{"schema_version":"1.0.0","facility":{"id":"cms-265446","ccn":"265446","name":"Community Springs Healthcare Facility","source_name":"COMMUNITY SPRINGS HEALTHCARE FACILITY","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":"400 East Hospital Road","city":"El Dorado Springs","state":"MO","zip":"64744","county_name":"Cedar County","county_fips":"29039","county_method":"name_match","ssa_county_code":"190","urban":false},"location":{"lat":37.8593,"lon":-94.017,"method":"cms_published_coordinates"},"phone":"4178762531","certification":{"authority":"CMS","ccn":"265446","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1991-02-01","certified_beds":120,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265446"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"052596","state_facility_id":"01740","license_type":"Skilled nursing facility","status":"active","licensed_beds":120,"capacity_unit":"beds","effective_date":"2025-04-02","expiration_date":"2027-04-01","licensee":"CITIZENS MEMORIAL HEALTH CARE FOUNDATION","licensee_entity_type":"Not for Profit Corporation","certification_status":"Medicare/Medicaid","ccn":"265446","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":67.6},"ownership_type":"Non profit - Corporation","ownership_class":"non_profit","legal_business_name":"CITIZENS MEMORIAL HEALTH CARE FOUNDATION","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":4},"quality_measures":{"value":2},"long_stay_qm":{"value":1},"short_stay_qm":{"value":3},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.26868,"lpn_hprd":0.67463,"rn_hprd":0.42284,"licensed_hprd":1.09747,"total_nurse_hprd":3.36615,"weekend_total_nurse_hprd":2.88426,"weekend_rn_hprd":0.25926,"pt_hprd":0.06988,"nursing_turnover_pct":35.4,"rn_turnover_pct":55.6,"administrators_left":0,"case_mix_index":1.39151,"case_mix_index_ratio":0.98671,"case_mix_total_nurse_hprd":3.84901,"adjusted_total_nurse_hprd":3.38472,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-01-03","cycle1_deficiencies":7,"cycle1_score":36,"cycle2_date":"2023-06-30","cycle23_deficiencies":4,"cycle23_score":32,"total_weighted_score":35},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-148","cms_chain_id":"148","name":"CITIZENS MEMORIAL HEALTH CARE"},"operator_id":"op-citizens-memorial-health-care-foundation","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/265446","provenance":[{"source_id":"cms_provider_info","source_record_id":"265446","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=265446&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":"265446","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=265446&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":"01740","url":"https://data.mo.gov/d/fenu-sipv","retrieved_at":"2026-11-07T14:53:42.852Z","source_updated_at":"2026-11-04","effective_date":"2026-11-04","jurisdiction":"MO","fields":["state_license","licensed_beds","licensee"],"evidence_class":"VERIFIED","status":"current","note":"Linked to the CMS record by exact CCN."}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2025-01-03","latest_standard_health":"2025-01-03","earliest_date":"2020-01-10","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":15,"health_count":12,"fire_count":3,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":15},"by_scope_severity":{"E":6,"D":7,"F":2},"by_concept":{"resident_rights":4,"clinical_care":5,"emergency_preparedness":1,"environment_life_safety":3,"food_nutrition":1,"infection_prevention":1},"type_ids":["cms-f0561","cms-f0657","cms-f0609","cms-f0610","cms-f0641","cms-f0656","cms-f0658","cms-e0015","cms-k0353","cms-k0920","cms-f0922","cms-f0812","cms-f0550","cms-f0700","cms-f0880"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":44,"organizations":1,"individuals":43,"not_available":false}},"row":{"id":"cms-265446","ccn":"265446","name":"Community Springs Healthcare Facility","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"El Dorado Springs","zip":"64744","county_fips":"29039","county_name":"Cedar County","address":"400 East Hospital Road","beds":120,"residents":67.6,"ownership":"non_profit","operator_id":"op-citizens-memorial-health-care-foundation","operator_name":"Citizens Memorial Health Care Foundation","chain_id":"cms-chain-148","chain_name":"Citizens Memorial Health Care","lat":37.8593,"lon":-94.017,"overall":4,"health_rating":4,"staffing_rating":2,"qm_rating":2,"nurse_hprd":3.37,"turnover":35.4,"inspections":6,"last_inspection":"2025-01-03","deficiencies":15,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0561","cms-f0657","cms-f0609","cms-f0610","cms-f0641","cms-f0656","cms-f0658","cms-e0015","cms-k0353","cms-k0920","cms-f0922","cms-f0812","cms-f0550","cms-f0700","cms-f0880"],"universe":"cms","licensed_beds":120,"state_license":"MO 052596","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-citizens-memorial-health-care-foundation","name":"Citizens Memorial Health Care Foundation","legal_name":"CITIZENS MEMORIAL HEALTH CARE FOUNDATION","facility_count":7,"states":["MO"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-148","name":"Citizens Memorial Health Care","cms_chain_id":"148","facility_count":6,"states":["MO"],"cms_reported":{"facility_count":6,"avg_overall_rating":3.3,"avg_health_inspection_rating":3.8,"avg_staffing_rating":3,"avg_qm_rating":1.8}},"ownership":[{"owner_type":"individual","owner_name":"James Ashworth","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-06-17","owner_name_raw":"ASHWORTH, JAMES"},{"owner_type":"individual","owner_name":"Donald Babb","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"1986-09-24","owner_name_raw":"BABB, DONALD"},{"owner_type":"individual","owner_name":"Katrina Banner","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2022-11-17","owner_name_raw":"BANNER, KATRINA"},{"owner_type":"individual","owner_name":"Michael Calhoun","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-02","owner_name_raw":"CALHOUN, MICHAEL"},{"owner_type":"individual","owner_name":"Eran Dawson","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2022-04-01","owner_name_raw":"DAWSON, ERAN"},{"owner_type":"individual","owner_name":"Gary Fulbright","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-17","owner_name_raw":"FULBRIGHT, GARY"},{"owner_type":"individual","owner_name":"Janieca Hancock","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2018-03-15","owner_name_raw":"HANCOCK, JANIECA"},{"owner_type":"individual","owner_name":"John Kallenbach","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2019-06-20","owner_name_raw":"KALLENBACH, JOHN"},{"owner_type":"individual","owner_name":"Dana Meents","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2010-10-14","owner_name_raw":"MEENTS, DANA"},{"owner_type":"individual","owner_name":"Renee Meyer","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"MEYER, RENEE"},{"owner_type":"individual","owner_name":"Kenneth Smith","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2023-03-30","owner_name_raw":"SMITH, KENNETH"},{"owner_type":"individual","owner_name":"James Ashworth","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-06-17","owner_name_raw":"ASHWORTH, JAMES"},{"owner_type":"individual","owner_name":"Donald Babb","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1986-09-24","owner_name_raw":"BABB, DONALD"},{"owner_type":"individual","owner_name":"Katrina Banner","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-11-17","owner_name_raw":"BANNER, KATRINA"},{"owner_type":"individual","owner_name":"Vautrin Cadle","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-07","owner_name_raw":"CADLE, VAUTRIN"},{"owner_type":"individual","owner_name":"Michael Calhoun","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-02","owner_name_raw":"CALHOUN, MICHAEL"},{"owner_type":"individual","owner_name":"Heather Finnell","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-05","owner_name_raw":"FINNELL, HEATHER"},{"owner_type":"individual","owner_name":"Tim Francka","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-02-18","owner_name_raw":"FRANCKA, TIM"},{"owner_type":"individual","owner_name":"Gary Fulbright","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-17","owner_name_raw":"FULBRIGHT, GARY"},{"owner_type":"individual","owner_name":"Sarah Hanak","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-05","owner_name_raw":"HANAK, SARAH"},{"owner_type":"individual","owner_name":"Janieca Hancock","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2018-03-15","owner_name_raw":"HANCOCK, JANIECA"},{"owner_type":"individual","owner_name":"Brittany Hardman","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-04-28","owner_name_raw":"HARDMAN, BRITTANY"},{"owner_type":"individual","owner_name":"John Kallenbach","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-06-20","owner_name_raw":"KALLENBACH, JOHN"},{"owner_type":"individual","owner_name":"Dana Meents","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2010-10-14","owner_name_raw":"MEENTS, DANA"},{"owner_type":"individual","owner_name":"Renee Meyer","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-12","owner_name_raw":"MEYER, RENEE"},{"owner_type":"individual","owner_name":"Kenneth Smith","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-03-30","owner_name_raw":"SMITH, KENNETH"},{"owner_type":"individual","owner_name":"Jeffrey Tedrow","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-01","owner_name_raw":"TEDROW, JEFFREY"},{"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":"2024-06-27"},{"owner_type":"individual","owner_name":"James Ashworth","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-06-17","owner_name_raw":"ASHWORTH, JAMES"},{"owner_type":"individual","owner_name":"Donald Babb","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1986-09-24","owner_name_raw":"BABB, DONALD"},{"owner_type":"individual","owner_name":"Katrina Banner","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-11-17","owner_name_raw":"BANNER, KATRINA"},{"owner_type":"individual","owner_name":"Vautrin Cadle","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-07","owner_name_raw":"CADLE, VAUTRIN"},{"owner_type":"individual","owner_name":"Michael Calhoun","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-02","owner_name_raw":"CALHOUN, MICHAEL"},{"owner_type":"individual","owner_name":"Heather Finnell","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-11-21","owner_name_raw":"FINNELL, HEATHER"},{"owner_type":"individual","owner_name":"Tim Francka","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-02-18","owner_name_raw":"FRANCKA, TIM"},{"owner_type":"individual","owner_name":"Gary Fulbright","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-17","owner_name_raw":"FULBRIGHT, GARY"},{"owner_type":"individual","owner_name":"Sarah Hanak","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-05","owner_name_raw":"HANAK, SARAH"},{"owner_type":"individual","owner_name":"Janieca Hancock","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-03-15","owner_name_raw":"HANCOCK, JANIECA"},{"owner_type":"individual","owner_name":"Brittany Hardman","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-04-28","owner_name_raw":"HARDMAN, BRITTANY"},{"owner_type":"individual","owner_name":"John Kallenbach","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-06-20","owner_name_raw":"KALLENBACH, JOHN"},{"owner_type":"individual","owner_name":"Dana Meents","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2010-10-14","owner_name_raw":"MEENTS, DANA"},{"owner_type":"individual","owner_name":"Renee Meyer","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-12","owner_name_raw":"MEYER, RENEE"},{"owner_type":"individual","owner_name":"Kenneth Smith","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-03-30","owner_name_raw":"SMITH, KENNETH"},{"owner_type":"individual","owner_name":"Jeffrey Tedrow","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-01","owner_name_raw":"TEDROW, JEFFREY"}],"inspections":[{"id":"cms-265446-20250103-fire","ccn":"265446","date":"2025-01-03","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-265446-20250103-health","ccn":"265446","date":"2025-01-03","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"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-f0561","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-17","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-17","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-17","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-17","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-17","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-17","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-17","std":1}]},{"id":"cms-265446-20230630-fire","ccn":"265446","date":"2023-06-30","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-e0015","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-14","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2023-07-03","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-10","std":1,"tv":"New"}]},{"id":"cms-265446-20230630-health","ccn":"265446","date":"2023-06-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-03","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-10","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-10","std":1},{"t":"cms-f0922","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-14","std":1}]},{"id":"cms-265446-20200110-fire","ccn":"265446","date":"2020-01-10","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-265446-20200110-health","ccn":"265446","date":"2020-01-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2020-02-28","std":1}]}],"deficiency_types":{"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-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-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-e0015":{"code":"E-0015","title":"Address subsistence needs for staff and patients.","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-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-f0922":{"code":"F-0922","title":"Have enough backup water supply for essential areas of the nursing home.","category":"Environmental 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-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-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"}},"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=265446&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=265446&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=265446&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=265446&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=265446&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=265446&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":"29039","name":"Cedar County"},"zip":"64744","city":"El Dorado Springs"},"related":{"same_operator":[{"id":"cms-265245","ccn":"265245","name":"Colonial Springs Healthcare Center","address":"750 West Cooper","city":"Buffalo","state":"MO","zip":"65622","beds":134,"overall":2,"inspections":10,"last_inspection":"2026-08-13","deficiencies":28,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":134,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265466","ccn":"265466","name":"Lake Stockton Healthcare Facility","address":"1523 3rd Road","city":"Stockton","state":"MO","zip":"65785","beds":90,"overall":3,"inspections":7,"last_inspection":"2026-04-02","deficiencies":17,"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"]},{"id":"cms-265519","ccn":"265519","name":"Parkview Health Care Facility","address":"119 West Forest","city":"Bolivar","state":"MO","zip":"65613","beds":78,"overall":5,"inspections":8,"last_inspection":"2026-08-20","deficiencies":10,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":78,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265545","ccn":"265545","name":"Citizens Memorial Healthcare Facility","address":"1218 West Locust","city":"Bolivar","state":"MO","zip":"65613","beds":111,"overall":3,"inspections":9,"last_inspection":"2026-02-10","deficiencies":26,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":111,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265571","ccn":"265571","name":"Ash Grove Healthcare Facility","address":"401 North Medical Drive","city":"Ash Grove","state":"MO","zip":"65604","beds":82,"overall":3,"inspections":10,"last_inspection":"2025-11-20","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":82,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"mo-dhss-14436","name":"Butterfield Residential Care Center","address":"1120 North Butterfield Rd","city":"Bolivar","state":"MO","zip":"65613","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"residential","state_actions":0,"state_serious":0,"types":["residential_care_facility"],"capacity":66,"capacity_unit":"beds"}],"same_operator_total":6,"same_chain":[{"id":"cms-265245","ccn":"265245","name":"Colonial Springs Healthcare Center","address":"750 West Cooper","city":"Buffalo","state":"MO","zip":"65622","beds":134,"overall":2,"inspections":10,"last_inspection":"2026-08-13","deficiencies":28,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":134,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265466","ccn":"265466","name":"Lake Stockton Healthcare Facility","address":"1523 3rd Road","city":"Stockton","state":"MO","zip":"65785","beds":90,"overall":3,"inspections":7,"last_inspection":"2026-04-02","deficiencies":17,"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"]},{"id":"cms-265519","ccn":"265519","name":"Parkview Health Care Facility","address":"119 West Forest","city":"Bolivar","state":"MO","zip":"65613","beds":78,"overall":5,"inspections":8,"last_inspection":"2026-08-20","deficiencies":10,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":78,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265545","ccn":"265545","name":"Citizens Memorial Healthcare Facility","address":"1218 West Locust","city":"Bolivar","state":"MO","zip":"65613","beds":111,"overall":3,"inspections":9,"last_inspection":"2026-02-10","deficiencies":26,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":111,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265571","ccn":"265571","name":"Ash Grove Healthcare Facility","address":"401 North Medical Drive","city":"Ash Grove","state":"MO","zip":"65604","beds":82,"overall":3,"inspections":10,"last_inspection":"2025-11-20","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":82,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":5,"same_site_review":[],"nearby":[]}}