{"schema_version":"1.0.0","facility":{"id":"cms-265142","ccn":"265142","name":"Chateau Girardeau","source_name":"CHATEAU GIRARDEAU","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":"MO","address":{"line1":"3120 Independence Street","city":"Cape Girardeau","state":"MO","zip":"63703","county_name":"Cape Girardeau County","county_fips":"29031","county_method":"name_match","ssa_county_code":"150","urban":true},"location":{"lat":37.308,"lon":-89.569,"method":"cms_published_coordinates"},"phone":"5733351281","certification":{"authority":"CMS","ccn":"265142","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1982-07-23","certified_beds":75,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265142"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"053023","state_facility_id":"01386","license_type":"Skilled nursing facility","status":"active","licensed_beds":75,"capacity_unit":"beds","effective_date":"2025-10-01","expiration_date":"2027-09-30","licensee":"CAPE RETIREMENT COMMUNITY, INC","licensee_entity_type":"Not for Profit Corporation","certification_status":"Medicare/Medicaid","ccn":"265142","as_of":"2026-11-04","evidence_class":"VERIFIED","source_id":"mo_dhss_ltc_directory","source_url":"https://data.mo.gov/d/fenu-sipv","link_method":"exact_ccn"}],"capacity":{"certified_beds":75,"licensed_beds":75,"avg_residents_per_day":56.2},"ownership_type":"Non profit - Other","ownership_class":"non_profit","legal_business_name":"CAPE RETIREMENT COMMUNITY, INC.","flags":{"ccrc":true,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":3},"health_inspection":{"value":4},"quality_measures":{"value":1},"long_stay_qm":{"value":1},"short_stay_qm":{"value":2},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.49401,"lpn_hprd":1.13458,"rn_hprd":0.53349,"licensed_hprd":1.66807,"total_nurse_hprd":4.16208,"weekend_total_nurse_hprd":3.4916,"weekend_rn_hprd":0.2612,"pt_hprd":0.1167,"nursing_turnover_pct":63.5,"rn_turnover_pct":55.6,"administrators_left":0,"case_mix_index":1.43499,"case_mix_index_ratio":1.01754,"case_mix_total_nurse_hprd":3.96928,"adjusted_total_nurse_hprd":4.05823,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-10","cycle1_deficiencies":8,"cycle1_score":32,"cycle2_date":"2025-01-23","cycle23_deficiencies":7,"cycle23_score":28,"total_weighted_score":31},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"operator_id":"op-cape-retirement-community-inc","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/265142","provenance":[{"source_id":"cms_provider_info","source_record_id":"265142","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=265142&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":"265142","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=265142&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."},{"source_id":"mo_dhss_ltc_directory","source_record_id":"01386","url":"https://data.mo.gov/d/fenu-sipv","retrieved_at":"2026-11-07T14:53:42.852Z","source_updated_at":"2026-11-04","effective_date":"2026-11-04","jurisdiction":"MO","fields":["state_license","licensed_beds","licensee"],"evidence_class":"VERIFIED","status":"current","note":"Linked to the CMS record by exact CCN."}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2026-04-10","latest_standard_health":"2026-04-10","earliest_date":"2023-11-16","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":24,"health_count":20,"fire_count":4,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":24},"by_scope_severity":{"F":4,"D":19,"E":1},"by_concept":{"environment_life_safety":5,"resident_rights":9,"clinical_care":5,"infection_prevention":2,"staffing":2,"medication":1},"type_ids":["cms-k0324","cms-k0923","cms-f0552","cms-f0578","cms-f0582","cms-f0605","cms-f0636","cms-f0637","cms-f0658","cms-f0880","cms-f0550","cms-f0623","cms-f0625","cms-f0727","cms-f0759","cms-f0947","cms-f0909","cms-f0641","cms-f0700"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":21,"organizations":1,"individuals":19,"not_available":false}},"row":{"id":"cms-265142","ccn":"265142","name":"Chateau Girardeau","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"Cape Girardeau","zip":"63703","county_fips":"29031","county_name":"Cape Girardeau County","address":"3120 Independence Street","beds":75,"residents":56.2,"ownership":"non_profit","operator_id":"op-cape-retirement-community-inc","operator_name":"Cape Retirement Community, Inc","lat":37.308,"lon":-89.569,"overall":3,"health_rating":4,"staffing_rating":3,"qm_rating":1,"nurse_hprd":4.16,"turnover":63.5,"ccrc":true,"inspections":6,"last_inspection":"2026-04-10","deficiencies":24,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0324","cms-k0923","cms-f0552","cms-f0578","cms-f0582","cms-f0605","cms-f0636","cms-f0637","cms-f0658","cms-f0880","cms-f0550","cms-f0623","cms-f0625","cms-f0727","cms-f0759","cms-f0947","cms-f0909","cms-f0641","cms-f0700"],"universe":"cms","licensed_beds":75,"state_license":"MO 053023","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-cape-retirement-community-inc","name":"Cape Retirement Community, Inc","legal_name":"CAPE RETIREMENT COMMUNITY, INC","facility_count":2,"states":["MO"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-cape-retirement-community-inc","owner_type":"organization","owner_name":"Cape Retirement Community, Inc","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2009-11-20"},{"owner_id":"org-cape-retirement-community-inc","owner_type":"organization","owner_name":"Cape Retirement Community, Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2009-11-20"},{"owner_type":"individual","owner_name":"Keith Boeller","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01","owner_name_raw":"BOELLER, KEITH"},{"owner_type":"individual","owner_name":"Keith Boeller","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01","owner_name_raw":"BOELLER, KEITH"},{"owner_type":"individual","owner_name":"Paul Carins","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2017-01-01","owner_name_raw":"CARINS, PAUL"},{"owner_type":"individual","owner_name":"Debra Eudy","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01","owner_name_raw":"EUDY, DEBRA"},{"owner_type":"individual","owner_name":"Mark Kinder","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2016-02-22","owner_name_raw":"KINDER, MARK"},{"owner_type":"individual","owner_name":"John Klein","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-01-01","owner_name_raw":"KLEIN, JOHN"},{"owner_type":"individual","owner_name":"Nancy Mattingly","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2019-01-01","owner_name_raw":"MATTINGLY, NANCY"},{"owner_type":"individual","owner_name":"Dean Reeves","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-01-01","owner_name_raw":"REEVES, DEAN"},{"owner_type":"individual","owner_name":"Chris Sides","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-01","owner_name_raw":"SIDES, CHRIS"},{"owner_type":"individual","owner_name":"Roger Tanner","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-01-01","owner_name_raw":"TANNER, ROGER"},{"owner_type":"individual","owner_name":"Steve Taylor","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2019-01-01","owner_name_raw":"TAYLOR, STEVE"},{"owner_type":"individual","owner_name":"Keith Boeller","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01","owner_name_raw":"BOELLER, KEITH"},{"owner_type":"individual","owner_name":"Chris Edmonds","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"EDMONDS, CHRIS"},{"owner_type":"individual","owner_name":"Jeannette Fadler","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"FADLER, JEANNETTE"},{"owner_type":"individual","owner_name":"Charlie Herbst","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"HERBST, CHARLIE"},{"owner_type":"individual","owner_name":"Vernon Kasten","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-27","owner_name_raw":"KASTEN, VERNON"},{"owner_type":"individual","owner_name":"Kevin Schade","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"SCHADE, KEVIN"},{"owner_type":"individual","owner_name":"Keith Boeller","role":"managing_employee","role_raw":"CONTRACTED MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01","owner_name_raw":"BOELLER, KEITH"},{"owner_type":"individual","owner_name":"Keith Boeller","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2015-01-01","owner_name_raw":"BOELLER, KEITH"}],"inspections":[{"id":"cms-265142-20260410-fire","ccn":"265142","date":"2026-04-10","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-25","std":1,"tv":"New"},{"t":"cms-k0923","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-25","std":1,"tv":"New"}]},{"id":"cms-265142-20260410-health","ccn":"265142","date":"2026-04-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0552","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-25","std":1},{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-25","std":1},{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-25","std":1},{"t":"cms-f0605","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-25","std":1},{"t":"cms-f0636","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-25","std":1},{"t":"cms-f0637","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-25","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-25","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-25","std":1}]},{"id":"cms-265142-20250123-fire","ccn":"265142","date":"2025-01-23","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-k0923","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-21","std":1,"tv":"New"}]},{"id":"cms-265142-20250123-health","ccn":"265142","date":"2025-01-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-14","std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-14","std":1},{"t":"cms-f0625","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-14","std":1},{"t":"cms-f0727","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-14","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-14","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-14","std":1},{"t":"cms-f0947","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-14","std":1}]},{"id":"cms-265142-20231116-fire","ccn":"265142","date":"2023-11-16","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-k0923","ss":"F","sl":2,"cs":"corrected","cd":"2023-12-08","std":1,"tv":"New"}]},{"id":"cms-265142-20231116-health","ccn":"265142","date":"2023-11-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-22","std":1},{"t":"cms-f0625","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-22","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-08","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-08","std":1},{"t":"cms-f0909","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-30","std":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-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-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-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-f0582":{"code":"F-0582","title":"Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0636":{"code":"F-0636","title":"Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0637":{"code":"F-0637","title":"Assess the resident when there is a significant change in condition","category":"Resident Assessment and Care Planning 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-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-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-f0625":{"code":"F-0625","title":"Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0727":{"code":"F-0727","title":"Have a registered nurse on duty 8 hours a day; and  select a registered nurse to be the director of nurses on a full time basis.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-f0947":{"code":"F-0947","title":"Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0909":{"code":"F-0909","title":"Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-f0700":{"code":"F-0700","title":"Try different approaches before using a bed rail.  If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[],"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=265142&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=265142&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=265142&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=265142&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=265142&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=265142&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":"MO","overall_rating":2.6,"health_inspection_rating":2.8,"qm_rating":2.9,"staffing_rating":2.2,"avg_residents_per_day":73.1,"cycle1_health_deficiencies":11.4,"cycle1_fire_deficiencies":6,"nurse_aide_hprd":2.26,"lpn_hprd":0.68,"rn_hprd":0.46019,"licensed_hprd":1.14,"total_nurse_hprd":3.39922,"weekend_total_nurse_hprd":2.96333,"weekend_rn_hprd":0.32,"pt_hprd":0.04,"nursing_turnover_pct":56.9,"rn_turnover_pct":50,"administrators_left":0.7,"case_mix_index":1.34706,"fines":0.8,"fine_amount":36774,"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":"MO","name":"Missouri"},"county":{"fips":"29031","name":"Cape Girardeau County"},"zip":"63703","city":"Cape Girardeau"},"related":{"same_operator":[{"id":"mo-dhss-01386","name":"Chateau Girardeau","address":"3120 Independence St","city":"Cape Girardeau","state":"MO","zip":"63703","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"residential","state_actions":0,"state_serious":0,"types":["assisted_living","memory_care"],"capacity":62,"capacity_unit":"beds"}],"same_operator_total":1,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-265185","ccn":"265185","name":"Life Care Center of Cape Girardeau","address":"365 South Broadview Street","city":"Cape Girardeau","state":"MO","zip":"63703","beds":120,"overall":2,"inspections":14,"last_inspection":"2025-12-16","deficiencies":54,"serious":7,"ij":2,"open":0,"fines_total":149578,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.5},{"id":"cms-265359","ccn":"265359","name":"The Lutheran Home","address":"2825 Bloomfield Road","city":"Cape Girardeau","state":"MO","zip":"63703","beds":274,"overall":5,"inspections":6,"last_inspection":"2026-07-10","deficiencies":12,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":274,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.6},{"id":"cms-265383","ccn":"265383","name":"Fountainbleau Lodge","address":"2001 North Kingshighway","city":"Cape Girardeau","state":"MO","zip":"63701","beds":33,"overall":5,"inspections":7,"last_inspection":"2025-09-04","deficiencies":30,"serious":1,"ij":1,"open":0,"fines_total":8827,"status":"active","universe":"cms","licensed_beds":33,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.3},{"id":"cms-265747","ccn":"265747","name":"Ratliff Care Center","address":"717 North Sprigg","city":"Cape Girardeau","state":"MO","zip":"63701","beds":46,"overall":4,"inspections":6,"last_inspection":"2025-05-30","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":46,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.9},{"id":"cms-265503","ccn":"265503","name":"Heartland Care and Rehabilitation Center","address":"2525 Boutin Drive","city":"Cape Girardeau","state":"MO","zip":"63701","beds":102,"overall":4,"inspections":6,"last_inspection":"2025-11-17","deficiencies":19,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":102,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.7},{"id":"cms-265716","ccn":"265716","name":"Hubble Creek","address":"1115 K Land Drive","city":"Jackson","state":"MO","zip":"63755","beds":105,"overall":3,"inspections":7,"last_inspection":"2026-02-12","deficiencies":50,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":105,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":9.5},{"id":"cms-265438","ccn":"265438","name":"Jackson Manor","address":"710 Broadridge","city":"Jackson","state":"MO","zip":"63755","beds":90,"overall":4,"inspections":7,"last_inspection":"2025-08-22","deficiencies":30,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":90,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":14.3}]}}