{"schema_version":"1.0.0","facility":{"id":"cms-265294","ccn":"265294","name":"Life Care Center of Carrollton","source_name":"LIFE CARE CENTER OF CARROLLTON","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":"300 Life Care Lane","city":"Carrollton","state":"MO","zip":"64633","county_name":"Carroll County","county_fips":"29033","county_method":"name_match","ssa_county_code":"160","urban":false},"location":{"lat":39.376,"lon":-93.491,"method":"cms_published_coordinates"},"phone":"6605420155","certification":{"authority":"CMS","ccn":"265294","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1985-07-12","certified_beds":120,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265294"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"053314","state_facility_id":"11500","license_type":"Skilled nursing facility","status":"active","licensed_beds":120,"capacity_unit":"beds","effective_date":"2026-01-18","expiration_date":"2028-01-17","licensee":"UNITED INVESTORS LIMITED PARTNERSHIP D/B/A UNITED MEDICAL INVESTORS, LP","licensee_entity_type":"Limited Partnership","certification_status":"Medicare/Medicaid","ccn":"265294","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":120,"licensed_beds":120,"avg_residents_per_day":59.8},"ownership_type":"For profit - Partnership","ownership_class":"for_profit","legal_business_name":"UNITED INVESTORS LP","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":4},"health_inspection":{"value":3},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"footnote":"2"},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.93739,"lpn_hprd":1.26743,"rn_hprd":0.28558,"licensed_hprd":1.55301,"total_nurse_hprd":3.4904,"weekend_total_nurse_hprd":3.04193,"weekend_rn_hprd":0.17304,"pt_hprd":0.01391,"nursing_turnover_pct":61,"rn_turnover_pct":83.3,"administrators_left":2,"case_mix_index":1.17049,"case_mix_index_ratio":0.82999,"case_mix_total_nurse_hprd":3.23765,"adjusted_total_nurse_hprd":4.17238,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-04-25","cycle1_deficiencies":9,"cycle1_score":60,"cycle2_date":"2024-01-05","cycle23_deficiencies":17,"cycle23_score":180,"total_weighted_score":90},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-311","cms_chain_id":"311","name":"LIFE CARE CENTERS OF AMERICA"},"operator_id":"op-united-investors-lp","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/265294","provenance":[{"source_id":"cms_provider_info","source_record_id":"265294","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=265294&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":"265294","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=265294&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":"11500","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":11,"health_count":8,"fire_count":3,"complaint_count":7,"latest_date":"2026-04-02","latest_standard_health":"2025-04-25","earliest_date":"2021-12-09","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":51,"health_count":33,"fire_count":18,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":10,"by_severity":{"potential":51},"by_scope_severity":{"D":12,"E":36,"F":3},"by_concept":{"resident_rights":12,"environment_life_safety":18,"food_nutrition":5,"clinical_care":11,"medication":4,"infection_prevention":1},"type_ids":["cms-f0600","cms-f0602","cms-k0222","cms-k0291","cms-f0558","cms-f0569","cms-f0578","cms-f0584","cms-f0812","cms-f0699","cms-f0658","cms-f0677","cms-k0321","cms-k0353","cms-k0362","cms-k0363","cms-k0511","cms-k0920","cms-f0561","cms-f0623","cms-f0679","cms-f0690","cms-f0759","cms-f0761","cms-f0801","cms-f0880","cms-f0689","cms-f0692","cms-f0760","cms-k0161","cms-k0293","cms-k0345","cms-k0761","cms-k0918","cms-f0582","cms-f0656","cms-f0604","cms-f0800"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":28,"organizations":4,"individuals":19,"not_available":false}},"row":{"id":"cms-265294","ccn":"265294","name":"Life Care Center of Carrollton","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"Carrollton","zip":"64633","county_fips":"29033","county_name":"Carroll County","address":"300 Life Care Lane","beds":120,"residents":59.8,"ownership":"for_profit","operator_id":"op-united-investors-lp","operator_name":"United Investors LP","chain_id":"cms-chain-311","chain_name":"Life Care Centers of America","lat":39.376,"lon":-93.491,"overall":4,"health_rating":3,"staffing_rating":2,"qm_rating":5,"nurse_hprd":3.49,"turnover":61,"inspections":11,"last_inspection":"2026-04-02","deficiencies":51,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0600","cms-f0602","cms-k0222","cms-k0291","cms-f0558","cms-f0569","cms-f0578","cms-f0584","cms-f0812","cms-f0699","cms-f0658","cms-f0677","cms-k0321","cms-k0353","cms-k0362","cms-k0363","cms-k0511","cms-k0920","cms-f0561","cms-f0623","cms-f0679","cms-f0690","cms-f0759","cms-f0761","cms-f0801","cms-f0880","cms-f0689","cms-f0692","cms-f0760","cms-k0161","cms-k0293","cms-k0345","cms-k0761","cms-k0918","cms-f0582","cms-f0656","cms-f0604","cms-f0800"],"universe":"cms","licensed_beds":120,"state_license":"MO 053314","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-united-investors-lp","name":"United Investors LP","legal_name":"UNITED INVESTORS LP","facility_count":3,"states":["MO","TX"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-311","name":"Life Care Centers of America","cms_chain_id":"311","facility_count":194,"states":["AZ","CO","FL","GA","HI","ID","IN","KS","KY","MA","MI","MO","NC","NE","NM","NV","OH","OR","PA","RI","SC","TN","TX","VA","WA","WY"],"cms_reported":{"facility_count":194,"avg_overall_rating":3.4,"avg_health_inspection_rating":2.9,"avg_staffing_rating":3.4,"avg_qm_rating":4.5}},"ownership":[{"owner_id":"org-developers-investment-company-inc","owner_type":"organization","owner_name":"Developers Investment Company Inc","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"1992-12-31"},{"owner_id":"org-life-care-affiliates-ii","owner_type":"organization","owner_name":"Life Care Affiliates II","role":"partner","role_raw":"GENERAL PARTNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"1991-12-31"},{"owner_type":"individual","owner_name":"Forrest Preston","role":"partner","role_raw":"LIMITED PARTNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"1989-08-18","owner_name_raw":"PRESTON, FORREST"},{"owner_type":"individual","owner_name":"Rebecca Edde","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-22","owner_name_raw":"EDDE, REBECCA"},{"owner_type":"individual","owner_name":"Amber Eklund","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-16","owner_name_raw":"EKLUND, AMBER"},{"owner_type":"individual","owner_name":"Sarah Merda","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-21","owner_name_raw":"MERDA, SARAH"},{"owner_id":"org-developers-investment-company-inc","owner_type":"organization","owner_name":"Developers Investment Company Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1992-12-31"},{"owner_id":"org-life-care-affiliates-ii","owner_type":"organization","owner_name":"Life Care Affiliates II","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1991-12-31"},{"owner_id":"org-life-care-centers-of-america-inc","owner_type":"organization","owner_name":"Life Care Centers of America, Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2000-04-19"},{"owner_id":"org-united-investors-lp","owner_type":"organization","owner_name":"United Investors LP","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2000-05-01"},{"owner_type":"individual","owner_name":"Rebecca Edde","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-22","owner_name_raw":"EDDE, REBECCA"},{"owner_type":"individual","owner_name":"Amber Eklund","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-16","owner_name_raw":"EKLUND, AMBER"},{"owner_type":"individual","owner_name":"Todd Fletcher","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-13","owner_name_raw":"FLETCHER, TODD"},{"owner_type":"individual","owner_name":"Sarah Merda","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-21","owner_name_raw":"MERDA, SARAH"},{"owner_type":"individual","owner_name":"Aubrey Preston","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-13","owner_name_raw":"PRESTON, AUBREY"},{"owner_type":"individual","owner_name":"Richard Smith","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-30","owner_name_raw":"SMITH, RICHARD"},{"owner_type":"individual","owner_name":"James Ziegler","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-13","owner_name_raw":"ZIEGLER, JAMES"},{"owner_type":"individual","owner_name":"Cindy Cross","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2000-04-19","owner_name_raw":"CROSS, CINDY"},{"owner_type":"individual","owner_name":"Terry Henry","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"1999-08-16","owner_name_raw":"HENRY, TERRY"},{"owner_type":"individual","owner_name":"Lisa Lay","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2018-02-09","owner_name_raw":"LAY, LISA"},{"owner_type":"individual","owner_name":"Richard Swanker","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2011-04-01","owner_name_raw":"SWANKER, RICHARD"},{"owner_type":"individual","owner_name":"Joan Thurmond","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2000-09-22","owner_name_raw":"THURMOND, JOAN"},{"owner_id":"org-life-care-affiliates-ii","owner_type":"organization","owner_name":"Life Care Affiliates II","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2000-08-31"},{"owner_id":"org-life-care-centers-of-america-inc","owner_type":"organization","owner_name":"Life Care Centers of America, Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2000-08-31"},{"owner_id":"org-united-investors-lp","owner_type":"organization","owner_name":"United Investors LP","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2000-08-31"},{"owner_type":"individual","owner_name":"Sarah Merda","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-19","owner_name_raw":"MERDA, SARAH"},{"owner_type":"individual","owner_name":"Forrest Preston","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2000-08-31","owner_name_raw":"PRESTON, FORREST"},{"owner_type":"individual","owner_name":"Richard Smith","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-31","owner_name_raw":"SMITH, RICHARD"}],"inspections":[{"id":"cms-265294-20260402-health","ccn":"265294","date":"2026-04-02","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-30","cmp":1}]},{"id":"cms-265294-20251124-health","ccn":"265294","date":"2025-11-24","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"E","sl":2,"cs":"past_noncompliance","cmp":1}]},{"id":"cms-265294-20251118-health","ccn":"265294","date":"2025-11-18","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0602","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-15","cmp":1}]},{"id":"cms-265294-20250425-fire","ccn":"265294","date":"2025-04-25","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-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"},{"t":"cms-k0291","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"}]},{"id":"cms-265294-20250425-health","ccn":"265294","date":"2025-04-25","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":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-28","cmp":1,"std":1},{"t":"cms-f0569","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-28","std":1},{"t":"cms-f0578","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-28","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-28","cmp":1,"std":1},{"t":"cms-f0699","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-28","std":1}]},{"id":"cms-265294-20240924-health","ccn":"265294","date":"2024-09-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"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-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","cmp":1}]},{"id":"cms-265294-20240227-health","ccn":"265294","date":"2024-02-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"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-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-22","cmp":1}]},{"id":"cms-265294-20240105-fire","ccn":"265294","date":"2024-01-05","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-09","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-09","std":1,"tv":"New"},{"t":"cms-k0362","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1,"tv":"New"},{"t":"cms-k0511","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1,"tv":"New"}]},{"id":"cms-265294-20240105-health","ccn":"265294","date":"2024-01-05","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":15,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0561","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0623","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-22","cmp":1,"std":1},{"t":"cms-f0679","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0690","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-09","cmp":1,"std":1},{"t":"cms-f0759","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0801","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-22","cmp":1,"std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1}]},{"id":"cms-265294-20211209-fire","ccn":"265294","date":"2021-12-09","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"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-k0161","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1,"tv":"New"},{"t":"cms-k0291","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1,"tv":"New"},{"t":"cms-k0293","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1,"tv":"New"},{"t":"cms-k0345","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2022-01-14","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1,"tv":"New"},{"t":"cms-k0761","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1,"tv":"New"},{"t":"cms-k0918","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1,"tv":"New"}]},{"id":"cms-265294-20211209-health","ccn":"265294","date":"2021-12-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"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-f0582","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1},{"t":"cms-f0604","ss":"D","sl":2,"cs":"corrected","cd":"2022-01-14","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-14","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2022-01-14","std":1},{"t":"cms-f0800","ss":"D","sl":2,"cs":"corrected","cd":"2022-01-14","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-10","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-f0602":{"code":"F-0602","title":"Protect each resident from the wrongful use of the resident's belongings or money.","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-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-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-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-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-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-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-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-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-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services 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-f0561":{"code":"F-0561","title":"Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-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-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-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-f0801":{"code":"F-0801","title":"Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-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-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-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-f0604":{"code":"F-0604","title":"Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0800":{"code":"F-0800","title":"Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"}},"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=265294&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=265294&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=265294&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=265294&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=265294&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=265294&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":"29033","name":"Carroll County"},"zip":"64633","city":"Carrollton"},"related":{"same_operator":[{"id":"cms-265355","ccn":"265355","name":"Life Care Center of Grandview","address":"6301 East 125th St","city":"Grandview","state":"MO","zip":"64030","beds":172,"overall":2,"inspections":12,"last_inspection":"2026-06-02","deficiencies":88,"serious":1,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","licensed_beds":172,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455891","ccn":"455891","name":"Renaissance Park Multi Care Center","address":"4252 Bryant Irvin Rd","city":"Fort Worth","state":"TX","zip":"76109","beds":120,"overall":2,"inspections":17,"last_inspection":"2026-07-15","deficiencies":53,"serious":4,"ij":3,"open":0,"fines_total":106478,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_operator_total":2,"same_chain":[{"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"]},{"id":"cms-265338","ccn":"265338","name":"The Westchester House","address":"550 White Road","city":"Chesterfield","state":"MO","zip":"63017","beds":157,"overall":2,"inspections":9,"last_inspection":"2025-05-13","deficiencies":69,"serious":1,"ij":0,"open":0,"fines_total":83824,"status":"active","universe":"cms","licensed_beds":157,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265340","ccn":"265340","name":"Life Care Center of Sullivan","address":"875 Dunsford Drive","city":"Sullivan","state":"MO","zip":"63080","beds":118,"overall":4,"inspections":10,"last_inspection":"2026-06-25","deficiencies":49,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":118,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265345","ccn":"265345","name":"Life Care Center of Bridgeton","address":"12145 Bridgeton Square Dr","city":"Bridgeton","state":"MO","zip":"63044","beds":91,"overall":3,"inspections":13,"last_inspection":"2026-06-04","deficiencies":84,"serious":2,"ij":0,"open":0,"fines_total":21801,"status":"active","universe":"cms","licensed_beds":91,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265355","ccn":"265355","name":"Life Care Center of Grandview","address":"6301 East 125th St","city":"Grandview","state":"MO","zip":"64030","beds":172,"overall":2,"inspections":12,"last_inspection":"2026-06-02","deficiencies":88,"serious":1,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","licensed_beds":172,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265373","ccn":"265373","name":"Life Care Center of Waynesville","address":"700 Birch Lane","city":"Waynesville","state":"MO","zip":"65583","beds":120,"overall":3,"inspections":9,"last_inspection":"2025-11-24","deficiencies":49,"serious":1,"ij":0,"open":0,"fines_total":22081,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265381","ccn":"265381","name":"Northwood Hills Care Center","address":"800 N Arthur St","city":"Humansville","state":"MO","zip":"65674","beds":120,"overall":2,"inspections":9,"last_inspection":"2026-06-11","deficiencies":60,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265405","ccn":"265405","name":"Life Care Center of Brookfield","address":"315 Hunt Street","city":"Brookfield","state":"MO","zip":"64628","beds":120,"overall":2,"inspections":8,"last_inspection":"2025-02-20","deficiencies":59,"serious":8,"ij":3,"open":0,"fines_total":45159,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":193,"same_site_review":[],"nearby":[{"id":"cms-265706","ccn":"265706","name":"Carroll House","address":"307 Grand","city":"Carrollton","state":"MO","zip":"64633","beds":63,"overall":2,"inspections":7,"last_inspection":"2025-07-14","deficiencies":50,"serious":1,"ij":1,"open":0,"fines_total":84890,"abuse":true,"status":"active","universe":"cms","licensed_beds":63,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.7},{"id":"cms-265420","ccn":"265420","name":"Apple Ridge Care Center","address":"100 West Thomas Avenue","city":"Waverly","state":"MO","zip":"64096","beds":60,"overall":1,"inspections":13,"last_inspection":"2026-08-24","deficiencies":66,"serious":1,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","licensed_beds":60,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":18.4}]}}