{"schema_version":"1.0.0","facility":{"id":"cms-235352","ccn":"235352","name":"Cass County Medical Care Facility","source_name":"Cass County 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":"23770 Hospital St","city":"Cassopolis","state":"MI","zip":"49031","county_name":"Cass County","county_fips":"26027","county_method":"name_match","ssa_county_code":"130","urban":true},"location":{"lat":41.8835,"lon":-86.027,"method":"cms_published_coordinates"},"phone":"2692284000","certification":{"authority":"CMS","ccn":"235352","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1977-10-08","certified_beds":80,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/235352"},"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":80,"avg_residents_per_day":72.8},"ownership_type":"Government - County","ownership_class":"government","legal_business_name":"COUNTY OF CASS","flags":{"ccrc":false,"abuse_icon":false,"high_performing":true,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","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":3.37228,"lpn_hprd":0.7233,"rn_hprd":0.81184,"licensed_hprd":1.53515,"total_nurse_hprd":4.90743,"weekend_total_nurse_hprd":4.18735,"weekend_rn_hprd":0.50086,"pt_hprd":0,"nursing_turnover_pct":39.4,"rn_turnover_pct":37.5,"administrators_left":0,"case_mix_index":1.2342,"case_mix_index_ratio":0.87516,"case_mix_total_nurse_hprd":3.41389,"adjusted_total_nurse_hprd":5.56343,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-05-07","cycle1_deficiencies":6,"cycle1_score":40,"cycle2_date":"2025-03-25","cycle23_deficiencies":5,"cycle23_score":68,"total_weighted_score":47},"cms_penalty_counts":{"fines":2,"fine_total":15593,"payment_denials":0,"total":2},"operator_id":"op-county-of-cass","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/235352","provenance":[{"source_id":"cms_provider_info","source_record_id":"235352","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=235352&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":"235352","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=235352&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":2,"latest_date":"2026-05-07","latest_standard_health":"2026-05-07","earliest_date":"2024-03-20","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":31,"health_count":17,"fire_count":14,"open_count":0,"actual_harm_count":2,"immediate_jeopardy_count":0,"serious_count":2,"complaint_count":4,"by_severity":{"potential":29,"actual_harm":2},"by_scope_severity":{"F":7,"E":9,"D":13,"G":2},"by_concept":{"environment_life_safety":14,"food_nutrition":2,"clinical_care":9,"resident_rights":4,"infection_prevention":2},"type_ids":["cms-k0324","cms-k0900","cms-k0920","cms-f0812","cms-f0695","cms-f0554","cms-f0791","cms-f0657","cms-f0689","cms-k0345","cms-k0918","cms-k0363","cms-k0753","cms-f0880","cms-f0550","cms-k0232","cms-k0761","cms-k0321","cms-k0914","cms-f0557","cms-f0561","cms-f0677","cms-f0679","cms-f0686","cms-f0658","cms-f0684"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":2,"fines":2,"fine_total":15593,"payment_denials":0,"latest_date":"2024-03-20"},"ownership_summary":{"disclosures":5,"organizations":1,"individuals":4,"not_available":false}},"row":{"id":"cms-235352","ccn":"235352","name":"Cass County Medical Care Facility","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MI","city":"Cassopolis","zip":"49031","county_fips":"26027","county_name":"Cass County","address":"23770 Hospital St","beds":80,"residents":72.8,"ownership":"government","operator_id":"op-county-of-cass","operator_name":"County of Cass","lat":41.8835,"lon":-86.027,"overall":5,"health_rating":4,"staffing_rating":5,"qm_rating":5,"nurse_hprd":4.91,"turnover":39.4,"inspections":8,"last_inspection":"2026-05-07","deficiencies":31,"serious":2,"ij":0,"open":0,"penalties":2,"fines_total":15593,"deficiency_type_ids":["cms-k0324","cms-k0900","cms-k0920","cms-f0812","cms-f0695","cms-f0554","cms-f0791","cms-f0657","cms-f0689","cms-k0345","cms-k0918","cms-k0363","cms-k0753","cms-f0880","cms-f0550","cms-k0232","cms-k0761","cms-k0321","cms-k0914","cms-f0557","cms-f0561","cms-f0677","cms-f0679","cms-f0686","cms-f0658","cms-f0684"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-county-of-cass","name":"County of Cass","legal_name":"COUNTY OF CASS","facility_count":1,"states":["MI"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-county-of-cass","owner_type":"organization","owner_name":"County of Cass","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2000-01-01"},{"owner_type":"individual","owner_name":"Christian Lutes","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-05-23","owner_name_raw":"LUTES, CHRISTIAN"},{"owner_type":"individual","owner_name":"Diane Seifert","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-18","owner_name_raw":"SEIFERT, DIANE"},{"owner_type":"individual","owner_name":"Vicki Vaughn","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2008-09-22","owner_name_raw":"VAUGHN, VICKI"},{"owner_type":"individual","owner_name":"Christian Lutes","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2009-01-05","owner_name_raw":"LUTES, CHRISTIAN"}],"inspections":[{"id":"cms-235352-20260507-fire","ccn":"235352","date":"2026-05-07","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":"2026-06-14","std":1,"tv":"New"},{"t":"cms-k0900","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-14","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-14","std":1,"tv":"New"}]},{"id":"cms-235352-20260507-health","ccn":"235352","date":"2026-05-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"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-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-14","std":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-14","std":1},{"t":"cms-f0791","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-14","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-06-14","std":1}]},{"id":"cms-235352-20251121-health","ccn":"235352","date":"2025-11-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"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-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-17","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-17","cmp":1}]},{"id":"cms-235352-20250325-fire","ccn":"235352","date":"2025-03-25","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-27","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-27","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-27","std":1,"tv":"New"},{"t":"cms-k0753","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-27","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-27","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-27","std":1,"tv":"New"}]},{"id":"cms-235352-20250325-health","ccn":"235352","date":"2025-03-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-25","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-04-25","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-25","std":1}]},{"id":"cms-235352-20240425-fire","ccn":"235352","date":"2024-04-25","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0232","ss":"F","sl":2,"cs":"corrected","cd":"2024-05-31","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-31","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-31","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2024-05-31","std":1,"tv":"New"},{"t":"cms-k0914","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-31","std":1,"tv":"New"}]},{"id":"cms-235352-20240425-health","ccn":"235352","date":"2024-04-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0557","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-31","std":1},{"t":"cms-f0561","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-31","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-31","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-31","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-31","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-31","std":1}]},{"id":"cms-235352-20240320-health","ccn":"235352","date":"2024-03-20","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0658","ss":"G","sl":3,"cs":"corrected","cd":"2024-04-13","cmp":1},{"t":"cms-f0684","ss":"G","sl":3,"cs":"corrected","cd":"2024-04-13","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-k0900":{"code":"K-0900","title":"Meet Health Care Facilities Code mechanical requirements.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-f0554":{"code":"F-0554","title":"Allow residents to self-administer drugs if determined clinically appropriate.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0791":{"code":"F-0791","title":"Provide or obtain dental services for each resident.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0232":{"code":"K-0232","title":"Have corridors or aisles that are unobstructed and are at least 8 feet in width.","category":"Egress 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-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke 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-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-f0561":{"code":"F-0561","title":"Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.","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-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-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-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-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"}},"penalties":[{"id":"cms-235352-pen-f58959","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-03-20","amount":7797,"fine_id":"58959","evidence_class":"VERIFIED","source_record_id":"235352|Fine|58959"},{"id":"cms-235352-pen-f58958","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-03-20","amount":7796,"fine_id":"58958","evidence_class":"VERIFIED","source_record_id":"235352|Fine|58958"}],"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=235352&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=235352&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=235352&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=235352&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=235352&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=235352&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":"26027","name":"Cass County"},"zip":"49031","city":"Cassopolis"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-235652","ccn":"235652","name":"The Timbers of Cass County","address":"55432 Colby St","city":"Dowagiac","state":"MI","zip":"49047","beds":108,"overall":2,"inspections":10,"last_inspection":"2026-05-14","deficiencies":57,"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},{"id":"cms-155269","ccn":"155269","name":"East Lake Nursing & Rehabilitation Center","address":"1900 Jeanwood Dr","city":"Elkhart","state":"IN","zip":"46514","beds":152,"overall":4,"inspections":6,"last_inspection":"2026-04-20","deficiencies":33,"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":20.9}]}}