{"schema_version":"1.0.0","facility":{"id":"cms-17e026","ccn":"17E026","name":"Meade District Hosp Ltcu DBA Lone Tree Retirement","source_name":"MEADE DISTRICT HOSP LTCU DBA LONE TREE RETIREMENT","facility_types":["nursing_home"],"primary_type":"nursing_home","universe":"cms_certified_nursing_homes","source_type_label":"Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"KS","address":{"line1":"801 E Grant","city":"Meade","state":"KS","zip":"67864","county_name":"Meade County","county_fips":"20119","county_method":"name_match","ssa_county_code":"590","urban":false},"location":{"lat":37.2876,"lon":-100.33,"method":"cms_published_coordinates"},"phone":"6208732146","certification":{"authority":"CMS","ccn":"17E026","program":"Medicaid","medicare":false,"medicaid":true,"first_approved":"1981-10-01","certified_beds":45,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/17E026"},"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":45,"avg_residents_per_day":34.5},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name_note":"CMS reports the legal business name as not available.","flags":{"ccrc":true,"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":4},"health_inspection":{"value":3},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"footnote":"2"},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":3.43548,"lpn_hprd":0.23431,"rn_hprd":0.70989,"licensed_hprd":0.9442,"total_nurse_hprd":4.37968,"weekend_total_nurse_hprd":4.06151,"weekend_rn_hprd":0.52793,"pt_hprd":0,"nursing_turnover_pct":43.8,"rn_turnover_pct":50,"administrators_left":1,"case_mix_index":1.15386,"case_mix_index_ratio":0.81819,"case_mix_total_nurse_hprd":3.19165,"adjusted_total_nurse_hprd":5.31088,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-08-21","cycle1_deficiencies":8,"cycle1_score":72,"cycle2_date":"2023-08-30","cycle23_deficiencies":6,"cycle23_score":60,"total_weighted_score":69},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"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/17E026","provenance":[{"source_id":"cms_provider_info","source_record_id":"17E026","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=17E026&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":"17E026","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=17E026&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."}],"ownership_not_available":true,"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":2,"latest_date":"2025-08-21","latest_standard_health":"2025-08-21","earliest_date":"2021-11-16","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":18,"fire_count":16,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":1,"serious_count":1,"complaint_count":3,"by_severity":{"potential":31,"minimal":2,"immediate_jeopardy":1},"by_scope_severity":{"F":13,"E":11,"D":7,"C":2,"J":1},"by_concept":{"environment_life_safety":17,"food_nutrition":3,"infection_prevention":3,"clinical_care":5,"resident_rights":4,"administration":2},"type_ids":["cms-k0343","cms-k0345","cms-k0712","cms-k0324","cms-k0353","cms-k0511","cms-k0771","cms-f0812","cms-f0814","cms-f0882","cms-f0641","cms-f0880","cms-f0550","cms-f0628","cms-f0851","cms-f0689","cms-k0761","cms-k0920","cms-k0923","cms-f0908","cms-f0695","cms-k0211","cms-k0363","cms-f0625","cms-f0657"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":0,"organizations":0,"individuals":0,"not_available":true}},"row":{"id":"cms-17e026","ccn":"17E026","name":"Meade District Hosp Ltcu DBA Lone Tree Retirement","types":["nursing_home"],"status":"active","state":"KS","city":"Meade","zip":"67864","county_fips":"20119","county_name":"Meade County","address":"801 E Grant","beds":45,"residents":34.5,"ownership":"for_profit","lat":37.2876,"lon":-100.33,"overall":4,"health_rating":3,"staffing_rating":4,"qm_rating":5,"nurse_hprd":4.38,"turnover":43.8,"ccrc":true,"inspections":7,"last_inspection":"2025-08-21","deficiencies":34,"serious":1,"ij":1,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0343","cms-k0345","cms-k0712","cms-k0324","cms-k0353","cms-k0511","cms-k0771","cms-f0812","cms-f0814","cms-f0882","cms-f0641","cms-f0880","cms-f0550","cms-f0628","cms-f0851","cms-f0689","cms-k0761","cms-k0920","cms-k0923","cms-f0908","cms-f0695","cms-k0211","cms-k0363","cms-f0625","cms-f0657"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"ownership":[],"inspections":[{"id":"cms-17e026-20250821-fire","ccn":"17E026","date":"2025-08-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-15","std":1,"tv":"New"},{"t":"cms-k0343","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-15","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-15","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-15","std":1,"tv":"New"},{"t":"cms-k0511","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-15","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-15","std":1,"tv":"New"},{"t":"cms-k0771","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-15","std":1,"tv":"New"}]},{"id":"cms-17e026-20250821-health","ccn":"17E026","date":"2025-08-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,2],"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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-01","std":1},{"t":"cms-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-01","std":1},{"t":"cms-f0641","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-01","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-01","cmp":1,"std":1},{"t":"cms-f0814","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-01","cmp":1,"std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-01","std":1},{"t":"cms-f0882","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-01","std":1},{"t":"cms-f0851","ss":"C","sl":1,"cs":"corrected","cd":"2025-10-01","std":1}]},{"id":"cms-17e026-20240613-health","ccn":"17E026","date":"2024-06-13","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":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"past_noncompliance","cd":"2024-06-13","cmp":1}]},{"id":"cms-17e026-20230830-fire","ccn":"17E026","date":"2023-08-30","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-07","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-07","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-07","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-07","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-07","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-07","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-07","std":1,"tv":"New"}]},{"id":"cms-17e026-20230830-health","ccn":"17E026","date":"2023-08-30","domain":"health","authority":"CMS / state survey agency","survey_types":["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-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-26","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-26","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-26","std":1},{"t":"cms-f0908","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-26","std":1},{"t":"cms-f0851","ss":"C","sl":1,"cs":"corrected","cd":"2023-09-26","std":1}]},{"id":"cms-17e026-20211116-fire","ccn":"17E026","date":"2021-11-16","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-k0211","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-05","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-05","std":1,"tv":"New"}]},{"id":"cms-17e026-20211116-health","ccn":"17E026","date":"2021-11-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-11","std":1},{"t":"cms-f0625","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-11","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-11","std":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2021-12-11","std":1}]}],"deficiency_types":{"cms-k0343":{"code":"K-0343","title":"Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","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-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0771":{"code":"K-0771","title":"Ensure that smoke control systems are tested and documented in accordance with established engineering principles.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0814":{"code":"F-0814","title":"Dispose of garbage and refuse properly.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0882":{"code":"F-0882","title":"Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"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-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-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-f0628":{"code":"F-0628","title":"Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0851":{"code":"F-0851","title":"Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-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-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-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-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-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-f0625":{"code":"F-0625","title":"Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.","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"}},"penalties":[],"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=17E026&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=17E026&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=17E026&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=17E026&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=17E026&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=17E026&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":"KS","overall_rating":3.1,"health_inspection_rating":2.9,"qm_rating":3.3,"staffing_rating":3.5,"avg_residents_per_day":50.4,"cycle1_health_deficiencies":9.4,"cycle1_fire_deficiencies":8.8,"nurse_aide_hprd":2.74,"lpn_hprd":0.66,"rn_hprd":0.72851,"licensed_hprd":1.39,"total_nurse_hprd":4.13135,"weekend_total_nurse_hprd":3.61783,"weekend_rn_hprd":0.51,"pt_hprd":0.04,"nursing_turnover_pct":48,"rn_turnover_pct":42.6,"administrators_left":0.3,"case_mix_index":1.25811,"fines":1,"fine_amount":20100,"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":"KS","name":"Kansas"},"county":{"fips":"20119","name":"Meade County"},"zip":"67864","city":"Meade"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[]}}