{"schema_version":"1.0.0","facility":{"id":"cms-265341","ccn":"265341","name":"The Pillars of North County Health & Rehab Center","source_name":"PILLARS OF NORTH COUNTY HEALTH & REHAB CENTER, THE","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":"13700 Old Halls Ferry Road","city":"Florissant","state":"MO","zip":"63033","county_name":"St. Louis County","county_fips":"29189","county_method":"name_match","ssa_county_code":"940","urban":true},"location":{"lat":38.8077,"lon":-90.276,"method":"cms_published_coordinates"},"phone":"3143550760","certification":{"authority":"CMS","ccn":"265341","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1989-01-01","certified_beds":120,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265341"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"052388","state_facility_id":"07440","license_type":"Skilled nursing facility","status":"active","licensed_beds":120,"capacity_unit":"beds","effective_date":"2025-01-01","expiration_date":"2026-12-31","licensee":"HELIA HEALTHCARE OF FLORISSANT, LLC","licensee_entity_type":"Limited Liability Company","certification_status":"Medicare/Medicaid","ccn":"265341","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":63.1},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"HELIA HEALTHCARE OF FLORISSANT 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":2},"health_inspection":{"value":2},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"footnote":"2"},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.46919,"lpn_hprd":0.66903,"rn_hprd":0.25553,"licensed_hprd":0.92456,"total_nurse_hprd":2.39375,"weekend_total_nurse_hprd":1.94444,"weekend_rn_hprd":0.21037,"pt_hprd":0.04614,"nursing_turnover_pct":44.4,"rn_turnover_footnote":"27","administrators_left":0,"case_mix_index":1.16853,"case_mix_index_ratio":0.82859,"case_mix_total_nurse_hprd":3.23223,"adjusted_total_nurse_hprd":2.86626,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-03-21","cycle1_deficiencies":16,"cycle1_score":76,"cycle2_date":"2023-11-01","cycle23_deficiencies":22,"cycle23_score":210,"total_weighted_score":109.5},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-263","cms_chain_id":"263","name":"HELIA HEALTHCARE"},"operator_id":"op-helia-healthcare-of-florissant-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/265341","provenance":[{"source_id":"cms_provider_info","source_record_id":"265341","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=265341&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":"265341","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=265341&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":"07440","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":"2026-06-04","latest_standard_health":"2025-03-21","earliest_date":"2020-10-06","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":72,"health_count":60,"fire_count":12,"open_count":0,"actual_harm_count":2,"immediate_jeopardy_count":0,"serious_count":2,"complaint_count":11,"by_severity":{"potential":70,"actual_harm":2},"by_scope_severity":{"D":30,"F":11,"E":29,"G":2},"by_concept":{"resident_rights":15,"clinical_care":24,"emergency_preparedness":2,"environment_life_safety":12,"food_nutrition":5,"infection_prevention":4,"administration":2,"medication":7,"staffing":1},"type_ids":["cms-f0627","cms-f0607","cms-f0693","cms-e0041","cms-k0363","cms-k0712","cms-k0741","cms-f0805","cms-f0812","cms-f0921","cms-f0558","cms-f0561","cms-f0609","cms-f0644","cms-f0656","cms-f0677","cms-f0684","cms-f0698","cms-f0791","cms-f0842","cms-f0880","cms-f0883","cms-f0686","cms-f0658","cms-e0030","cms-k0353","cms-k0321","cms-k0511","cms-f0568","cms-f0571","cms-f0700","cms-f0770","cms-f0804","cms-f0909","cms-f0661","cms-f0689","cms-f0759","cms-f0761","cms-k0345","cms-f0692","cms-f0620","cms-f0725","cms-f0756","cms-f0868","cms-f0570","cms-f0623","cms-f0625","cms-f0688","cms-f0758","cms-f0881","cms-f0582","cms-f0757"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":3,"organizations":0,"individuals":3,"not_available":false}},"row":{"id":"cms-265341","ccn":"265341","name":"The Pillars of North County Health & Rehab Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"Florissant","zip":"63033","county_fips":"29189","county_name":"St. Louis County","address":"13700 Old Halls Ferry Road","beds":120,"residents":63.1,"ownership":"for_profit","operator_id":"op-helia-healthcare-of-florissant-llc","operator_name":"Helia Healthcare of Florissant LLC","chain_id":"cms-chain-263","chain_name":"Helia Healthcare","lat":38.8077,"lon":-90.276,"overall":2,"health_rating":2,"staffing_rating":1,"qm_rating":5,"nurse_hprd":2.39,"turnover":44.4,"inspections":11,"last_inspection":"2026-06-04","deficiencies":72,"serious":2,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0627","cms-f0607","cms-f0693","cms-e0041","cms-k0363","cms-k0712","cms-k0741","cms-f0805","cms-f0812","cms-f0921","cms-f0558","cms-f0561","cms-f0609","cms-f0644","cms-f0656","cms-f0677","cms-f0684","cms-f0698","cms-f0791","cms-f0842","cms-f0880","cms-f0883","cms-f0686","cms-f0658","cms-e0030","cms-k0353","cms-k0321","cms-k0511","cms-f0568","cms-f0571","cms-f0700","cms-f0770","cms-f0804","cms-f0909","cms-f0661","cms-f0689","cms-f0759","cms-f0761","cms-k0345","cms-f0692","cms-f0620","cms-f0725","cms-f0756","cms-f0868","cms-f0570","cms-f0623","cms-f0625","cms-f0688","cms-f0758","cms-f0881","cms-f0582","cms-f0757"],"universe":"cms","licensed_beds":120,"state_license":"MO 052388","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-helia-healthcare-of-florissant-llc","name":"Helia Healthcare of Florissant LLC","legal_name":"HELIA HEALTHCARE OF FLORISSANT LLC","facility_count":1,"states":["MO"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-263","name":"Helia Healthcare","cms_chain_id":"263","facility_count":13,"states":["IL","MO"],"cms_reported":{"facility_count":13,"avg_overall_rating":2.2,"avg_health_inspection_rating":2.6,"avg_staffing_rating":1.3,"avg_qm_rating":2.8}},"ownership":[{"owner_type":"individual","owner_name":"Stephen Miller","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2008-04-01","owner_name_raw":"MILLER, STEPHEN"},{"owner_type":"individual","owner_name":"Stephen Miller","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2008-04-01","owner_name_raw":"MILLER, STEPHEN"},{"owner_type":"individual","owner_name":"Stephen Miller","role":"managing_employee","role_raw":"CONTRACTED MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2008-04-01","owner_name_raw":"MILLER, STEPHEN"}],"inspections":[{"id":"cms-265341-20260604-health","ccn":"265341","date":"2026-06-04","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-f0627","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-29","cmp":1}]},{"id":"cms-265341-20250911-health","ccn":"265341","date":"2025-09-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0607","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-03","cmp":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-03","cmp":1}]},{"id":"cms-265341-20250321-fire","ccn":"265341","date":"2025-03-21","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-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2025-04-17","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-17","std":1,"tv":"New"},{"t":"cms-k0712","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-17","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-17","std":1,"tv":"New"}]},{"id":"cms-265341-20250321-health","ccn":"265341","date":"2025-03-21","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":15,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-15","std":1},{"t":"cms-f0561","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","cmp":1,"std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","cmp":1,"std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","cmp":1,"std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","std":1},{"t":"cms-f0791","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","std":1},{"t":"cms-f0805","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-17","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-17","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-17","std":1},{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-17","std":1}]},{"id":"cms-265341-20240702-health","ccn":"265341","date":"2024-07-02","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2024-07-29","cmp":1}]},{"id":"cms-265341-20240328-health","ccn":"265341","date":"2024-03-28","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-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-15","cmp":1}]},{"id":"cms-265341-20231219-health","ccn":"265341","date":"2023-12-19","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-19","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-10","cmp":1}]},{"id":"cms-265341-20231101-fire","ccn":"265341","date":"2023-11-01","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-e0030","ss":"F","sl":2,"cs":"corrected","cd":"2023-12-01","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-19","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2023-12-01","std":1,"tv":"New"},{"t":"cms-k0511","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-01","std":1,"tv":"New"}]},{"id":"cms-265341-20231101-health","ccn":"265341","date":"2023-11-01","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-f0568","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0571","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0607","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-10","cmp":1,"std":1},{"t":"cms-f0661","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-18","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0700","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-20","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0770","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0883","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-01","std":1},{"t":"cms-f0909","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-01","std":1}]},{"id":"cms-265341-20201006-fire","ccn":"265341","date":"2020-10-06","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"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-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2020-11-10","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2020-11-10","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2020-11-10","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1,"tv":"New"}]},{"id":"cms-265341-20201006-health","ccn":"265341","date":"2020-10-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":22,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0692","ss":"G","sl":3,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0570","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0620","ss":"F","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0623","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0625","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0688","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0700","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0725","ss":"F","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0756","ss":"F","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0758","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0759","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0868","ss":"F","sl":2,"cs":"corrected","cd":"2020-11-10","std":1},{"t":"cms-f0881","ss":"E","sl":2,"cs":"corrected","cd":"2020-11-10","std":1}]}],"deficiency_types":{"cms-f0627":{"code":"F-0627","title":"Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0607":{"code":"F-0607","title":"Develop and implement policies and procedures to prevent abuse, neglect, and theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0693":{"code":"F-0693","title":"Ensure that feeding tubes are  not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0805":{"code":"F-0805","title":"Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental 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-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-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-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-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-f0791":{"code":"F-0791","title":"Provide or obtain dental services for each resident.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-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-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-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-e0030":{"code":"E-0030","title":"List the names and contact information of those in the facility.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-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-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-f0568":{"code":"F-0568","title":"Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0571":{"code":"F-0571","title":"Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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"},"cms-f0770":{"code":"F-0770","title":"Provide timely, quality laboratory services/tests to meet the needs of residents.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-f0661":{"code":"F-0661","title":"Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.","category":"Resident Assessment and Care Planning 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-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-f0620":{"code":"F-0620","title":"Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-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-f0570":{"code":"F-0570","title":"Assure the security of all personal funds of residents deposited with the facility.","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-f0688":{"code":"F-0688","title":"Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"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-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"}},"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=265341&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=265341&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=265341&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=265341&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=265341&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=265341&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":"29189","name":"St. Louis County"},"zip":"63033","city":"Florissant"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-265193","ccn":"265193","name":"Westwood Hills Health & Rehabilitation Center","address":"3100 Warrior Lane","city":"Poplar Bluff","state":"MO","zip":"63901","beds":132,"overall":4,"inspections":6,"last_inspection":"2025-12-05","deficiencies":28,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":132,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":12,"same_site_review":[],"nearby":[{"id":"cms-265838","ccn":"265838","name":"Lakeview Post Acute","address":"1201 Garden Plaza Drive","city":"Florissant","state":"MO","zip":"63033","beds":120,"overall":1,"inspections":19,"last_inspection":"2026-03-26","deficiencies":112,"serious":5,"ij":2,"open":0,"fines_total":65960,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.4},{"id":"cms-265325","ccn":"265325","name":"Delmar Gardens North","address":"4401 Parker Road","city":"Black Jack","state":"MO","zip":"63033","beds":240,"overall":3,"inspections":10,"last_inspection":"2025-11-17","deficiencies":57,"serious":3,"ij":1,"open":0,"fines_total":39299,"status":"active","universe":"cms","licensed_beds":240,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.6},{"id":"cms-265823","ccn":"265823","name":"Crestwood Health Care Center","address":"11400 Mehl Avenue","city":"Florissant","state":"MO","zip":"63033","beds":150,"overall":1,"inspections":26,"last_inspection":"2026-07-10","deficiencies":111,"serious":8,"ij":6,"open":1,"fines_total":146887,"abuse":true,"status":"active","universe":"cms","licensed_beds":150,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.4},{"id":"cms-265365","ccn":"265365","name":"Stonebridge Florissant","address":"6768 North Highway 67","city":"Florissant","state":"MO","zip":"63034","beds":120,"overall":3,"inspections":10,"last_inspection":"2026-08-18","deficiencies":55,"serious":1,"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"],"distance_km":3.6},{"id":"cms-265586","ccn":"265586","name":"Atrium Place Health and Rehabilitation","address":"2600 Redman Road","city":"Saint Louis","state":"MO","zip":"63136","beds":120,"overall":1,"inspections":17,"last_inspection":"2026-08-11","deficiencies":78,"serious":4,"ij":1,"open":0,"fines_total":139318,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.7},{"id":"cms-265402","ccn":"265402","name":"Rancho Rehab and Healthcare Center","address":"615 Rancho Lane","city":"Florissant","state":"MO","zip":"63031","beds":120,"overall":1,"inspections":14,"last_inspection":"2026-06-05","deficiencies":72,"serious":3,"ij":2,"open":0,"fines_total":28060,"abuse":true,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.1},{"id":"cms-265174","ccn":"265174","name":"Christian Extended Care & Rehabilitation","address":"11160 Village North Drive","city":"Saint Louis","state":"MO","zip":"63136","beds":60,"overall":5,"inspections":6,"last_inspection":"2025-03-28","deficiencies":25,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":60,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.2},{"id":"cms-265607","ccn":"265607","name":"Willowcreek Wellness & Rehabilitation","address":"250 New Florissant Road South","city":"Florissant","state":"MO","zip":"63031","beds":158,"overall":1,"inspections":19,"last_inspection":"2026-08-14","deficiencies":118,"serious":8,"ij":6,"open":2,"fines_total":80993,"sff":"SFF Candidate","status":"active","universe":"cms","licensed_beds":158,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.9}]}}