{"schema_version":"1.0.0","facility":{"id":"cms-255339","ccn":"255339","name":"Choctaw Residential Center","source_name":"Choctaw Residential Center","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":"MS","address":{"line1":"135 Residential Center Rd","city":"Choctaw","state":"MS","zip":"39350","county_name":"Neshoba County","county_fips":"28099","county_method":"name_match","ssa_county_code":"490","urban":false},"location":{"lat":32.774,"lon":-89.115,"method":"cms_published_coordinates","footnote":"22"},"phone":"6016562582","certification":{"authority":"CMS","ccn":"255339","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2013-08-25","certified_beds":120,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/255339"},"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":120,"avg_residents_per_day":105.8},"ownership_type":"Non profit - Other","ownership_class":"non_profit","legal_business_name":"MISSISSIPPI BAND OF CHOCTAW INDIANS","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":2},"health_inspection":{"value":2},"quality_measures":{"value":3},"long_stay_qm":{"value":2},"short_stay_qm":{"value":5},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.25618,"lpn_hprd":1.05057,"rn_hprd":0.37506,"licensed_hprd":1.42563,"total_nurse_hprd":3.68181,"weekend_total_nurse_hprd":3.18685,"weekend_rn_hprd":0.10036,"pt_hprd":0.03499,"nursing_turnover_pct":40.9,"rn_turnover_pct":22.2,"administrators_left":0,"case_mix_index":1.15053,"case_mix_index_ratio":0.81583,"case_mix_total_nurse_hprd":3.18243,"adjusted_total_nurse_hprd":4.47755,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-03-06","cycle1_deficiencies":12,"cycle1_score":64,"cycle2_date":"2023-08-24","cycle23_deficiencies":9,"cycle23_score":32,"total_weighted_score":56},"cms_penalty_counts":{"fines":1,"fine_total":13757,"payment_denials":0,"total":1},"operator_id":"op-mississippi-band-of-choctaw-indians","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/255339","provenance":[{"source_id":"cms_provider_info","source_record_id":"255339","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=255339&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":"255339","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=255339&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":2,"latest_date":"2026-03-19","latest_standard_health":"2025-03-06","earliest_date":"2021-04-14","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":26,"health_count":23,"fire_count":3,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":5,"by_severity":{"potential":25,"minimal":1},"by_scope_severity":{"E":4,"D":19,"F":2,"C":1},"by_concept":{"resident_rights":7,"clinical_care":12,"environment_life_safety":3,"medication":3,"infection_prevention":1},"type_ids":["cms-f0600","cms-f0740","cms-k0321","cms-f0565","cms-f0656","cms-f0584","cms-f0658","cms-f0677","cms-f0679","cms-f0688","cms-f0758","cms-f0759","cms-f0761","cms-k0345","cms-k0353","cms-f0550","cms-f0580","cms-f0585","cms-f0641","cms-f0692","cms-f0623","cms-f0880"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":13757,"payment_denials":0,"latest_date":"2025-03-06"},"ownership_summary":{"disclosures":4,"organizations":1,"individuals":3,"not_available":false}},"row":{"id":"cms-255339","ccn":"255339","name":"Choctaw Residential Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MS","city":"Choctaw","zip":"39350","county_fips":"28099","county_name":"Neshoba County","address":"135 Residential Center Rd","beds":120,"residents":105.8,"ownership":"non_profit","operator_id":"op-mississippi-band-of-choctaw-indians","operator_name":"Mississippi Band of Choctaw Indians","lat":32.774,"lon":-89.115,"overall":2,"health_rating":2,"staffing_rating":4,"qm_rating":3,"nurse_hprd":3.68,"turnover":40.9,"inspections":7,"last_inspection":"2026-03-19","deficiencies":26,"serious":0,"ij":0,"open":0,"penalties":1,"fines_total":13757,"deficiency_type_ids":["cms-f0600","cms-f0740","cms-k0321","cms-f0565","cms-f0656","cms-f0584","cms-f0658","cms-f0677","cms-f0679","cms-f0688","cms-f0758","cms-f0759","cms-f0761","cms-k0345","cms-k0353","cms-f0550","cms-f0580","cms-f0585","cms-f0641","cms-f0692","cms-f0623","cms-f0880"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-mississippi-band-of-choctaw-indians","name":"Mississippi Band of Choctaw Indians","legal_name":"MISSISSIPPI BAND OF CHOCTAW INDIANS","facility_count":1,"states":["MS"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-mississippi-band-of-choctaw-indians","owner_type":"organization","owner_name":"Mississippi Band of Choctaw Indians","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"1987-10-22"},{"owner_type":"individual","owner_name":"Cyrus Ben","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2019-07-09","owner_name_raw":"BEN, CYRUS"},{"owner_type":"individual","owner_name":"Berta Flake","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2019-10-16","owner_name_raw":"FLAKE, BERTA"},{"owner_type":"individual","owner_name":"Shelley Hale","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2014-02-03","owner_name_raw":"HALE, SHELLEY"}],"inspections":[{"id":"cms-255339-20260319-health","ccn":"255339","date":"2026-03-19","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-f0600","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-24","cmp":1},{"t":"cms-f0740","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-24","cmp":1}]},{"id":"cms-255339-20250306-fire","ccn":"255339","date":"2025-03-06","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-26","std":1,"tv":"New"}]},{"id":"cms-255339-20250306-health","ccn":"255339","date":"2025-03-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-24","std":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","cmp":1,"std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-24","cmp":1,"std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-24","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","cmp":1,"std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-24","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-24","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1}]},{"id":"cms-255339-20230824-fire","ccn":"255339","date":"2023-08-24","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-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-05","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-05","std":1,"tv":"New"}]},{"id":"cms-255339-20230824-health","ccn":"255339","date":"2023-08-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-05","std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-05","std":1},{"t":"cms-f0585","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-05","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-05","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-05","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-05","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-05","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-05","std":1},{"t":"cms-f0623","ss":"C","sl":1,"cs":"corrected","cd":"2023-10-05","std":1}]},{"id":"cms-255339-20210414-fire","ccn":"255339","date":"2021-04-14","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-255339-20210414-health","ccn":"255339","date":"2021-04-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[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-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-21","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-21","std":1}]}],"deficiency_types":{"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-f0740":{"code":"F-0740","title":"Ensure each resident must receive and the facility must provide necessary behavioral health care and services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-f0565":{"code":"F-0565","title":"Honor the resident's right to organize and participate in resident/family groups in the facility.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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-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-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-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-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-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-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-f0585":{"code":"F-0585","title":"Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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"}},"penalties":[{"id":"cms-255339-pen-f26073","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-03-06","amount":13757,"fine_id":"26073","evidence_class":"VERIFIED","source_record_id":"255339|Fine|26073"}],"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=255339&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=255339&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=255339&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=255339&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=255339&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=255339&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":"MS","overall_rating":2.7,"health_inspection_rating":2.8,"qm_rating":2.3,"staffing_rating":3.8,"avg_residents_per_day":73.5,"cycle1_health_deficiencies":6.9,"cycle1_fire_deficiencies":0.4,"nurse_aide_hprd":2.46,"lpn_hprd":1.11,"rn_hprd":0.63116,"licensed_hprd":1.74,"total_nurse_hprd":4.1965,"weekend_total_nurse_hprd":3.48068,"weekend_rn_hprd":0.37,"pt_hprd":0.04,"nursing_turnover_pct":44.4,"rn_turnover_pct":36.6,"administrators_left":0.4,"case_mix_index":1.21281,"fines":1.1,"fine_amount":15968,"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":"MS","name":"Mississippi"},"county":{"fips":"28099","name":"Neshoba County"},"zip":"39350","city":"Choctaw"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-255137","ccn":"255137","name":"Neshoba County Nursing Home","address":"1001 Holland Avenue","city":"Philadelphia","state":"MS","zip":"39350","beds":160,"overall":2,"inspections":8,"last_inspection":"2026-02-03","deficiencies":24,"serious":1,"ij":1,"open":0,"fines_total":10364,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.6}]}}