{"schema_version":"1.0.0","facility":{"id":"cms-195293","ccn":"195293","name":"Onyx Care of Natchitoches","source_name":"Onyx Care of Natchitoches","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":"LA","address":{"line1":"750 Keyser Avenue","city":"Natchitoches","state":"LA","zip":"71457","county_name":"Natchitoches Parish","county_fips":"22069","county_method":"name_match","ssa_county_code":"340","urban":false},"location":{"lat":31.7532,"lon":-93.074,"method":"cms_published_coordinates"},"phone":"3183528779","certification":{"authority":"CMS","ccn":"195293","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1994-07-01","certified_beds":98,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/195293"},"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":98,"avg_residents_per_day":61.6},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name_note":"CMS reports the legal business name as not available.","flags":{"ccrc":false,"special_focus":"SFF Candidate","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":2},"long_stay_qm":{"value":2},"short_stay_qm":{"footnote":"2"},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.35457,"lpn_hprd":1.03572,"rn_hprd":0.26637,"licensed_hprd":1.30209,"total_nurse_hprd":3.65666,"weekend_total_nurse_hprd":3.03439,"weekend_rn_hprd":0.1276,"pt_hprd":0.02332,"nursing_turnover_pct":66.1,"rn_turnover_footnote":"27","administrators_left":2,"case_mix_index":1.2658,"case_mix_index_ratio":0.89757,"case_mix_total_nurse_hprd":3.5013,"adjusted_total_nurse_hprd":4.04197,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-03-25","cycle1_deficiencies":26,"cycle1_score":144,"cycle2_date":"2025-03-12","cycle23_deficiencies":45,"cycle23_score":546,"total_weighted_score":244.5},"cms_penalty_counts":{"fines":4,"fine_total":616611,"payment_denials":0,"total":4},"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/195293","provenance":[{"source_id":"cms_provider_info","source_record_id":"195293","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=195293&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":"195293","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=195293&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":17,"health_count":14,"fire_count":3,"complaint_count":14,"latest_date":"2026-08-26","latest_standard_health":"2026-03-25","earliest_date":"2023-10-26","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":75,"health_count":71,"fire_count":4,"open_count":0,"actual_harm_count":2,"immediate_jeopardy_count":4,"serious_count":6,"complaint_count":60,"by_severity":{"potential":69,"actual_harm":2,"immediate_jeopardy":4},"by_scope_severity":{"E":26,"D":43,"H":2,"J":4},"by_concept":{"food_nutrition":6,"resident_rights":19,"clinical_care":29,"staffing":4,"infection_prevention":4,"environment_life_safety":5,"medication":3,"administration":4,"emergency_preparedness":1},"type_ids":["cms-f0802","cms-f0812","cms-f0557","cms-f0584","cms-f0658","cms-f0676","cms-f0727","cms-f0880","cms-f0908","cms-f0565","cms-f0755","cms-f0761","cms-f0835","cms-f0842","cms-f0628","cms-f0730","cms-f0800","cms-f0558","cms-f0677","cms-f0550","cms-f0567","cms-f0656","cms-f0692","cms-f0868","cms-f0679","cms-f0580","cms-f0697","cms-f0814","cms-f0921","cms-f0684","cms-f0689","cms-e0004","cms-k0211","cms-k0345","cms-k0917","cms-f0725","cms-f0585","cms-f0687","cms-f0698","cms-f0690","cms-f0726","cms-f0695"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":4,"fines":4,"fine_total":616611,"payment_denials":0,"latest_date":"2025-03-12"},"ownership_summary":{"disclosures":0,"organizations":0,"individuals":0,"not_available":true}},"row":{"id":"cms-195293","ccn":"195293","name":"Onyx Care of Natchitoches","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"LA","city":"Natchitoches","zip":"71457","county_fips":"22069","county_name":"Natchitoches Parish","address":"750 Keyser Avenue","beds":98,"residents":61.6,"ownership":"for_profit","lat":31.7532,"lon":-93.074,"overall":1,"health_rating":1,"staffing_rating":2,"qm_rating":2,"nurse_hprd":3.66,"turnover":66.1,"sff":"SFF Candidate","inspections":17,"last_inspection":"2026-08-26","deficiencies":75,"serious":6,"ij":4,"open":0,"penalties":4,"fines_total":616611,"deficiency_type_ids":["cms-f0802","cms-f0812","cms-f0557","cms-f0584","cms-f0658","cms-f0676","cms-f0727","cms-f0880","cms-f0908","cms-f0565","cms-f0755","cms-f0761","cms-f0835","cms-f0842","cms-f0628","cms-f0730","cms-f0800","cms-f0558","cms-f0677","cms-f0550","cms-f0567","cms-f0656","cms-f0692","cms-f0868","cms-f0679","cms-f0580","cms-f0697","cms-f0814","cms-f0921","cms-f0684","cms-f0689","cms-e0004","cms-k0211","cms-k0345","cms-k0917","cms-f0725","cms-f0585","cms-f0687","cms-f0698","cms-f0690","cms-f0726","cms-f0695"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"ownership":[],"inspections":[{"id":"cms-195293-20260826-health","ccn":"195293","date":"2026-08-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0557","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-23","cmp":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-23","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-23","cmp":1},{"t":"cms-f0676","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-23","cmp":1},{"t":"cms-f0727","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-23","cmp":1},{"t":"cms-f0802","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-23","cmp":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-23","cmp":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-23","cmp":1},{"t":"cms-f0908","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-23","cmp":1}]},{"id":"cms-195293-20260325-fire","ccn":"195293","date":"2026-03-25","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-195293-20260325-health","ccn":"195293","date":"2026-03-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","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-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-13","std":1},{"t":"cms-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-13","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-13","std":1},{"t":"cms-f0730","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-13","std":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-13","cmp":1,"std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-13","cmp":1,"std":1},{"t":"cms-f0835","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-13","std":1},{"t":"cms-f0842","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-13","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-13","std":1}]},{"id":"cms-195293-20260224-health","ccn":"195293","date":"2026-02-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-25","cmp":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-25","cmp":1},{"t":"cms-f0800","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-25","cmp":1}]},{"id":"cms-195293-20260114-health","ccn":"195293","date":"2026-01-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-21","cmp":1},{"t":"cms-f0567","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-21","cmp":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-21","cmp":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-21","cmp":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-21","cmp":1}]},{"id":"cms-195293-20250620-health","ccn":"195293","date":"2025-06-20","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-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-09","cmp":1}]},{"id":"cms-195293-20250312-fire","ccn":"195293","date":"2025-03-12","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-195293-20250312-health","ccn":"195293","date":"2025-03-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0692","ss":"H","sl":3,"cs":"corrected","cd":"2025-04-14","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-14","cmp":1,"std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-14","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-14","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-14","cmp":1,"std":1},{"t":"cms-f0868","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-14","std":1}]},{"id":"cms-195293-20250107-health","ccn":"195293","date":"2025-01-07","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-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-04","cmp":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-04","cmp":1}]},{"id":"cms-195293-20241125-health","ccn":"195293","date":"2024-11-25","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":"2024-11-27","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-27","cmp":1},{"t":"cms-f0814","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-27","cmp":1},{"t":"cms-f0921","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-27","cmp":1}]},{"id":"cms-195293-20241025-health","ccn":"195293","date":"2024-10-25","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":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"J","sl":4,"cs":"corrected","cd":"2024-11-25","cmp":1},{"t":"cms-f0835","ss":"J","sl":4,"cs":"corrected","cd":"2024-11-25","cmp":1},{"t":"cms-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-25","cmp":1}]},{"id":"cms-195293-20240919-health","ccn":"195293","date":"2024-09-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0800","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-09","cmp":1}]},{"id":"cms-195293-20240524-health","ccn":"195293","date":"2024-05-24","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":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2024-06-17","cmp":1},{"t":"cms-f0835","ss":"J","sl":4,"cs":"corrected","cd":"2024-06-17","cmp":1}]},{"id":"cms-195293-20240111-fire","ccn":"195293","date":"2024-01-11","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-e0004","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1,"tv":"New"},{"t":"cms-k0211","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-16","std":1,"tv":"New"},{"t":"cms-k0345","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-16","std":1,"tv":"New"},{"t":"cms-k0917","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-16","std":1,"tv":"New"}]},{"id":"cms-195293-20240111-health","ccn":"195293","date":"2024-01-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"H","sl":3,"cs":"corrected","cd":"2024-02-09","cmp":1,"std":1},{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1,"std":1},{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1},{"t":"cms-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1,"std":1},{"t":"cms-f0585","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1,"std":1},{"t":"cms-f0687","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1,"std":1},{"t":"cms-f0814","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1}]},{"id":"cms-195293-20231108-health","ccn":"195293","date":"2023-11-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1}]},{"id":"cms-195293-20231026-health","ccn":"195293","date":"2023-10-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0557","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0726","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1},{"t":"cms-f0842","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-10","cmp":1}]}],"deficiency_types":{"cms-f0802":{"code":"F-0802","title":"Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0557":{"code":"F-0557","title":"Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-f0727":{"code":"F-0727","title":"Have a registered nurse on duty 8 hours a day; and  select a registered nurse to be the director of nurses on a full time basis.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0565":{"code":"F-0565","title":"Honor the resident's right to organize and participate in resident/family groups in the facility.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0835":{"code":"F-0835","title":"Administer the facility in a manner that enables it to use its resources effectively and efficiently.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-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-f0730":{"code":"F-0730","title":"Observe each nurse aide's job performance and give regular training.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0800":{"code":"F-0800","title":"Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-f0679":{"code":"F-0679","title":"Provide activities to meet all resident's needs.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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-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-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-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-k0917":{"code":"K-0917","title":"Ensure electrical receptacles or cover plates have distinctive color or marking.","category":"Gas, Vacuum, and Electrical Systems 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-f0585":{"code":"F-0585","title":"Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0687":{"code":"F-0687","title":"Provide appropriate foot care.","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-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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"}},"penalties":[{"id":"cms-195293-pen-f95018","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-03-12","amount":212875,"fine_id":"95018","evidence_class":"VERIFIED","source_record_id":"195293|Fine|95018"},{"id":"cms-195293-pen-f94949","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-10-25","amount":235974,"fine_id":"94949","evidence_class":"VERIFIED","source_record_id":"195293|Fine|94949"},{"id":"cms-195293-pen-f94870","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-05-24","amount":69521,"fine_id":"94870","evidence_class":"VERIFIED","source_record_id":"195293|Fine|94870"},{"id":"cms-195293-pen-f94784","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-01-11","amount":98241,"fine_id":"94784","evidence_class":"VERIFIED","source_record_id":"195293|Fine|94784"}],"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=195293&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=195293&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=195293&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=195293&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=195293&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=195293&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":"LA","overall_rating":2.6,"health_inspection_rating":2.9,"qm_rating":2.4,"staffing_rating":2.4,"avg_residents_per_day":91.3,"cycle1_health_deficiencies":6.2,"cycle1_fire_deficiencies":0.9,"nurse_aide_hprd":2.32,"lpn_hprd":1.18,"rn_hprd":0.31287,"licensed_hprd":1.5,"total_nurse_hprd":3.81699,"weekend_total_nurse_hprd":3.23992,"weekend_rn_hprd":0.21,"pt_hprd":0.05,"nursing_turnover_pct":47.1,"rn_turnover_pct":38.7,"administrators_left":0.4,"case_mix_index":1.30874,"fines":0.8,"fine_amount":45745,"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":"LA","name":"Louisiana"},"county":{"fips":"22069","name":"Natchitoches Parish"},"zip":"71457","city":"Natchitoches"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-195213","ccn":"195213","name":"Courtyard of Natchitoches","address":"708 Keyser Avenue","city":"Natchitoches","state":"LA","zip":"71457","beds":112,"overall":1,"inspections":15,"last_inspection":"2026-08-12","deficiencies":48,"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":0},{"id":"cms-195405","ccn":"195405","name":"Natchitoches Community Care Center","address":"781 Highway 494","city":"Natchitoches","state":"LA","zip":"71457","beds":120,"overall":2,"inspections":12,"last_inspection":"2025-09-17","deficiencies":29,"serious":3,"ij":3,"open":0,"fines_total":123305,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3}]}}