{"schema_version":"1.0.0","facility":{"id":"cms-265383","ccn":"265383","name":"Fountainbleau Lodge","source_name":"FOUNTAINBLEAU LODGE","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":"2001 North Kingshighway","city":"Cape Girardeau","state":"MO","zip":"63701","county_name":"Cape Girardeau County","county_fips":"29031","county_method":"name_match","ssa_county_code":"150","urban":true},"location":{"lat":37.3367,"lon":-89.58,"method":"cms_published_coordinates"},"phone":"5733351999","certification":{"authority":"CMS","ccn":"265383","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1989-08-11","certified_beds":33,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265383"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"052365","state_facility_id":"12751","license_type":"Skilled nursing facility","status":"active","licensed_beds":33,"capacity_unit":"beds","effective_date":"2024-12-16","expiration_date":"2026-12-15","licensee":"FOUNTAINBLEAU OF CAPE GIRARDEAU, INC","licensee_entity_type":"Profit Corporation","certification_status":"Medicare/Medicaid","ccn":"265383","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":33,"licensed_beds":33,"avg_residents_per_day":28.9},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"FOUNTAINBLEAU OF CAPE GIRARDEAU INC","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":5},"health_inspection":{"value":4},"quality_measures":{"value":4},"long_stay_qm":{"value":5},"short_stay_qm":{"value":3},"staffing":{"value":5},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.98236,"lpn_hprd":0.71792,"rn_hprd":1.02225,"licensed_hprd":1.74017,"total_nurse_hprd":4.72253,"weekend_total_nurse_hprd":3.63924,"weekend_rn_hprd":0.6988,"pt_hprd":0.05348,"nursing_turnover_pct":46.9,"rn_turnover_pct":20,"administrators_left":0,"case_mix_index":1.38121,"case_mix_index_ratio":0.97941,"case_mix_total_nurse_hprd":3.82052,"adjusted_total_nurse_hprd":4.78399,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-09-04","cycle1_deficiencies":3,"cycle1_score":24,"cycle2_date":"2024-08-08","cycle23_deficiencies":8,"cycle23_score":60,"total_weighted_score":33},"cms_penalty_counts":{"fines":1,"fine_total":8827,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-794","cms_chain_id":"794","name":"SHAFIQ MALIK"},"operator_id":"op-fountainbleau-of-cape-girardeau-inc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/265383","provenance":[{"source_id":"cms_provider_info","source_record_id":"265383","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=265383&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":"265383","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=265383&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":"12751","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":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2025-09-04","latest_standard_health":"2025-09-04","earliest_date":"2023-03-10","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":30,"health_count":20,"fire_count":10,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":1,"serious_count":1,"complaint_count":1,"by_severity":{"potential":29,"immediate_jeopardy":1},"by_scope_severity":{"F":14,"D":14,"J":1,"E":1},"by_concept":{"environment_life_safety":11,"food_nutrition":2,"clinical_care":4,"infection_prevention":3,"resident_rights":6,"administration":2,"medication":2},"type_ids":["cms-k0223","cms-k0321","cms-k0374","cms-k0920","cms-f0804","cms-f0641","cms-f0880","cms-k0923","cms-f0812","cms-f0607","cms-f0623","cms-f0625","cms-f0656","cms-f0925","cms-f0689","cms-k0341","cms-f0867","cms-f0868","cms-f0756","cms-f0758","cms-f0883"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":8827,"payment_denials":0,"latest_date":"2024-06-18"},"ownership_summary":{"disclosures":14,"organizations":1,"individuals":13,"not_available":false}},"row":{"id":"cms-265383","ccn":"265383","name":"Fountainbleau Lodge","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"Cape Girardeau","zip":"63701","county_fips":"29031","county_name":"Cape Girardeau County","address":"2001 North Kingshighway","beds":33,"residents":28.9,"ownership":"for_profit","operator_id":"op-fountainbleau-of-cape-girardeau-inc","operator_name":"Fountainbleau of Cape Girardeau Inc","chain_id":"cms-chain-794","chain_name":"Shafiq Malik","lat":37.3367,"lon":-89.58,"overall":5,"health_rating":4,"staffing_rating":5,"qm_rating":4,"nurse_hprd":4.72,"turnover":46.9,"inspections":7,"last_inspection":"2025-09-04","deficiencies":30,"serious":1,"ij":1,"open":0,"penalties":1,"fines_total":8827,"deficiency_type_ids":["cms-k0223","cms-k0321","cms-k0374","cms-k0920","cms-f0804","cms-f0641","cms-f0880","cms-k0923","cms-f0812","cms-f0607","cms-f0623","cms-f0625","cms-f0656","cms-f0925","cms-f0689","cms-k0341","cms-f0867","cms-f0868","cms-f0756","cms-f0758","cms-f0883"],"universe":"cms","licensed_beds":33,"state_license":"MO 052365","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-fountainbleau-of-cape-girardeau-inc","name":"Fountainbleau of Cape Girardeau Inc","legal_name":"FOUNTAINBLEAU OF CAPE GIRARDEAU INC","facility_count":2,"states":["MO"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-794","name":"Shafiq Malik","cms_chain_id":"794","facility_count":9,"states":["MO"],"cms_reported":{"facility_count":9,"avg_overall_rating":3.5,"avg_health_inspection_rating":3.9,"avg_staffing_rating":2,"avg_qm_rating":3.3}},"ownership":[{"owner_type":"individual","owner_name":"Ali Malik","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":13,"percentage_raw":"13%","association_date":"1985-11-25","owner_name_raw":"MALIK, ALI"},{"owner_type":"individual","owner_name":"Bilkess Chaudhry","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":12,"percentage_raw":"12%","association_date":"1985-11-25","owner_name_raw":"CHAUDHRY, BILKESS"},{"owner_type":"individual","owner_name":"Muhammad Tariq Malik","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":12,"percentage_raw":"12%","association_date":"1985-11-25","owner_name_raw":"MALIK, MUHAMMAD TARIQ"},{"owner_type":"individual","owner_name":"Tahira Naeem","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":12,"percentage_raw":"12%","association_date":"1985-11-25","owner_name_raw":"NAEEM, TAHIRA"},{"owner_type":"individual","owner_name":"Regina King","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-16","owner_name_raw":"KING, REGINA"},{"owner_type":"individual","owner_name":"Shafiq Malik","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1989-09-29","owner_name_raw":"MALIK, SHAFIQ"},{"owner_type":"individual","owner_name":"Madhu Sahai","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-13","owner_name_raw":"SAHAI, MADHU"},{"owner_type":"individual","owner_name":"Ali Malik","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"1985-11-25","owner_name_raw":"MALIK, ALI"},{"owner_type":"individual","owner_name":"Shafiq Malik","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"1985-11-25","owner_name_raw":"MALIK, SHAFIQ"},{"owner_id":"org-forvis-mazars-llp","owner_type":"organization","owner_name":"Forvis Mazars LLP","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-03-10"},{"owner_type":"individual","owner_name":"Bilkess Chaudhry","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1985-11-25","owner_name_raw":"CHAUDHRY, BILKESS"},{"owner_type":"individual","owner_name":"Regina King","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-03","owner_name_raw":"KING, REGINA"},{"owner_type":"individual","owner_name":"Shafiq Malik","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1985-11-25","owner_name_raw":"MALIK, SHAFIQ"},{"owner_type":"individual","owner_name":"Madhu Sahai","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-03","owner_name_raw":"SAHAI, MADHU"}],"inspections":[{"id":"cms-265383-20250904-fire","ccn":"265383","date":"2025-09-04","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-k0223","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0374","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"}]},{"id":"cms-265383-20250904-health","ccn":"265383","date":"2025-09-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-18","std":1},{"t":"cms-f0804","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-18","std":1}]},{"id":"cms-265383-20240808-fire","ccn":"265383","date":"2024-08-08","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-22","std":1,"tv":"New"},{"t":"cms-k0923","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-22","std":1,"tv":"New"}]},{"id":"cms-265383-20240808-health","ccn":"265383","date":"2024-08-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0607","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-22","std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-22","std":1},{"t":"cms-f0625","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-22","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-22","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-22","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-22","std":1},{"t":"cms-f0925","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-22","std":1}]},{"id":"cms-265383-20240618-health","ccn":"265383","date":"2024-06-18","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":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"past_noncompliance","cd":"2024-06-09","cmp":1}]},{"id":"cms-265383-20230310-fire","ccn":"265383","date":"2023-03-10","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-k0223","ss":"F","sl":2,"cs":"corrected","cd":"2023-03-10","std":1,"tv":"New"},{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2023-03-13","std":1,"tv":"New"},{"t":"cms-k0341","ss":"F","sl":2,"cs":"corrected","cd":"2023-03-28","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2023-04-03","std":1,"tv":"New"}]},{"id":"cms-265383-20230310-health","ccn":"265383","date":"2023-03-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0607","ss":"E","sl":2,"cs":"corrected","cd":"2023-03-10","std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-23","std":1},{"t":"cms-f0625","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-21","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-27","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-22","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-17","std":1},{"t":"cms-f0867","ss":"F","sl":2,"cs":"corrected","cd":"2023-03-23","std":1},{"t":"cms-f0868","ss":"F","sl":2,"cs":"corrected","cd":"2023-03-23","std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-17","std":1}]}],"deficiency_types":{"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-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-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-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-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-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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-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-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-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-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-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-k0341":{"code":"K-0341","title":"Install a fire alarm system that can be heard throughout the facility.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0867":{"code":"F-0867","title":"Set up an ongoing quality assessment and assurance group to review quality deficiencies  and develop corrective plans of action.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-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-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-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"}},"penalties":[{"id":"cms-265383-pen-f90598","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-06-18","amount":8827,"fine_id":"90598","evidence_class":"VERIFIED","source_record_id":"265383|Fine|90598"}],"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=265383&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=265383&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=265383&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=265383&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=265383&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=265383&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"MO","overall_rating":2.6,"health_inspection_rating":2.8,"qm_rating":2.9,"staffing_rating":2.2,"avg_residents_per_day":73.1,"cycle1_health_deficiencies":11.4,"cycle1_fire_deficiencies":6,"nurse_aide_hprd":2.26,"lpn_hprd":0.68,"rn_hprd":0.46019,"licensed_hprd":1.14,"total_nurse_hprd":3.39922,"weekend_total_nurse_hprd":2.96333,"weekend_rn_hprd":0.32,"pt_hprd":0.04,"nursing_turnover_pct":56.9,"rn_turnover_pct":50,"administrators_left":0.7,"case_mix_index":1.34706,"fines":0.8,"fine_amount":36774,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"MO","name":"Missouri"},"county":{"fips":"29031","name":"Cape Girardeau County"},"zip":"63701","city":"Cape Girardeau"},"related":{"same_operator":[{"id":"mo-dhss-12751","name":"Fountainbleau Lodge","address":"2001 North Kingshighway","city":"Cape Girardeau","state":"MO","zip":"63701","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"residential","state_actions":0,"state_serious":0,"types":["assisted_living"],"capacity":56,"capacity_unit":"beds"}],"same_operator_total":1,"same_chain":[{"id":"cms-265369","ccn":"265369","name":"Crystal Oaks","address":"1500 Calvary Church Road","city":"Festus","state":"MO","zip":"63028","beds":131,"overall":4,"inspections":7,"last_inspection":"2025-12-04","deficiencies":24,"serious":1,"ij":1,"open":0,"fines_total":165187,"status":"active","universe":"cms","licensed_beds":131,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265654","ccn":"265654","name":"Fountainbleau Nursing Center","address":"1349 Highway 61","city":"Festus","state":"MO","zip":"63028","beds":116,"overall":4,"inspections":6,"last_inspection":"2026-02-12","deficiencies":32,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":116,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265701","ccn":"265701","name":"St Joe Manor","address":"10 Lake Drive","city":"Bonne Terre","state":"MO","zip":"63628","beds":155,"overall":2,"inspections":8,"last_inspection":"2026-05-20","deficiencies":47,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":155,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265743","ccn":"265743","name":"Riverview at the Park Care and Rehabilitation Cent","address":"1100 Progress Parkway","city":"Sainte Genevieve","state":"MO","zip":"63670","beds":120,"overall":4,"inspections":7,"last_inspection":"2025-12-30","deficiencies":27,"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-265765","ccn":"265765","name":"Lutheran Nursing Home","address":"202 South West Street","city":"Concordia","state":"MO","zip":"64020","beds":113,"overall":4,"inspections":10,"last_inspection":"2026-08-12","deficiencies":55,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":113,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265782","ccn":"265782","name":"Beautiful Savior Home","address":"1003 South Cedar Street","city":"Belton","state":"MO","zip":"64012","beds":126,"overall":2,"inspections":8,"last_inspection":"2026-05-15","deficiencies":34,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":126,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265798","ccn":"265798","name":"Community Manor","address":"783 Weber Road","city":"Farmington","state":"MO","zip":"63640","beds":99,"overall":3,"inspections":9,"last_inspection":"2026-06-04","deficiencies":41,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":99,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265892","ccn":"265892","name":"St Louis Altenheim","address":"5408 South Broadway","city":"Saint Louis","state":"MO","zip":"63111","beds":73,"inspections":2,"last_inspection":"2025-10-10","deficiencies":20,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":73,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":8,"same_site_review":[],"nearby":[{"id":"cms-265503","ccn":"265503","name":"Heartland Care and Rehabilitation Center","address":"2525 Boutin Drive","city":"Cape Girardeau","state":"MO","zip":"63701","beds":102,"overall":4,"inspections":6,"last_inspection":"2025-11-17","deficiencies":19,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":102,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.8},{"id":"cms-265142","ccn":"265142","name":"Chateau Girardeau","address":"3120 Independence Street","city":"Cape Girardeau","state":"MO","zip":"63703","beds":75,"overall":3,"inspections":6,"last_inspection":"2026-04-10","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":75,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.3},{"id":"cms-265185","ccn":"265185","name":"Life Care Center of Cape Girardeau","address":"365 South Broadview Street","city":"Cape Girardeau","state":"MO","zip":"63703","beds":120,"overall":2,"inspections":14,"last_inspection":"2025-12-16","deficiencies":54,"serious":7,"ij":2,"open":0,"fines_total":149578,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.7},{"id":"cms-265359","ccn":"265359","name":"The Lutheran Home","address":"2825 Bloomfield Road","city":"Cape Girardeau","state":"MO","zip":"63703","beds":274,"overall":5,"inspections":6,"last_inspection":"2026-07-10","deficiencies":12,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":274,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5},{"id":"cms-265747","ccn":"265747","name":"Ratliff Care Center","address":"717 North Sprigg","city":"Cape Girardeau","state":"MO","zip":"63701","beds":46,"overall":4,"inspections":6,"last_inspection":"2025-05-30","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":46,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.4},{"id":"cms-265716","ccn":"265716","name":"Hubble Creek","address":"1115 K Land Drive","city":"Jackson","state":"MO","zip":"63755","beds":105,"overall":3,"inspections":7,"last_inspection":"2026-02-12","deficiencies":50,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":105,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.7},{"id":"cms-265438","ccn":"265438","name":"Jackson Manor","address":"710 Broadridge","city":"Jackson","state":"MO","zip":"63755","beds":90,"overall":4,"inspections":7,"last_inspection":"2025-08-22","deficiencies":30,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":90,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":11.5}]}}