{"schema_version":"1.0.0","facility":{"id":"cms-265665","ccn":"265665","name":"Hill Crest Manor","source_name":"HILL CREST MANOR","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":"801 South Colby","city":"Hamilton","state":"MO","zip":"64644","county_name":"Caldwell County","county_fips":"29025","county_method":"name_match","ssa_county_code":"120","urban":true},"location":{"lat":39.737,"lon":-93.997,"method":"cms_published_coordinates"},"phone":"8165832119","certification":{"authority":"CMS","ccn":"265665","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1997-01-01","certified_beds":90,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265665"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"054159","state_facility_id":"03315","license_type":"Skilled nursing facility","status":"active","licensed_beds":90,"capacity_unit":"beds","effective_date":"2026-12-01","expiration_date":"2028-11-30","licensee":"HAMILTON #1, INC","licensee_entity_type":"Profit Corporation","certification_status":"Medicare/Medicaid","ccn":"265665","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":90,"licensed_beds":90,"avg_residents_per_day":56.1},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"HAMILTON NO 1 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":2},"health_inspection":{"value":3},"quality_measures":{"value":2},"long_stay_qm":{"value":2},"short_stay_qm":{"footnote":"2"},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.59885,"lpn_hprd":0.19702,"rn_hprd":0.3136,"licensed_hprd":0.51062,"total_nurse_hprd":3.10948,"weekend_total_nurse_hprd":2.74795,"weekend_rn_hprd":0.2201,"pt_hprd":0,"nursing_turnover_pct":57.4,"rn_turnover_pct":66.7,"administrators_left":2,"case_mix_index":1.46306,"case_mix_index_ratio":1.03744,"case_mix_total_nurse_hprd":4.04692,"adjusted_total_nurse_hprd":2.97373,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-05-07","cycle1_deficiencies":7,"cycle1_score":52,"cycle2_date":"2025-01-29","cycle23_deficiencies":22,"cycle23_score":148,"total_weighted_score":76},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-145","cms_chain_id":"145","name":"CIRCLE B ENTERPRISES"},"operator_id":"op-hamilton-no-1-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/265665","provenance":[{"source_id":"cms_provider_info","source_record_id":"265665","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=265665&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":"265665","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=265665&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":"03315","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":10,"health_count":7,"fire_count":3,"complaint_count":5,"latest_date":"2026-05-07","latest_standard_health":"2026-05-07","earliest_date":"2023-09-13","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":94,"health_count":47,"fire_count":47,"open_count":6,"actual_harm_count":0,"immediate_jeopardy_count":1,"serious_count":1,"complaint_count":5,"by_severity":{"potential":92,"minimal":1,"immediate_jeopardy":1},"by_scope_severity":{"F":22,"E":50,"D":20,"B":1,"L":1},"by_concept":{"emergency_preparedness":3,"environment_life_safety":46,"resident_rights":12,"clinical_care":18,"staffing":6,"food_nutrition":6,"medication":1,"infection_prevention":1,"administration":1},"type_ids":["cms-e0039","cms-k0222","cms-k0374","cms-k0161","cms-k0211","cms-k0223","cms-k0293","cms-k0311","cms-k0353","cms-f0607","cms-f0656","cms-f0658","cms-f0695","cms-f0732","cms-f0812","cms-f0801","cms-f0689","cms-e0036","cms-k0131","cms-k0345","cms-k0355","cms-k0111","cms-k0251","cms-k0271","cms-k0321","cms-k0351","cms-k0362","cms-k0363","cms-k0741","cms-k0912","cms-k0920","cms-k0200","cms-k0291","cms-k0923","cms-f0550","cms-f0561","cms-f0565","cms-f0570","cms-f0572","cms-f0574","cms-f0576","cms-f0585","cms-f0657","cms-f0728","cms-f0761","cms-f0908","cms-f0640","cms-f0684","cms-f0685","cms-f0677","cms-e0015","cms-k0281","cms-k0324","cms-k0541","cms-f0725","cms-f0727","cms-f0842","cms-f0881","cms-f0584","cms-f0688","cms-f0805","cms-f0868","cms-f0924","cms-f0679","cms-f0740","cms-f0947"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":21,"organizations":9,"individuals":10,"not_available":false}},"row":{"id":"cms-265665","ccn":"265665","name":"Hill Crest Manor","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"Hamilton","zip":"64644","county_fips":"29025","county_name":"Caldwell County","address":"801 South Colby","beds":90,"residents":56.1,"ownership":"for_profit","operator_id":"op-hamilton-no-1-inc","operator_name":"Hamilton No 1 Inc","chain_id":"cms-chain-145","chain_name":"Circle B Enterprises","lat":39.737,"lon":-93.997,"overall":2,"health_rating":3,"staffing_rating":1,"qm_rating":2,"nurse_hprd":3.11,"turnover":57.4,"inspections":10,"last_inspection":"2026-05-07","deficiencies":94,"serious":1,"ij":1,"open":6,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-e0039","cms-k0222","cms-k0374","cms-k0161","cms-k0211","cms-k0223","cms-k0293","cms-k0311","cms-k0353","cms-f0607","cms-f0656","cms-f0658","cms-f0695","cms-f0732","cms-f0812","cms-f0801","cms-f0689","cms-e0036","cms-k0131","cms-k0345","cms-k0355","cms-k0111","cms-k0251","cms-k0271","cms-k0321","cms-k0351","cms-k0362","cms-k0363","cms-k0741","cms-k0912","cms-k0920","cms-k0200","cms-k0291","cms-k0923","cms-f0550","cms-f0561","cms-f0565","cms-f0570","cms-f0572","cms-f0574","cms-f0576","cms-f0585","cms-f0657","cms-f0728","cms-f0761","cms-f0908","cms-f0640","cms-f0684","cms-f0685","cms-f0677","cms-e0015","cms-k0281","cms-k0324","cms-k0541","cms-f0725","cms-f0727","cms-f0842","cms-f0881","cms-f0584","cms-f0688","cms-f0805","cms-f0868","cms-f0924","cms-f0679","cms-f0740","cms-f0947"],"universe":"cms","licensed_beds":90,"state_license":"MO 054159","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-hamilton-no-1-inc","name":"Hamilton No 1 Inc","legal_name":"HAMILTON NO 1 INC","facility_count":1,"states":["MO"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-145","name":"Circle B Enterprises","cms_chain_id":"145","facility_count":36,"states":["AZ","MO"],"cms_reported":{"facility_count":36,"avg_overall_rating":2.6,"avg_health_inspection_rating":3.1,"avg_staffing_rating":1.9,"avg_qm_rating":1.9}},"ownership":[{"owner_id":"org-circle-b-enterprises-holding-company-inc","owner_type":"organization","owner_name":"Circle B Enterprises Holding Company Inc","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2001-05-18"},{"owner_type":"individual","owner_name":"Bryan Bedell","role":"partner","role_raw":"INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-12","owner_name_raw":"BEDELL, BRYAN"},{"owner_id":"org-agh1-llc","owner_type":"organization","owner_name":"Agh1 LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2016-12-02"},{"owner_id":"org-sovereign-healthcare-group-llc","owner_type":"organization","owner_name":"Sovereign Healthcare Group LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-23"},{"owner_type":"individual","owner_name":"Muhammad Amin","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-10-01","owner_name_raw":"AMIN, MUHAMMAD"},{"owner_type":"individual","owner_name":"Donald Bedell","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2001-05-18","owner_name_raw":"BEDELL, DONALD"},{"owner_type":"individual","owner_name":"Tyler O'neal","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-09-12","owner_name_raw":"O'NEAL, TYLER"},{"owner_type":"individual","owner_name":"Donald Bedell","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2001-05-18","owner_name_raw":"BEDELL, DONALD"},{"owner_type":"individual","owner_name":"Todd Beaird","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"BEAIRD, TODD"},{"owner_type":"individual","owner_name":"Donald Bedell","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2001-05-18","owner_name_raw":"BEDELL, DONALD"},{"owner_id":"org-agh1-llc","owner_type":"organization","owner_name":"Agh1 LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-25"},{"owner_id":"org-dcb-real-estate-partnership-lp","owner_type":"organization","owner_name":"Dcb Real Estate Partnership LP","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-11"},{"owner_id":"org-fg-llc","owner_type":"organization","owner_name":"Fg LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2016-12-02"},{"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":"2021-08-16"},{"owner_id":"org-hamilton-development-properties-llc","owner_type":"organization","owner_name":"Hamilton Development Properties LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2010-01-01"},{"owner_id":"org-mid-states-inc","owner_type":"organization","owner_name":"Mid States Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2010-11-01"},{"owner_id":"org-sovereign-healthcare-group-llc","owner_type":"organization","owner_name":"Sovereign Healthcare Group LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-06"},{"owner_id":"org-van-de-ven-llc","owner_type":"organization","owner_name":"Van De Ven LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2000-01-01"},{"owner_type":"individual","owner_name":"Muhammad Amin","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-10-01","owner_name_raw":"AMIN, MUHAMMAD"},{"owner_type":"individual","owner_name":"Todd Beaird","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"BEAIRD, TODD"},{"owner_type":"individual","owner_name":"Tyler O'neal","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-09-12","owner_name_raw":"O'NEAL, TYLER"}],"inspections":[{"id":"cms-265665-20260507-fire","ccn":"265665","date":"2026-05-07","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"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-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2026-07-08","std":1,"tv":"New"},{"t":"cms-k0161","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-08","std":1,"tv":"New"},{"t":"cms-k0211","ss":"D","sl":2,"cs":"no_revisit_needed","cd":"2026-11-07","std":1,"tv":"New"},{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2026-07-08","std":1,"tv":"New"},{"t":"cms-k0223","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-08","std":1,"tv":"New"},{"t":"cms-k0293","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-08","std":1,"tv":"New"},{"t":"cms-k0311","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-08","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-08","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-08","std":1,"tv":"New"}]},{"id":"cms-265665-20260507-health","ccn":"265665","date":"2026-05-07","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-f0607","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-08","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-08","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-08","std":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-08","std":1},{"t":"cms-f0732","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-08","std":1},{"t":"cms-f0801","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-08","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-08","std":1}]},{"id":"cms-265665-20250627-health","ccn":"265665","date":"2025-06-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2025-06-10","cmp":1}]},{"id":"cms-265665-20250129-fire","ccn":"265665","date":"2025-01-29","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":24,"max_severity_level":2,"open_count":6,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0036","ss":"F","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0111","ss":"E","sl":2,"cs":"no_plan_of_correction","std":1,"tv":"New"},{"t":"cms-k0131","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1,"tv":"New"},{"t":"cms-k0161","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0200","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0222","ss":"F","sl":2,"cs":"no_plan_of_correction","std":1,"tv":"New"},{"t":"cms-k0251","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0271","ss":"E","sl":2,"cs":"no_plan_of_correction","std":1,"tv":"New"},{"t":"cms-k0291","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0293","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0311","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"no_plan_of_correction","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0351","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0355","ss":"F","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0362","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"no_plan_of_correction","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0912","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-12","std":1,"tv":"New"}]},{"id":"cms-265665-20250129-health","ccn":"265665","date":"2025-01-29","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":18,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","cmp":1,"std":1},{"t":"cms-f0561","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0570","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0572","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0574","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0576","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0585","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0607","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0640","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0685","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0728","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1},{"t":"cms-f0908","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-12","std":1}]},{"id":"cms-265665-20241029-health","ccn":"265665","date":"2024-10-29","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-21","cmp":1}]},{"id":"cms-265665-20240523-health","ccn":"265665","date":"2024-05-23","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-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-14","cmp":1}]},{"id":"cms-265665-20240412-health","ccn":"265665","date":"2024-04-12","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":1,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"B","sl":1,"cs":"corrected","cd":"2024-04-26","cmp":1}]},{"id":"cms-265665-20230913-fire","ccn":"265665","date":"2023-09-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"L","sl":4,"cs":"waiver_granted","cd":"2023-10-18","std":1,"tv":"New"},{"t":"cms-e0015","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0161","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0211","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0223","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0281","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0293","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"waiver_granted","cd":"2023-10-18","std":1,"tv":"New"},{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0355","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0363","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0541","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1,"tv":"New"}]},{"id":"cms-265665-20230913-health","ccn":"265665","date":"2023-09-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":18,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0688","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0725","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0727","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0728","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0740","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0801","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0805","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0842","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0868","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0881","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0924","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-28","std":1},{"t":"cms-f0947","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-28","std":1}]}],"deficiency_types":{"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0311":{"code":"K-0311","title":"Have an enclosure around a vertical opening shaft.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0732":{"code":"F-0732","title":"Post nurse staffing information every day.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-f0801":{"code":"F-0801","title":"Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-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-e0036":{"code":"E-0036","title":"Establish emergency prep training and testing.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0131":{"code":"K-0131","title":"Meet requirements for sections of health care facilities separated by fire resistive construction.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0111":{"code":"K-0111","title":"Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0251":{"code":"K-0251","title":"Conform to length requirements for dead end corridors.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0271":{"code":"K-0271","title":"Have exits that are accessible at all times.","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-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0362":{"code":"K-0362","title":"Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-k0912":{"code":"K-0912","title":"Have power receptacles that are properly grounded.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-k0200":{"code":"K-0200","title":"Meet other general requirements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-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-f0565":{"code":"F-0565","title":"Honor the resident's right to organize and participate in resident/family groups in the facility.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0572":{"code":"F-0572","title":"Give residents a notice of rights, rules, services and charges.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0574":{"code":"F-0574","title":"The resident has the right to receive notices in a format and a language he or she understands.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0576":{"code":"F-0576","title":"Ensure residents have reasonable access to and privacy in their use of communication methods.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0585":{"code":"F-0585","title":"Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.","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-f0728":{"code":"F-0728","title":"Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0640":{"code":"F-0640","title":"Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.","category":"Resident Assessment and Care Planning 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-f0685":{"code":"F-0685","title":"Assist a resident in gaining access to vision and hearing services.","category":"Quality of Life and Care 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-e0015":{"code":"E-0015","title":"Address subsistence needs for staff and patients.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0281":{"code":"K-0281","title":"Install proper backup exit lighting.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0541":{"code":"K-0541","title":"Install properly constructed and protected linen or trash chutes.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-f0727":{"code":"F-0727","title":"Have a registered nurse on duty 8 hours a day; and  select a registered nurse to be the director of nurses on a full time basis.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-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-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-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-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-f0924":{"code":"F-0924","title":"Put firmly secured handrails on each side of hallways.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0679":{"code":"F-0679","title":"Provide activities to meet all resident's needs.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0740":{"code":"F-0740","title":"Ensure each resident must receive and the facility must provide necessary behavioral health care and services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0947":{"code":"F-0947","title":"Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"}},"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=265665&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=265665&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=265665&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=265665&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=265665&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=265665&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":"29025","name":"Caldwell County"},"zip":"64644","city":"Hamilton"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-265210","ccn":"265210","name":"River Oaks Care Center","address":"1001 North Walnut","city":"Steele","state":"MO","zip":"63877","beds":90,"overall":2,"inspections":7,"last_inspection":"2025-08-08","deficiencies":19,"serious":2,"ij":2,"open":0,"fines_total":41389,"status":"active","universe":"cms","licensed_beds":90,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265246","ccn":"265246","name":"Shady Oaks Healthcare Center","address":"335 Business Route 63","city":"Thayer","state":"MO","zip":"65791","beds":120,"overall":4,"inspections":6,"last_inspection":"2025-12-05","deficiencies":18,"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-265253","ccn":"265253","name":"Truman Healthcare & Rehabilitation Center","address":"206 West First Street","city":"Lamar","state":"MO","zip":"64759","beds":109,"overall":1,"inspections":10,"last_inspection":"2026-05-06","deficiencies":64,"serious":0,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","licensed_beds":123,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265254","ccn":"265254","name":"Heart of the Ozarks Healthcare Center","address":"2004 Crestview Street","city":"Ava","state":"MO","zip":"65608","beds":120,"overall":4,"inspections":9,"last_inspection":"2025-03-25","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-265255","ccn":"265255","name":"Clinton Healthcare and Rehabilitation Center","address":"1009 East Ohio","city":"Clinton","state":"MO","zip":"64735","beds":120,"overall":1,"inspections":10,"last_inspection":"2026-08-05","deficiencies":37,"serious":1,"ij":1,"open":0,"fines_total":83041,"abuse":true,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265347","ccn":"265347","name":"Adair Village","address":"1801 North Gaines Drive","city":"Clinton","state":"MO","zip":"64735","beds":120,"overall":3,"inspections":9,"last_inspection":"2026-01-23","deficiencies":48,"serious":3,"ij":0,"open":0,"fines_total":50606,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265353","ccn":"265353","name":"Quail Run Health Care Center","address":"1405 West Grand Ave","city":"Cameron","state":"MO","zip":"64429","beds":84,"overall":1,"inspections":7,"last_inspection":"2026-03-27","deficiencies":54,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":84,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265356","ccn":"265356","name":"Valley Manor and Rehabilitation Center","address":"1410 Hospital Drive","city":"Excelsior Springs","state":"MO","zip":"64024","beds":120,"overall":1,"inspections":8,"last_inspection":"2026-08-04","deficiencies":65,"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"]}],"same_chain_total":35,"same_site_review":[],"nearby":[]}}