{"schema_version":"1.0.0","facility":{"id":"cms-265258","ccn":"265258","name":"Belleview Valley Nursing Home","source_name":"BELLEVIEW VALLEY NURSING HOME","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":"23144 Highway 32","city":"Belleview","state":"MO","zip":"63623","county_name":"Iron County","county_fips":"29093","county_method":"name_match","ssa_county_code":"460","urban":false},"location":{"lat":37.7094,"lon":-90.767,"method":"cms_published_coordinates"},"phone":"5736975311","certification":{"authority":"CMS","ccn":"265258","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1985-02-01","certified_beds":109,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265258"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"052950","state_facility_id":"00382","license_type":"Skilled nursing facility","status":"active","licensed_beds":122,"capacity_unit":"beds","effective_date":"2025-09-01","expiration_date":"2027-08-31","licensee":"BELLEVIEW INVESTMENT GROUP, LLC","licensee_entity_type":"Limited Liability Company","certification_status":"Medicare/Medicaid","ccn":"265258","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":109,"licensed_beds":122,"avg_residents_per_day":81.1},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"BELLEVIEW INVESTMENT GROUP LLC","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":1},"health_inspection":{"value":1},"quality_measures":{"value":2},"long_stay_qm":{"value":2},"short_stay_qm":{"footnote":"2"},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.5653,"lpn_hprd":0.58539,"rn_hprd":0.23777,"licensed_hprd":0.82316,"total_nurse_hprd":2.38847,"weekend_total_nurse_hprd":2.26137,"weekend_rn_hprd":0.1243,"pt_hprd":0,"nursing_turnover_pct":69.1,"rn_turnover_pct":75,"administrators_left":1,"case_mix_index":1.16073,"case_mix_index_ratio":0.82307,"case_mix_total_nurse_hprd":3.21066,"adjusted_total_nurse_hprd":2.87914,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-05-29","cycle1_deficiencies":9,"cycle1_score":119,"cycle2_date":"2025-12-08","cycle23_deficiencies":21,"cycle23_score":477,"total_weighted_score":208.5},"cms_penalty_counts":{"fines":3,"fine_total":260352,"payment_denials":3,"total":6},"operator_id":"op-belleview-investment-group-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/265258","provenance":[{"source_id":"cms_provider_info","source_record_id":"265258","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=265258&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":"265258","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=265258&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":"00382","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":13,"health_count":10,"fire_count":3,"complaint_count":9,"latest_date":"2026-05-29","latest_standard_health":"2026-05-29","earliest_date":"2023-11-09","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":58,"health_count":44,"fire_count":14,"open_count":0,"actual_harm_count":2,"immediate_jeopardy_count":5,"serious_count":7,"complaint_count":15,"by_severity":{"potential":51,"immediate_jeopardy":5,"actual_harm":2},"by_scope_severity":{"E":20,"D":21,"F":10,"J":4,"G":2,"K":1},"by_concept":{"clinical_care":18,"infection_prevention":5,"resident_rights":14,"medication":1,"environment_life_safety":16,"food_nutrition":1,"administration":1,"staffing":2},"type_ids":["cms-f0684","cms-f0699","cms-f0880","cms-f0550","cms-f0657","cms-f0690","cms-f0691","cms-f0761","cms-k0211","cms-k0281","cms-k0355","cms-k0920","cms-f0812","cms-f0584","cms-f0658","cms-f0868","cms-f0637","cms-f0698","cms-f0689","cms-k0923","cms-f0727","cms-f0623","cms-f0908","cms-f0925","cms-f0569","cms-f0578","cms-f0655","cms-f0686","cms-f0692","cms-f0883","cms-f0622","cms-f0600","cms-f0603","cms-k0222","cms-k0223","cms-k0353","cms-k0374","cms-k0912","cms-f0610"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":6,"fines":3,"fine_total":260352,"payment_denials":3,"latest_date":"2025-10-21"},"ownership_summary":{"disclosures":33,"organizations":13,"individuals":11,"not_available":false}},"row":{"id":"cms-265258","ccn":"265258","name":"Belleview Valley Nursing Home","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"Belleview","zip":"63623","county_fips":"29093","county_name":"Iron County","address":"23144 Highway 32","beds":109,"residents":81.1,"ownership":"for_profit","operator_id":"op-belleview-investment-group-llc","operator_name":"Belleview Investment Group LLC","lat":37.7094,"lon":-90.767,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":2,"nurse_hprd":2.39,"turnover":69.1,"inspections":13,"last_inspection":"2026-05-29","deficiencies":58,"serious":7,"ij":5,"open":0,"penalties":6,"fines_total":260352,"deficiency_type_ids":["cms-f0684","cms-f0699","cms-f0880","cms-f0550","cms-f0657","cms-f0690","cms-f0691","cms-f0761","cms-k0211","cms-k0281","cms-k0355","cms-k0920","cms-f0812","cms-f0584","cms-f0658","cms-f0868","cms-f0637","cms-f0698","cms-f0689","cms-k0923","cms-f0727","cms-f0623","cms-f0908","cms-f0925","cms-f0569","cms-f0578","cms-f0655","cms-f0686","cms-f0692","cms-f0883","cms-f0622","cms-f0600","cms-f0603","cms-k0222","cms-k0223","cms-k0353","cms-k0374","cms-k0912","cms-f0610"],"universe":"cms","licensed_beds":122,"state_license":"MO 052950","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-belleview-investment-group-llc","name":"Belleview Investment Group LLC","legal_name":"BELLEVIEW INVESTMENT GROUP LLC","facility_count":1,"states":["MO"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_type":"individual","owner_name":"Terrence Coulter","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":25,"percentage_raw":"25%","association_date":"2020-02-01","owner_name_raw":"COULTER, TERRENCE"},{"owner_id":"org-krisley-properties-llc","owner_type":"organization","owner_name":"Krisley Properties LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":23,"percentage_raw":"23%","association_date":"2020-02-01"},{"owner_id":"org-mjz-investment-llc","owner_type":"organization","owner_name":"Mjz Investment LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":23,"percentage_raw":"23%","association_date":"2020-02-01"},{"owner_id":"org-silver-maple-properties-llc","owner_type":"organization","owner_name":"Silver Maple Properties LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":23,"percentage_raw":"23%","association_date":"2020-02-01"},{"owner_id":"org-belleview-investment-group-llc","owner_type":"organization","owner_name":"Belleview Investment Group LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-north-star-equity-group-llc","owner_type":"organization","owner_name":"North Star Equity Group LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-02-01"},{"owner_type":"individual","owner_name":"Rhonda Huffman","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-17","owner_name_raw":"HUFFMAN, RHONDA"},{"owner_type":"individual","owner_name":"Brooke Bigham","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2020-02-01","owner_name_raw":"BIGHAM, BROOKE"},{"owner_id":"org-amy-ford-turner","owner_type":"organization","owner_name":"Amy Ford - Turner","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-belleview-investment-group-llc","owner_type":"organization","owner_name":"Belleview Investment Group LLC","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-brent-bergen-trust","owner_type":"organization","owner_name":"Brent Bergen Trust","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-krisley-properties-llc","owner_type":"organization","owner_name":"Krisley Properties LLC","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-mitchell-ahrens","owner_type":"organization","owner_name":"Mitchell Ahrens","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-mjz-investment-llc","owner_type":"organization","owner_name":"Mjz Investment LLC","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-silver-maple-properties-llc","owner_type":"organization","owner_name":"Silver Maple Properties LLC","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-terrance-coulter","owner_type":"organization","owner_name":"Terrance Coulter","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-tracie-ahrens","owner_type":"organization","owner_name":"Tracie Ahrens","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-trinity-turner","owner_type":"organization","owner_name":"Trinity Turner","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-williza-properties","owner_type":"organization","owner_name":"Williza Properties","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_type":"individual","owner_name":"Mitchell Ahrens","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31","owner_name_raw":"AHRENS, MITCHELL"},{"owner_type":"individual","owner_name":"Tracie Ahrens","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31","owner_name_raw":"AHRENS, TRACIE"},{"owner_type":"individual","owner_name":"Brent Bergen","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31","owner_name_raw":"BERGEN, BRENT"},{"owner_type":"individual","owner_name":"Terrence Coulter","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-30","owner_name_raw":"COULTER, TERRENCE"},{"owner_type":"individual","owner_name":"Amy Ford Turner","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31","owner_name_raw":"FORD TURNER, AMY"},{"owner_type":"individual","owner_name":"Trinity Turner","role":"lender_interest","role_raw":"5% OR GREATER SECURITY INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31","owner_name_raw":"TURNER, TRINITY"},{"owner_id":"org-belleview-investment-group-llc","owner_type":"organization","owner_name":"Belleview Investment Group LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-30"},{"owner_id":"org-belleview-re-group-llc","owner_type":"organization","owner_name":"Belleview Re Group LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-14"},{"owner_id":"org-brent-bergen-trust","owner_type":"organization","owner_name":"Brent Bergen Trust","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31"},{"owner_id":"org-krisley-properties-llc","owner_type":"organization","owner_name":"Krisley Properties LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-14"},{"owner_id":"org-mjz-investment-llc","owner_type":"organization","owner_name":"Mjz Investment LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-14"},{"owner_id":"org-silver-maple-properties-llc","owner_type":"organization","owner_name":"Silver Maple Properties LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-14"},{"owner_type":"individual","owner_name":"Amy Ford Turner","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-31","owner_name_raw":"FORD TURNER, AMY"},{"owner_type":"individual","owner_name":"Rhonda Huffman","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-14","owner_name_raw":"HUFFMAN, RHONDA"}],"inspections":[{"id":"cms-265258-20260529-health","ccn":"265258","date":"2026-05-29","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-26","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-26","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-26","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-26","std":1},{"t":"cms-f0691","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-26","std":1},{"t":"cms-f0699","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-26","cmp":1,"std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-26","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-26","std":1}]},{"id":"cms-265258-20251208-fire","ccn":"265258","date":"2025-12-08","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-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-19","std":1,"tv":"New"},{"t":"cms-k0281","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-19","std":1,"tv":"New"},{"t":"cms-k0355","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-19","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-19","std":1,"tv":"New"}]},{"id":"cms-265258-20251208-health","ccn":"265258","date":"2025-12-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"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-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-19","std":1},{"t":"cms-f0637","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-19","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-19","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-19","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-19","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-19","std":1},{"t":"cms-f0868","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-19","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-19","std":1}]},{"id":"cms-265258-20251021-health","ccn":"265258","date":"2025-10-21","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":"corrected","cd":"2025-11-11","cmp":1}]},{"id":"cms-265258-20250417-fire","ccn":"265258","date":"2025-04-17","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-23","std":1,"tv":"New"},{"t":"cms-k0355","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-23","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-23","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-23","std":1,"tv":"New"}]},{"id":"cms-265258-20250417-health","ccn":"265258","date":"2025-04-17","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":16,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0569","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0623","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0637","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","cmp":1,"std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0699","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0727","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-23","cmp":1,"std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0908","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-23","std":1},{"t":"cms-f0925","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-23","std":1}]},{"id":"cms-265258-20241031-health","ccn":"265258","date":"2024-10-31","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-f0622","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1}]},{"id":"cms-265258-20241004-health","ccn":"265258","date":"2024-10-04","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-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-15","cmp":1}]},{"id":"cms-265258-20240910-health","ccn":"265258","date":"2024-09-10","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-f0600","ss":"G","sl":3,"cs":"corrected","cd":"2024-10-15","cmp":1},{"t":"cms-f0658","ss":"G","sl":3,"cs":"corrected","cd":"2024-09-26","cmp":1}]},{"id":"cms-265258-20240718-health","ccn":"265258","date":"2024-07-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"J","sl":4,"cs":"corrected","cd":"2024-10-15","cmp":1},{"t":"cms-f0603","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-22","cmp":1},{"t":"cms-f0622","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-22","cmp":1}]},{"id":"cms-265258-20240416-fire","ccn":"265258","date":"2024-04-16","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-15","std":1,"tv":"New"},{"t":"cms-k0223","ss":"F","sl":2,"cs":"corrected","cd":"2024-06-26","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2024-05-31","std":1,"tv":"New"},{"t":"cms-k0374","ss":"F","sl":2,"cs":"corrected","cd":"2024-06-26","std":1,"tv":"New"},{"t":"cms-k0912","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-26","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2024-06-11","std":1,"tv":"New"}]},{"id":"cms-265258-20240416-health","ccn":"265258","date":"2024-04-16","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":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"J","sl":4,"cs":"corrected","cd":"2024-05-31","cmp":1},{"t":"cms-f0610","ss":"J","sl":4,"cs":"corrected","cd":"2024-09-26","cmp":1}]},{"id":"cms-265258-20231109-health","ccn":"265258","date":"2023-11-09","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":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0880","ss":"K","sl":4,"cs":"corrected","cd":"2023-12-20","cmp":1},{"t":"cms-f0727","ss":"F","sl":2,"cs":"corrected","cd":"2023-12-20","cmp":1}]}],"deficiency_types":{"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"},"cms-f0699":{"code":"F-0699","title":"Provide care or services that was trauma informed and/or culturally competent.","category":"Quality of Life and Care 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-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-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0691":{"code":"F-0691","title":"Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0281":{"code":"K-0281","title":"Install proper backup exit lighting.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke 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-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-f0868":{"code":"F-0868","title":"Have the Quality Assessment and Assurance group have the required members and meet at least quarterly","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care 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-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-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-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-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0925":{"code":"F-0925","title":"Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0569":{"code":"F-0569","title":"Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.","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-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning 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-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-f0883":{"code":"F-0883","title":"Develop and implement policies and procedures for flu and pneumonia vaccinations.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0622":{"code":"F-0622","title":"Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information  when a resident is transferred or discharged.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0603":{"code":"F-0603","title":"Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0223":{"code":"K-0223","title":"Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.","category":"Egress 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-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0912":{"code":"K-0912","title":"Have power receptacles that are properly grounded.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"}},"penalties":[{"id":"cms-265258-pen-f135511","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-10-21","amount":53697,"fine_id":"135511","evidence_class":"VERIFIED","source_record_id":"265258|Fine|135511"},{"id":"cms-265258-pen-d20250417","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2025-04-17","denial_start":"2025-05-22","denial_days":1,"evidence_class":"VERIFIED","source_record_id":"265258|Payment Denial|2025-05-22"},{"id":"cms-265258-pen-d20240416","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2024-04-16","denial_start":"2024-05-28","denial_days":140,"evidence_class":"VERIFIED","source_record_id":"265258|Payment Denial|2024-05-28"},{"id":"cms-265258-pen-f90569","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-04-16","amount":150504,"fine_id":"90569","evidence_class":"VERIFIED","source_record_id":"265258|Fine|90569"},{"id":"cms-265258-pen-d20231109","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2023-11-09","denial_start":"2023-12-15","denial_days":5,"evidence_class":"VERIFIED","source_record_id":"265258|Payment Denial|2023-12-15"},{"id":"cms-265258-pen-f90456","type":"fine","type_label":"Civil money penalty (fine)","date":"2023-11-09","amount":56151,"fine_id":"90456","evidence_class":"VERIFIED","source_record_id":"265258|Fine|90456"}],"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=265258&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=265258&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=265258&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=265258&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=265258&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=265258&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":"29093","name":"Iron County"},"zip":"63623","city":"Belleview"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[]}}