record_id":"165362|Fine|79501"}],"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=165362&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=165362&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=165362&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=165362&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=165362&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=165362&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":"19197","name":"Wright County"},"zip":"50525","city":"Clarion"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-165156","ccn":"165156","name":"Fort Dodge Health and Rehabilitation","address":"728 14th Avenue North","city":"Fort Dodge","state":"IA","zip":"50501","beds":65,"overall":1,"inspections":11,"last_inspection":"2026-02-26","deficiencies":63,"serious":6,"ij":1,"open":0,"fines_total":166043,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165175","ccn":"165175","name":"Greater Southside Health and Rehabilitation","address":"5608 SW 9th Street","city":"Des Moines","state":"IA","zip":"50315","beds":80,"overall":1,"inspections":19,"last_inspection":"2026-07-22","deficiencies":92,"serious":8,"ij":5,"open":13,"fines_total":222681,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165245","ccn":"165245","name":"Hillcrest Health Care Center","address":"2121 Avenue L","city":"Hawarden","state":"IA","zip":"51023","beds":64,"overall":1,"inspections":9,"last_inspection":"2026-05-06","deficiencies":96,"serious":3,"ij":2,"open":0,"fines_total":93606,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165268","ccn":"165268","name":"Rehabilitation Center of Des Moines","address":"701 Riverview","city":"Des Moines","state":"IA","zip":"50316","beds":74,"overall":3,"inspections":10,"last_inspection":"2026-08-27","deficiencies":53,"serious":1,"ij":0,"open":2,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165428","ccn":"165428","name":"Careage Hills Rehabilitation and Healthcare","address":"725 North Second Street","city":"Cherokee","state":"IA","zip":"51012","beds":44,"overall":2,"inspections":10,"last_inspection":"2026-03-05","deficiencies":20,"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"]},{"id":"cms-165444","ccn":"165444","name":"West Bend Health and Rehabilitation","address":"203 Fourth Street NW","city":"West Bend","state":"IA","zip":"50597","beds":45,"overall":5,"inspections":8,"last_inspection":"2026-06-25","deficiencies":26,"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-165449","ccn":"165449","name":"Spencer Post Acute Rehabilitation Center","address":"711 West 11th Street","city":"Spencer","state":"IA","zip":"51301","beds":82,"overall":1,"inspections":10,"last_inspection":"2026-06-04","deficiencies":81,"serious":3,"ij":2,"open":0,"fines_total":24706,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-165478","ccn":"165478","name":"Woodland Health and Rehabilitation","address":"701 East Mapleleaf Drive","city":"Mount Pleasant","state":"IA","zip":"52641","beds":62,"overall":4,"inspections":7,"last_inspection":"2026-04-22","deficiencies":18,"serious":1,"ij":1,"open":0,"fines_total":10842,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":346,"same_site_review":[],"nearby":[{"id":"cms-165500","ccn":"165500","name":"Rotary Senior Living","address":"500 South Blaine Avenue","city":"Eagle Grove","state":"IA","zip":"50533","beds":46,"overall":3,"inspections":9,"last_inspection":"2026-07-23","deficiencies":21,"serious":2,"ij":1,"open":0,"fines_total":65036,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":14.7},{"id":"cms-165380","ccn":"165380","name":"Rehabilitation Center of Belmond","address":"1107 Seventh Street NE","city":"Belmond","state":"IA","zip":"50421","beds":44,"overall":5,"inspections":6,"last_inspection":"2026-04-23","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":18.1}]}}