{"schema_version":"1.0.0","facility":{"id":"cms-235147","ccn":"235147","name":"Schoolcraft Medical Care Facility","source_name":"Schoolcraft Medical Care Facility","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":"MI","address":{"line1":"520 Main Street","city":"Manistique","state":"MI","zip":"49854","county_name":"Schoolcraft County","county_fips":"26153","county_method":"name_match","ssa_county_code":"760","urban":false},"location":{"lat":45.9577,"lon":-86.239,"method":"cms_published_coordinates"},"phone":"9063416921","certification":{"authority":"CMS","ccn":"235147","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1968-01-01","certified_beds":85,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/235147"},"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":85,"avg_residents_per_day":63.2},"ownership_type":"Government - County","ownership_class":"government","legal_business_name":"SCHOOLCRAFT MEDICAL CARE FACILITY","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":3},"health_inspection":{"value":3},"quality_measures":{"value":2},"long_stay_qm":{"value":2},"short_stay_qm":{"footnote":"2"},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.33491,"lpn_hprd":0.60808,"rn_hprd":0.67147,"licensed_hprd":1.27955,"total_nurse_hprd":3.61445,"weekend_total_nurse_hprd":3.17205,"weekend_rn_hprd":0.46363,"pt_hprd":0.01657,"nursing_turnover_pct":50.7,"rn_turnover_pct":66.7,"administrators_left":0,"case_mix_index":1.16446,"case_mix_index_ratio":0.82571,"case_mix_total_nurse_hprd":3.22097,"adjusted_total_nurse_hprd":4.34305,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-03-25","cycle1_deficiencies":2,"cycle1_score":83,"cycle2_date":"2025-01-09","cycle23_deficiencies":6,"cycle23_score":60,"total_weighted_score":77.25},"cms_penalty_counts":{"fines":2,"fine_total":82637,"payment_denials":2,"total":4},"operator_id":"op-schoolcraft-medical-care-facility","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/235147","provenance":[{"source_id":"cms_provider_info","source_record_id":"235147","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=235147&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":"235147","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=235147&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":8,"health_count":5,"fire_count":3,"complaint_count":3,"latest_date":"2026-03-25","latest_standard_health":"2026-03-25","earliest_date":"2024-02-14","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":23,"health_count":11,"fire_count":12,"open_count":0,"actual_harm_count":2,"immediate_jeopardy_count":1,"serious_count":3,"complaint_count":5,"by_severity":{"potential":20,"immediate_jeopardy":1,"actual_harm":2},"by_scope_severity":{"F":10,"E":5,"J":1,"D":5,"G":2},"by_concept":{"environment_life_safety":11,"staffing":1,"clinical_care":2,"infection_prevention":2,"administration":2,"resident_rights":4,"emergency_preparedness":1},"type_ids":["cms-k0100","cms-k0345","cms-f0712","cms-f0689","cms-k0324","cms-k0353","cms-k0222","cms-k0511","cms-f0880","cms-f0851","cms-f0609","cms-f0610","cms-e0041","cms-k0346","cms-k0354","cms-k0761","cms-k0753","cms-f0684","cms-f0600","cms-f0607","cms-f0849"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":4,"fines":2,"fine_total":82637,"payment_denials":2,"latest_date":"2025-10-08"},"ownership_summary":{"disclosures":8,"organizations":1,"individuals":6,"not_available":false}},"row":{"id":"cms-235147","ccn":"235147","name":"Schoolcraft Medical Care Facility","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MI","city":"Manistique","zip":"49854","county_fips":"26153","county_name":"Schoolcraft County","address":"520 Main Street","beds":85,"residents":63.2,"ownership":"government","operator_id":"op-schoolcraft-medical-care-facility","operator_name":"Schoolcraft Medical Care Facility","lat":45.9577,"lon":-86.239,"overall":3,"health_rating":3,"staffing_rating":4,"qm_rating":2,"nurse_hprd":3.61,"turnover":50.7,"inspections":8,"last_inspection":"2026-03-25","deficiencies":23,"serious":3,"ij":1,"open":0,"penalties":4,"fines_total":82637,"deficiency_type_ids":["cms-k0100","cms-k0345","cms-f0712","cms-f0689","cms-k0324","cms-k0353","cms-k0222","cms-k0511","cms-f0880","cms-f0851","cms-f0609","cms-f0610","cms-e0041","cms-k0346","cms-k0354","cms-k0761","cms-k0753","cms-f0684","cms-f0600","cms-f0607","cms-f0849"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-schoolcraft-medical-care-facility","name":"Schoolcraft Medical Care Facility","legal_name":"SCHOOLCRAFT MEDICAL CARE FACILITY","facility_count":1,"states":["MI"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-schoolcraft-county","owner_type":"organization","owner_name":"Schoolcraft County","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"1968-01-01"},{"owner_type":"individual","owner_name":"Alecia Goudreau","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-03-29","owner_name_raw":"GOUDREAU, ALECIA"},{"owner_type":"individual","owner_name":"Kendra Lander","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-07-13","owner_name_raw":"LANDER, KENDRA"},{"owner_type":"individual","owner_name":"Uchebike Nwankwo","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-05","owner_name_raw":"NWANKWO, UCHEBIKE"},{"owner_id":"org-schoolcraft-county","owner_type":"organization","owner_name":"Schoolcraft County","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1968-01-01"},{"owner_type":"individual","owner_name":"Alecia Goudreau","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-01","owner_name_raw":"GOUDREAU, ALECIA"},{"owner_type":"individual","owner_name":"Kendra Lander","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2015-07-13","owner_name_raw":"LANDER, KENDRA"},{"owner_type":"individual","owner_name":"Uchebike Nwankwo","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-12-31","owner_name_raw":"NWANKWO, UCHEBIKE"}],"inspections":[{"id":"cms-235147-20260325-fire","ccn":"235147","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":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0100","ss":"F","sl":2,"cs":"corrected","cd":"2026-08-07","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-30","std":1,"tv":"New"}]},{"id":"cms-235147-20260325-health","ccn":"235147","date":"2026-03-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0712","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-24","std":1}]},{"id":"cms-235147-20251008-health","ccn":"235147","date":"2025-10-08","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":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2025-10-09","cmp":1}]},{"id":"cms-235147-20250109-fire","ccn":"235147","date":"2025-01-09","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0511","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"}]},{"id":"cms-235147-20250109-health","ccn":"235147","date":"2025-01-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0880","ss":"G","sl":3,"cs":"corrected","cd":"2025-02-20","std":1},{"t":"cms-f0851","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-07","std":1}]},{"id":"cms-235147-20240819-health","ccn":"235147","date":"2024-08-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-27","cmp":1},{"t":"cms-f0610","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-27","cmp":1}]},{"id":"cms-235147-20240214-fire","ccn":"235147","date":"2024-02-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-22","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-22","std":1,"tv":"New"},{"t":"cms-k0346","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-22","std":1,"tv":"New"},{"t":"cms-k0354","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-22","std":1,"tv":"New"},{"t":"cms-k0753","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-22","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-22","std":1,"tv":"New"}]},{"id":"cms-235147-20240214-health","ccn":"235147","date":"2024-02-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"G","sl":3,"cs":"corrected","cd":"2024-03-15","std":1},{"t":"cms-f0600","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2024-02-14","cmp":1,"std":1},{"t":"cms-f0607","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2024-02-14","cmp":1,"std":1},{"t":"cms-f0849","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-15","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-15","std":1}]}],"deficiency_types":{"cms-k0100":{"code":"K-0100","title":"Meet other general requirements.","category":"Construction 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-f0712":{"code":"F-0712","title":"Ensure that the resident and his/her doctor meet face-to-face at all required visits.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-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-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-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-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-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-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-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0346":{"code":"K-0346","title":"Follow proper procedures when the fire alarm was out of service for more than 4 hours.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-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-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-f0607":{"code":"F-0607","title":"Develop and implement policies and procedures to prevent abuse, neglect, and theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0849":{"code":"F-0849","title":"Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"}},"penalties":[{"id":"cms-235147-pen-f144244","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-10-08","amount":19145,"fine_id":"144244","evidence_class":"VERIFIED","source_record_id":"235147|Fine|144244"},{"id":"cms-235147-pen-d20250109","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2025-01-09","denial_start":"2025-02-08","denial_days":12,"evidence_class":"VERIFIED","source_record_id":"235147|Payment Denial|2025-02-08"},{"id":"cms-235147-pen-f59083","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-01-09","amount":63492,"fine_id":"59083","evidence_class":"VERIFIED","source_record_id":"235147|Fine|59083"},{"id":"cms-235147-pen-d20240214","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2024-02-14","denial_start":"2024-03-15","denial_days":7,"evidence_class":"VERIFIED","source_record_id":"235147|Payment Denial|2024-03-15"}],"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=235147&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=235147&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=235147&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=235147&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=235147&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=235147&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":"MI","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":3.9,"staffing_rating":3.6,"avg_residents_per_day":85.2,"cycle1_health_deficiencies":9.9,"cycle1_fire_deficiencies":4.8,"nurse_aide_hprd":2.36,"lpn_hprd":0.89,"rn_hprd":0.77975,"licensed_hprd":1.67,"total_nurse_hprd":4.02916,"weekend_total_nurse_hprd":3.50463,"weekend_rn_hprd":0.49,"pt_hprd":0.07,"nursing_turnover_pct":44.6,"rn_turnover_pct":39.2,"administrators_left":0.4,"case_mix_index":1.29957,"fines":0.6,"fine_amount":28400,"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":"MI","name":"Michigan"},"county":{"fips":"26153","name":"Schoolcraft County"},"zip":"49854","city":"Manistique"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[]}}