{"schema_version":"1.0.0","facility":{"id":"cms-245396","ccn":"245396","name":"Cura of Melrose","source_name":"CURA OF MELROSE","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":"MN","address":{"line1":"101 5th Avenue NW","city":"Melrose","state":"MN","zip":"56352","county_name":"Stearns County","county_fips":"27145","county_method":"name_match","ssa_county_code":"720","urban":true},"location":{"lat":45.6764,"lon":-94.822,"method":"cms_published_coordinates"},"phone":"3202564474","certification":{"authority":"CMS","ccn":"245396","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1986-12-01","certified_beds":75,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/245396"},"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":75,"avg_residents_per_day":63.5},"ownership_type":"Non profit - Corporation","ownership_class":"non_profit","legal_business_name":"CURA OF MELROSE LLC","flags":{"ccrc":false,"abuse_icon":true,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":2},"quality_measures":{"value":2},"long_stay_qm":{"value":2},"short_stay_qm":{"value":3},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":3.0513,"lpn_hprd":0.39156,"rn_hprd":0.86988,"licensed_hprd":1.26143,"total_nurse_hprd":4.31274,"weekend_total_nurse_hprd":3.78545,"weekend_rn_hprd":0.42758,"pt_hprd":0.01399,"nursing_turnover_pct":56.7,"rn_turnover_pct":69.6,"administrator_turnover_footnote":"26","case_mix_index":1.19609,"case_mix_index_ratio":0.84814,"case_mix_total_nurse_hprd":3.30846,"adjusted_total_nurse_hprd":5.04505,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-09-11","cycle1_deficiencies":11,"cycle1_score":108,"cycle2_date":"2024-08-29","cycle23_deficiencies":5,"cycle23_score":40,"total_weighted_score":91},"cms_penalty_counts":{"fines":2,"fine_total":49585,"payment_denials":1,"total":3},"chain":{"id":"cms-chain-865","cms_chain_id":"865","name":"CURA"},"operator_id":"op-cura-of-melrose-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/245396","provenance":[{"source_id":"cms_provider_info","source_record_id":"245396","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=245396&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":"245396","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=245396&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":12,"health_count":9,"fire_count":3,"complaint_count":7,"latest_date":"2026-07-08","latest_standard_health":"2025-09-11","earliest_date":"2023-08-10","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":17,"fire_count":6,"open_count":0,"actual_harm_count":4,"immediate_jeopardy_count":1,"serious_count":5,"complaint_count":10,"by_severity":{"immediate_jeopardy":1,"actual_harm":4,"potential":18},"by_scope_severity":{"J":1,"G":4,"D":12,"F":3,"E":3},"by_concept":{"clinical_care":7,"resident_rights":6,"environment_life_safety":6,"medication":2,"infection_prevention":2},"type_ids":["cms-f0689","cms-f0600","cms-f0656","cms-f0609","cms-k0914","cms-k0353","cms-k0372","cms-k0363","cms-f0628","cms-f0756","cms-f0761","cms-f0842","cms-f0880","cms-f0686","cms-f0580","cms-k0362","cms-k0923","cms-f0550","cms-f0688","cms-f0552"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":3,"fines":2,"fine_total":49585,"payment_denials":1,"latest_date":"2026-07-08"},"ownership_summary":{"disclosures":17,"organizations":2,"individuals":13,"not_available":false}},"row":{"id":"cms-245396","ccn":"245396","name":"Cura of Melrose","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MN","city":"Melrose","zip":"56352","county_fips":"27145","county_name":"Stearns County","address":"101 5th Avenue NW","beds":75,"residents":63.5,"ownership":"non_profit","operator_id":"op-cura-of-melrose-llc","operator_name":"Cura of Melrose LLC","chain_id":"cms-chain-865","chain_name":"Cura","lat":45.6764,"lon":-94.822,"overall":2,"health_rating":2,"staffing_rating":4,"qm_rating":2,"nurse_hprd":4.31,"turnover":56.7,"abuse":true,"inspections":12,"last_inspection":"2026-07-08","deficiencies":23,"serious":5,"ij":1,"open":0,"penalties":3,"fines_total":49585,"deficiency_type_ids":["cms-f0689","cms-f0600","cms-f0656","cms-f0609","cms-k0914","cms-k0353","cms-k0372","cms-k0363","cms-f0628","cms-f0756","cms-f0761","cms-f0842","cms-f0880","cms-f0686","cms-f0580","cms-k0362","cms-k0923","cms-f0550","cms-f0688","cms-f0552"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-cura-of-melrose-llc","name":"Cura of Melrose LLC","legal_name":"CURA OF MELROSE LLC","facility_count":1,"states":["MN"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-865","name":"Cura","cms_chain_id":"865","facility_count":8,"states":["MN"],"cms_reported":{"facility_count":8,"avg_overall_rating":2.6,"avg_health_inspection_rating":2.8,"avg_staffing_rating":3.6,"avg_qm_rating":2.4}},"ownership":[{"owner_id":"org-cura","owner_type":"organization","owner_name":"Cura","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2024-01-23"},{"owner_type":"individual","owner_name":"Mark Dirkes","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-23","owner_name_raw":"DIRKES, MARK"},{"owner_type":"individual","owner_name":"Tom Opatz","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-23","owner_name_raw":"OPATZ, TOM"},{"owner_type":"individual","owner_name":"Fred Struzyk","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-23","owner_name_raw":"STRUZYK, FRED"},{"owner_id":"org-tf-management-llc","owner_type":"organization","owner_name":"Tf Management LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-04"},{"owner_type":"individual","owner_name":"Mark Dirkes","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-10-31","owner_name_raw":"DIRKES, MARK"},{"owner_type":"individual","owner_name":"Tom Opatz","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-10-31","owner_name_raw":"OPATZ, TOM"},{"owner_type":"individual","owner_name":"Fred Struzyk","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-10-31","owner_name_raw":"STRUZYK, FRED"},{"owner_type":"individual","owner_name":"Mark Dirkes","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-23","owner_name_raw":"DIRKES, MARK"},{"owner_type":"individual","owner_name":"Tom Opatz","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-23","owner_name_raw":"OPATZ, TOM"},{"owner_type":"individual","owner_name":"Fred Struzyk","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-23","owner_name_raw":"STRUZYK, FRED"},{"owner_id":"org-cura","owner_type":"organization","owner_name":"Cura","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-10-31"},{"owner_id":"org-tf-management-llc","owner_type":"organization","owner_name":"Tf Management LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-10-31"},{"owner_type":"individual","owner_name":"Mark Dirkes","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-23","owner_name_raw":"DIRKES, MARK"},{"owner_type":"individual","owner_name":"Patrick Heller","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-11","owner_name_raw":"HELLER, PATRICK"},{"owner_type":"individual","owner_name":"Tom Opatz","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-11","owner_name_raw":"OPATZ, TOM"},{"owner_type":"individual","owner_name":"Fred Struzyk","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-23","owner_name_raw":"STRUZYK, FRED"}],"inspections":[{"id":"cms-245396-20260708-health","ccn":"245396","date":"2026-07-08","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":"past_noncompliance","cmp":1}]},{"id":"cms-245396-20260514-health","ccn":"245396","date":"2026-05-14","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"G","sl":3,"cs":"past_noncompliance","cd":"2026-05-08","cmp":1}]},{"id":"cms-245396-20260114-health","ccn":"245396","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":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2026-02-03","cmp":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-03","cmp":1}]},{"id":"cms-245396-20251204-health","ccn":"245396","date":"2025-12-04","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"past_noncompliance","cd":"2025-12-01","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-29","cmp":1}]},{"id":"cms-245396-20250911-fire","ccn":"245396","date":"2025-09-11","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2025-11-14","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-14","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2025-11-14","std":1,"tv":"New"},{"t":"cms-k0914","ss":"F","sl":2,"cs":"corrected","cd":"2025-11-14","std":1,"tv":"New"}]},{"id":"cms-245396-20250911-health","ccn":"245396","date":"2025-09-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"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-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-14","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-14","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-14","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-14","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-14","std":1}]},{"id":"cms-245396-20250729-health","ccn":"245396","date":"2025-07-29","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2025-08-28","cmp":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-28","cmp":1}]},{"id":"cms-245396-20250428-health","ccn":"245396","date":"2025-04-28","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-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-09","cmp":1}]},{"id":"cms-245396-20240829-fire","ccn":"245396","date":"2024-08-29","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0362","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-07","std":1,"tv":"New"},{"t":"cms-k0923","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-07","std":1,"tv":"New"}]},{"id":"cms-245396-20240829-health","ccn":"245396","date":"2024-08-29","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2,3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-24","cmp":1,"std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-24","std":1}]},{"id":"cms-245396-20230810-fire","ccn":"245396","date":"2023-08-10","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-245396-20230810-health","ccn":"245396","date":"2023-08-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0552","ss":"D","sl":2,"cs":"corrected","cd":"2023-09-18","std":1}]}],"deficiency_types":{"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-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-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-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-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-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-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke 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-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-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","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-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-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-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-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-k0362":{"code":"K-0362","title":"Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-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"}},"penalties":[{"id":"cms-245396-pen-f141700","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-07-08","amount":22900,"fine_id":"141700","evidence_class":"VERIFIED","source_record_id":"245396|Fine|141700"},{"id":"cms-245396-pen-f139054","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-12-04","amount":26685,"fine_id":"139054","evidence_class":"VERIFIED","source_record_id":"245396|Fine|139054"},{"id":"cms-245396-pen-d20250729","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2025-07-29","denial_start":"2025-08-30","denial_days":76,"evidence_class":"VERIFIED","source_record_id":"245396|Payment Denial|2025-08-30"}],"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=245396&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=245396&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=245396&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=245396&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=245396&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=245396&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":"MN","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":3.2,"staffing_rating":4.2,"avg_residents_per_day":60.3,"cycle1_health_deficiencies":7.2,"cycle1_fire_deficiencies":4.1,"nurse_aide_hprd":2.58,"lpn_hprd":0.61,"rn_hprd":1.08396,"licensed_hprd":1.69,"total_nurse_hprd":4.26848,"weekend_total_nurse_hprd":3.73264,"weekend_rn_hprd":0.71,"pt_hprd":0.07,"nursing_turnover_pct":42.1,"rn_turnover_pct":39.3,"administrators_left":0.5,"case_mix_index":1.2089,"fines":0.7,"fine_amount":24560,"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":"MN","name":"Minnesota"},"county":{"fips":"27145","name":"Stearns County"},"zip":"56352","city":"Melrose"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-245127","ccn":"245127","name":"Cura of Onamia","address":"200 North Elm Street","city":"Onamia","state":"MN","zip":"56359","beds":57,"overall":2,"inspections":9,"last_inspection":"2026-04-23","deficiencies":19,"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"]},{"id":"cms-245244","ccn":"245244","name":"Cura of Long Prairie","address":"20 9th Street SE","city":"Long Prairie","state":"MN","zip":"56347","beds":60,"overall":4,"inspections":7,"last_inspection":"2026-06-09","deficiencies":14,"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"]},{"id":"cms-245253","ccn":"245253","name":"Cura of Paynesville","address":"407 East State Highway 55","city":"Paynesville","state":"MN","zip":"56362","beds":51,"overall":4,"inspections":6,"last_inspection":"2026-04-08","deficiencies":9,"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"]},{"id":"cms-245341","ccn":"245341","name":"Cura of Sauk Centre","address":"425 N Elm Street","city":"Sauk Centre","state":"MN","zip":"56378","beds":60,"overall":3,"inspections":9,"last_inspection":"2026-03-05","deficiencies":18,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-245410","ccn":"245410","name":"Cura of Willmar","address":"1801 Willmar Avenue Southwest","city":"Willmar","state":"MN","zip":"56201","beds":78,"overall":2,"inspections":9,"last_inspection":"2026-07-15","deficiencies":31,"serious":1,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-245416","ccn":"245416","name":"Cura of Le Sueur","address":"621 South 4th Street","city":"Le Sueur","state":"MN","zip":"56058","beds":50,"overall":2,"inspections":10,"last_inspection":"2026-06-24","deficiencies":45,"serious":2,"ij":1,"open":0,"fines_total":8021,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-245454","ccn":"245454","name":"Cura of Sandstone","address":"109 Court Avenue South","city":"Sandstone","state":"MN","zip":"55072","beds":50,"overall":2,"inspections":10,"last_inspection":"2026-07-16","deficiencies":37,"serious":1,"ij":1,"open":0,"fines_total":17345,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":7,"same_site_review":[],"nearby":[{"id":"cms-245341","ccn":"245341","name":"Cura of Sauk Centre","address":"425 N Elm Street","city":"Sauk Centre","state":"MN","zip":"56378","beds":60,"overall":3,"inspections":9,"last_inspection":"2026-03-05","deficiencies":18,"serious":1,"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":12.9}]}}