{"schema_version":"1.0.0","facility":{"id":"cms-185339","ccn":"185339","name":"Irvine Nursing and Rehabilitation Center","source_name":"Irvine Nursing 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":"KY","address":{"line1":"411 Bertha Wallace Drive","city":"Irvine","state":"KY","zip":"40336","county_name":"Estill County","county_fips":"21065","county_method":"name_match","ssa_county_code":"320","urban":false},"location":{"lat":37.7082,"lon":-83.97,"method":"cms_published_coordinates"},"phone":"6067235153","certification":{"authority":"CMS","ccn":"185339","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1992-04-01","certified_beds":86,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/185339"},"licenses":[{"state":"KY","authority":"Kentucky Cabinet for Health and Family Services, Office of Inspector General","license_number":"100437","state_facility_id":"100437","license_type":"Long-term care license (86 nursing facility, 2 personal care beds)","status":"active","licensed_beds":88,"capacity_unit":"beds","effective_date":"2026-04-01","expiration_date":"2027-03-31","licensee":"IRVINE OPERATING COMPANY, LLC","as_of":"2026-10-30","evidence_class":"INFERRED","source_id":"ky_oig_long_term_care","source_url":"https://chfs.ky.gov/agencies/os/oig/dhc/Pages/hcf.aspx","link_method":"exact_address_zip"}],"capacity":{"certified_beds":86,"licensed_beds":88,"avg_residents_per_day":79.3},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"IRVINE OPERATING COMPANY 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":4},"health_inspection":{"value":4},"quality_measures":{"value":2},"long_stay_qm":{"value":3},"short_stay_qm":{"value":1},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.32082,"lpn_hprd":0.73879,"rn_hprd":0.51588,"licensed_hprd":1.25467,"total_nurse_hprd":3.57549,"weekend_total_nurse_hprd":2.99781,"weekend_rn_hprd":0.43112,"pt_hprd":0.03563,"nursing_turnover_pct":47.3,"rn_turnover_pct":53.3,"administrators_left":0,"case_mix_index":1.55602,"case_mix_index_ratio":1.10336,"case_mix_total_nurse_hprd":4.30405,"adjusted_total_nurse_hprd":3.21512,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-02","cycle1_deficiencies":0,"cycle1_score":0,"cycle2_date":"2025-02-13","cycle23_deficiencies":7,"cycle23_score":32,"total_weighted_score":8},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-646","cms_chain_id":"646","name":"BENJAMIN LANDA"},"operator_id":"op-irvine-operating-company-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/185339","provenance":[{"source_id":"cms_provider_info","source_record_id":"185339","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=185339&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":"185339","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=185339&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."},{"source_id":"ky_oig_long_term_care","source_record_id":"100437","url":"https://chfs.ky.gov/agencies/os/oig/dhc/Pages/hcf.aspx","retrieved_at":"2026-11-07T14:53:47.203Z","source_updated_at":"2026-10-30","effective_date":"2026-10-30","jurisdiction":"KY","fields":["state_license","licensed_beds","licensee"],"evidence_class":"INFERRED","status":"current","note":"Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN)."}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2026-04-02","latest_standard_health":"2026-04-02","earliest_date":"2020-10-08","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":14,"health_count":8,"fire_count":6,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":3,"by_severity":{"potential":14},"by_scope_severity":{"D":9,"F":3,"E":2},"by_concept":{"environment_life_safety":8,"food_nutrition":1,"resident_rights":1,"infection_prevention":1,"clinical_care":3},"type_ids":["cms-k0353","cms-k0222","cms-k0741","cms-k0912","cms-f0804","cms-f0583","cms-f0880","cms-f0919","cms-f0641","cms-f0656","cms-f0921","cms-k0345","cms-f0694"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":9,"organizations":2,"individuals":7,"not_available":false}},"row":{"id":"cms-185339","ccn":"185339","name":"Irvine Nursing and Rehabilitation Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"KY","city":"Irvine","zip":"40336","county_fips":"21065","county_name":"Estill County","address":"411 Bertha Wallace Drive","beds":86,"residents":79.3,"ownership":"for_profit","operator_id":"op-irvine-operating-company-llc","operator_name":"Irvine Operating Company LLC","chain_id":"cms-chain-646","chain_name":"Benjamin Landa","lat":37.7082,"lon":-83.97,"overall":4,"health_rating":4,"staffing_rating":2,"qm_rating":2,"nurse_hprd":3.58,"turnover":47.3,"inspections":7,"last_inspection":"2026-04-02","deficiencies":14,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0353","cms-k0222","cms-k0741","cms-k0912","cms-f0804","cms-f0583","cms-f0880","cms-f0919","cms-f0641","cms-f0656","cms-f0921","cms-k0345","cms-f0694"],"universe":"cms","licensed_beds":88,"state_license":"KY 100437","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-irvine-operating-company-llc","name":"Irvine Operating Company LLC","legal_name":"IRVINE OPERATING COMPANY LLC","facility_count":1,"states":["KY"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-646","name":"Benjamin Landa","cms_chain_id":"646","facility_count":48,"states":["FL","KY","NJ","NY"],"cms_reported":{"facility_count":48,"avg_overall_rating":3.4,"avg_health_inspection_rating":3.3,"avg_staffing_rating":2.4,"avg_qm_rating":3.5}},"ownership":[{"owner_type":"individual","owner_name":"Goldie Platschek","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":25,"percentage_raw":"25%","association_date":"2018-09-01","owner_name_raw":"PLATSCHEK, GOLDIE"},{"owner_type":"individual","owner_name":"Alexander Platschek","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":15,"percentage_raw":"15%","association_date":"2018-09-01","owner_name_raw":"PLATSCHEK, ALEXANDER"},{"owner_type":"individual","owner_name":"David Rubenstein","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":7,"percentage_raw":"7%","association_date":"2018-09-01","owner_name_raw":"RUBENSTEIN, DAVID"},{"owner_type":"individual","owner_name":"Mica Collins","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-03-13","owner_name_raw":"COLLINS, MICA"},{"owner_type":"individual","owner_name":"Moshe Kelman","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2018-09-01","owner_name_raw":"KELMAN, MOSHE"},{"owner_type":"individual","owner_name":"Thomas Tackett","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-08-01","owner_name_raw":"TACKETT, THOMAS"},{"owner_type":"individual","owner_name":"Mica Collins","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2023-03-13","owner_name_raw":"COLLINS, MICA"},{"owner_id":"org-cibc-bank-usa","owner_type":"organization","owner_name":"Cibc Bank USA","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2018-09-01"},{"owner_id":"org-metropolitan-commercial-bank","owner_type":"organization","owner_name":"Metropolitan Commercial Bank","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2018-09-01"}],"inspections":[{"id":"cms-185339-20260402-fire","ccn":"185339","date":"2026-04-02","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-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-15","std":1,"tv":"New"}]},{"id":"cms-185339-20260402-health","ccn":"185339","date":"2026-04-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-185339-20250213-fire","ccn":"185339","date":"2025-02-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2025-03-08","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-08","std":1,"tv":"New"},{"t":"cms-k0912","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-08","std":1,"tv":"New"}]},{"id":"cms-185339-20250213-health","ccn":"185339","date":"2025-02-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0583","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-08","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-08","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-08","std":1},{"t":"cms-f0919","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-08","std":1}]},{"id":"cms-185339-20241219-health","ccn":"185339","date":"2024-12-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-14","cmp":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-14","cmp":1},{"t":"cms-f0921","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-14","cmp":1}]},{"id":"cms-185339-20201008-fire","ccn":"185339","date":"2020-10-08","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-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2020-11-03","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2020-11-03","std":1,"tv":"New"}]},{"id":"cms-185339-20201008-health","ccn":"185339","date":"2020-10-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0694","ss":"D","sl":2,"cs":"corrected","cd":"2020-11-03","std":1}]}],"deficiency_types":{"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-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0912":{"code":"K-0912","title":"Have power receptacles that are properly grounded.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0583":{"code":"F-0583","title":"Keep residents' personal and medical records private and confidential.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0919":{"code":"F-0919","title":"Make sure that a working call system is available in each resident's  bathroom and bathing area.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-f0694":{"code":"F-0694","title":"Provide for the safe, appropriate administration of IV fluids for a resident when needed.","category":"Quality of Life and Care 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=185339&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=185339&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=185339&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=185339&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=185339&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=185339&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":"KY","overall_rating":3,"health_inspection_rating":2.9,"qm_rating":3.3,"staffing_rating":2.8,"avg_residents_per_day":82.2,"cycle1_health_deficiencies":2.9,"cycle1_fire_deficiencies":3,"nurse_aide_hprd":2.39,"lpn_hprd":0.8,"rn_hprd":0.7987,"licensed_hprd":1.6,"total_nurse_hprd":3.99112,"weekend_total_nurse_hprd":3.48172,"weekend_rn_hprd":0.54,"pt_hprd":0.07,"nursing_turnover_pct":45.4,"rn_turnover_pct":40.8,"administrators_left":0.4,"case_mix_index":1.53438,"fines":0.7,"fine_amount":13588,"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":"KY","name":"Kentucky"},"county":{"fips":"21065","name":"Estill County"},"zip":"40336","city":"Irvine"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-185042","ccn":"185042","name":"The Grandview Nursing and Rehabilitation Facility","address":"640 Water Tower Bypass","city":"Campbellsville","state":"KY","zip":"42719","beds":81,"overall":4,"inspections":6,"last_inspection":"2025-09-04","deficiencies":14,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":81,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-185087","ccn":"185087","name":"Twin Rivers Nursing and Rehabilitation Center","address":"2420 W. 3rd Street","city":"Owensboro","state":"KY","zip":"42301","beds":132,"overall":5,"inspections":6,"last_inspection":"2025-07-18","deficiencies":25,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":132,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-185173","ccn":"185173","name":"Cumberland Nursing and Rehabilitation Center","address":"200 Norfleet Drive","city":"Somerset","state":"KY","zip":"42501","beds":93,"overall":3,"inspections":6,"last_inspection":"2026-04-18","deficiencies":15,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":93,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-185221","ccn":"185221","name":"Salyersville Nursing and Rehabilitation Center","address":"662 Parkway Drive","city":"Salyersville","state":"KY","zip":"41465","beds":142,"overall":1,"inspections":11,"last_inspection":"2026-07-31","deficiencies":48,"serious":18,"ij":17,"open":0,"fines_total":447485,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","licensed_beds":143,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-185252","ccn":"185252","name":"Shady Lawn Nursing and Rehabilitation Center","address":"2582 Cerulean Road","city":"Cadiz","state":"KY","zip":"42211","beds":50,"overall":4,"inspections":7,"last_inspection":"2026-08-28","deficiencies":13,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":50,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-185266","ccn":"185266","name":"Elizabethtown Nursing and Rehabilitation Center","address":"1101 Woodland Drive","city":"Elizabethtown","state":"KY","zip":"42701","beds":65,"overall":2,"inspections":7,"last_inspection":"2026-01-31","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":65,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-185272","ccn":"185272","name":"River Haven Nursing and Rehabilitation Center","address":"867 Mcguire Avenue","city":"Paducah","state":"KY","zip":"42001","beds":103,"overall":2,"inspections":8,"last_inspection":"2026-05-12","deficiencies":35,"serious":3,"ij":3,"open":0,"fines_total":1398,"status":"active","universe":"cms","licensed_beds":103,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-185302","ccn":"185302","name":"Hardinsburg Nursing and Rehabilitation Center","address":"101 Fairgrounds Road","city":"Hardinsburg","state":"KY","zip":"40143","beds":63,"overall":4,"inspections":6,"last_inspection":"2026-08-13","deficiencies":5,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":63,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":47,"same_site_review":[],"nearby":[{"id":"cms-185352","ccn":"185352","name":"Stanton Nursing and Rehabilitation Center","address":"31 Derickson Lane","city":"Stanton","state":"KY","zip":"40380","beds":81,"overall":3,"inspections":7,"last_inspection":"2025-06-12","deficiencies":14,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":82,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":19.1}]}}