{"schema_version":"1.0.0","facility":{"id":"cms-235192","ccn":"235192","name":"Mymichigan Skilled Nursing Facility","source_name":"MyMichigan Skilled Nursing 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":"805 West Cedar","city":"Standish","state":"MI","zip":"48658","county_name":"Arenac County","county_fips":"26011","county_method":"name_match","ssa_county_code":"050","urban":false},"location":{"lat":43.9828,"lon":-83.969,"method":"cms_published_coordinates"},"phone":"9898464521","certification":{"authority":"CMS","ccn":"235192","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1970-02-28","certified_beds":29,"resides_in_hospital":true,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/235192"},"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":29,"avg_residents_per_day":24.1},"ownership_type":"Non profit - Corporation","ownership_class":"non_profit","legal_business_name":"MYMICHIGAN MEDICAL CENTER STANDISH","flags":{"ccrc":false,"abuse_icon":false,"high_performing":true,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Both","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":4},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":5},"staffing":{"value":5},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":3.29838,"lpn_hprd":0.0607,"rn_hprd":1.92994,"licensed_hprd":1.99064,"total_nurse_hprd":5.28902,"weekend_total_nurse_hprd":4.56371,"weekend_rn_hprd":1.32016,"pt_hprd":0.04925,"nursing_turnover_pct":17.2,"rn_turnover_pct":20,"administrators_left":0,"case_mix_index":1.29711,"case_mix_index_ratio":0.91977,"case_mix_total_nurse_hprd":3.58791,"adjusted_total_nurse_hprd":5.70522,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-15","cycle1_deficiencies":6,"cycle1_score":40,"cycle2_date":"2025-02-21","cycle23_deficiencies":5,"cycle23_score":36,"total_weighted_score":39},"cms_penalty_counts":{"fines":1,"fine_total":32175,"payment_denials":0,"total":1},"operator_id":"op-mymichigan-medical-center-standish","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/235192","provenance":[{"source_id":"cms_provider_info","source_record_id":"235192","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=235192&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":"235192","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=235192&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":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2026-04-15","latest_standard_health":"2026-04-15","earliest_date":"2023-11-15","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":22,"health_count":18,"fire_count":4,"open_count":0,"actual_harm_count":3,"immediate_jeopardy_count":0,"serious_count":3,"complaint_count":1,"by_severity":{"potential":18,"actual_harm":3,"minimal":1},"by_scope_severity":{"F":5,"E":2,"D":11,"G":3,"C":1},"by_concept":{"environment_life_safety":4,"infection_prevention":1,"resident_rights":4,"clinical_care":6,"medication":4,"food_nutrition":2,"staffing":1},"type_ids":["cms-k0324","cms-k0908","cms-k0914","cms-f0880","cms-f0605","cms-f0552","cms-f0688","cms-f0757","cms-f0759","cms-k0353","cms-f0558","cms-f0689","cms-f0758","cms-f0812","cms-f0686","cms-f0578","cms-f0695","cms-f0732"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":32175,"payment_denials":0,"latest_date":"2024-03-06"},"ownership_summary":{"disclosures":12,"organizations":2,"individuals":10,"not_available":false}},"row":{"id":"cms-235192","ccn":"235192","name":"Mymichigan Skilled Nursing Facility","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MI","city":"Standish","zip":"48658","county_fips":"26011","county_name":"Arenac County","address":"805 West Cedar","beds":29,"residents":24.1,"ownership":"non_profit","operator_id":"op-mymichigan-medical-center-standish","operator_name":"Mymichigan Medical Center Standish","lat":43.9828,"lon":-83.969,"overall":5,"health_rating":4,"staffing_rating":5,"qm_rating":5,"nurse_hprd":5.29,"turnover":17.2,"inspections":7,"last_inspection":"2026-04-15","deficiencies":22,"serious":3,"ij":0,"open":0,"penalties":1,"fines_total":32175,"deficiency_type_ids":["cms-k0324","cms-k0908","cms-k0914","cms-f0880","cms-f0605","cms-f0552","cms-f0688","cms-f0757","cms-f0759","cms-k0353","cms-f0558","cms-f0689","cms-f0758","cms-f0812","cms-f0686","cms-f0578","cms-f0695","cms-f0732"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-mymichigan-medical-center-standish","name":"Mymichigan Medical Center Standish","legal_name":"MYMICHIGAN MEDICAL CENTER STANDISH","facility_count":1,"states":["MI"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-mymichigan-health","owner_type":"organization","owner_name":"Mymichigan Health","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2024-08-01"},{"owner_id":"org-mymichigan-medical-center-standish","owner_type":"organization","owner_name":"Mymichigan Medical Center Standish","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2024-08-01"},{"owner_type":"individual","owner_name":"Tricia Gorde","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-02","owner_name_raw":"GORDE, TRICIA"},{"owner_type":"individual","owner_name":"Samantha Hunter","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-11-04","owner_name_raw":"HUNTER, SAMANTHA"},{"owner_type":"individual","owner_name":"Brodi Lynch","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"LYNCH, BRODI"},{"owner_type":"individual","owner_name":"Laurilee Mccord","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-01-01","owner_name_raw":"MCCORD, LAURILEE"},{"owner_type":"individual","owner_name":"Jeanette Zaske","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-11-06","owner_name_raw":"ZASKE, JEANETTE"},{"owner_type":"individual","owner_name":"Tricia Gorde","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-02","owner_name_raw":"GORDE, TRICIA"},{"owner_type":"individual","owner_name":"Michael Erickson","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"ERICKSON, MICHAEL"},{"owner_type":"individual","owner_name":"Sarah James","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2025-11-04","owner_name_raw":"JAMES, SARAH"},{"owner_type":"individual","owner_name":"Brodi Lynch","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-11-04","owner_name_raw":"LYNCH, BRODI"},{"owner_type":"individual","owner_name":"Jeanette Zaske","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-11-06","owner_name_raw":"ZASKE, JEANETTE"}],"inspections":[{"id":"cms-235192-20260415-fire","ccn":"235192","date":"2026-04-15","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"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-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-18","std":1,"tv":"New"},{"t":"cms-k0908","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-18","std":1,"tv":"New"},{"t":"cms-k0914","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-18","std":1,"tv":"New"}]},{"id":"cms-235192-20260415-health","ccn":"235192","date":"2026-04-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"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-f0552","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-18","std":1},{"t":"cms-f0605","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-18","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-18","std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-18","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-18","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-18","std":1}]},{"id":"cms-235192-20250221-fire","ccn":"235192","date":"2025-02-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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":"F","sl":2,"cs":"corrected","cd":"2025-03-24","std":1,"tv":"New"}]},{"id":"cms-235192-20250221-health","ccn":"235192","date":"2025-02-21","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-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-24","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-24","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-24","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-24","std":1}]},{"id":"cms-235192-20240306-fire","ccn":"235192","date":"2024-03-06","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-235192-20240306-health","ccn":"235192","date":"2024-03-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2024-04-03","std":1},{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2024-04-03","std":1},{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-03","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-03","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-03","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-03","std":1},{"t":"cms-f0732","ss":"C","sl":1,"cs":"corrected","cd":"2024-04-03","std":1}]},{"id":"cms-235192-20231115-health","ccn":"235192","date":"2023-11-15","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2023-12-11","cmp":1}]}],"deficiency_types":{"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0908":{"code":"K-0908","title":"Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0914":{"code":"K-0914","title":"Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.","category":"Gas, Vacuum, and Electrical Systems 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-f0605":{"code":"F-0605","title":"Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0552":{"code":"F-0552","title":"Ensure that residents are fully informed and understand their health status, care and treatments.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0688":{"code":"F-0688","title":"Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"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-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0578":{"code":"F-0578","title":"Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-f0732":{"code":"F-0732","title":"Post nurse staffing information every day.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"}},"penalties":[{"id":"cms-235192-pen-f58950","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-03-06","amount":32175,"fine_id":"58950","evidence_class":"VERIFIED","source_record_id":"235192|Fine|58950"}],"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=235192&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=235192&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=235192&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=235192&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=235192&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=235192&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":"26011","name":"Arenac County"},"zip":"48658","city":"Standish"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-235416","ccn":"235416","name":"Medilodge of Sterling","address":"500 School Road","city":"Sterling","state":"MI","zip":"48659","beds":39,"overall":5,"inspections":7,"last_inspection":"2025-09-05","deficiencies":26,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":13.7}]}}