{"schema_version":"1.0.0","facility":{"id":"cms-265672","ccn":"265672","name":"Magnolia Wellness Center","source_name":"MAGNOLIA WELLNESS CENTER","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":"3421 Gasconade","city":"Saint Louis","state":"MO","zip":"63118","county_name":"St. Louis city","county_fips":"29510","county_method":"name_match","ssa_county_code":"950","urban":true},"location":{"lat":38.5825,"lon":-90.242,"method":"cms_published_coordinates"},"phone":"3148324700","certification":{"authority":"CMS","ccn":"265672","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1997-03-12","certified_beds":120,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265672"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"053438","state_facility_id":"21455","license_type":"Skilled nursing facility","status":"active","licensed_beds":120,"capacity_unit":"beds","effective_date":"2026-03-12","expiration_date":"2028-03-11","licensee":"SAGE NURSING & REHAB LLC","licensee_entity_type":"Limited Liability Company","certification_status":"Medicare/Medicaid","ccn":"265672","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":75.4},"ownership_type":"For profit - Individual","ownership_class":"for_profit","legal_business_name":"SAGE NURSING & REHAB LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":true,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":4},"long_stay_qm":{"value":4},"short_stay_qm":{"value":3},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.25942,"lpn_hprd":0.74145,"rn_hprd":0.24969,"licensed_hprd":0.99114,"total_nurse_hprd":3.25057,"weekend_total_nurse_hprd":2.72273,"weekend_rn_hprd":0.16809,"pt_hprd":0.01432,"nursing_turnover_pct":59.3,"rn_turnover_footnote":"27","administrators_left":2,"case_mix_index":1.97422,"case_mix_index_ratio":1.39991,"case_mix_total_nurse_hprd":5.46083,"adjusted_total_nurse_hprd":2.30377,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2024-02-15","cycle1_deficiencies":25,"cycle1_score":283,"cycle2_date":"2021-12-08","cycle23_deficiencies":42,"cycle23_score":617,"total_weighted_score":366.5},"cms_penalty_counts":{"fines":7,"fine_total":404600,"payment_denials":4,"total":11},"chain":{"id":"cms-chain-773","cms_chain_id":"773","name":"OPCO SKILLED MANAGEMENT"},"operator_id":"op-sage-nursing-and-rehab-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/265672","provenance":[{"source_id":"cms_provider_info","source_record_id":"265672","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=265672&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":"265672","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=265672&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":"21455","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":17,"health_count":14,"fire_count":3,"complaint_count":12,"latest_date":"2026-06-12","latest_standard_health":"2024-02-15","earliest_date":"2019-09-06","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":114,"health_count":84,"fire_count":30,"open_count":0,"actual_harm_count":7,"immediate_jeopardy_count":2,"serious_count":9,"complaint_count":29,"by_severity":{"actual_harm":7,"potential":99,"immediate_jeopardy":2,"minimal":6},"by_scope_severity":{"G":7,"E":48,"D":34,"J":2,"F":17,"C":4,"B":2},"by_concept":{"clinical_care":40,"resident_rights":19,"medication":7,"infection_prevention":7,"environment_life_safety":29,"food_nutrition":3,"administration":3,"emergency_preparedness":3,"staffing":3},"type_ids":["cms-f0686","cms-f0689","cms-f0584","cms-f0610","cms-f0627","cms-f0740","cms-f0755","cms-f0600","cms-f0550","cms-f0688","cms-f0684","cms-f0759","cms-f0880","cms-f0658","cms-k0372","cms-k0918","cms-k0222","cms-k0281","cms-k0311","cms-k0321","cms-k0324","cms-k0353","cms-k0363","cms-f0812","cms-f0567","cms-f0805","cms-f0921","cms-f0636","cms-f0645","cms-f0657","cms-f0700","cms-f0909","cms-f0940","cms-f0680","cms-e0004","cms-e0030","cms-e0041","cms-k0914","cms-k0223","cms-k0232","cms-k0293","cms-k0325","cms-k0374","cms-k0511","cms-k0541","cms-k0741","cms-f0679","cms-f0727","cms-f0838","cms-f0865","cms-f0564","cms-f0578","cms-f0656","cms-f0725","cms-f0761","cms-f0804","cms-f0842","cms-f0881","cms-f0882","cms-f0887","cms-f0677","cms-f0687","cms-f0692","cms-f0825","cms-f0732","cms-f0888","cms-k0345","cms-f0568","cms-f0569","cms-f0698","cms-f0577","cms-f0641"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":11,"fines":7,"fine_total":404600,"payment_denials":4,"latest_date":"2026-06-12"},"ownership_summary":{"disclosures":14,"organizations":5,"individuals":8,"not_available":false}},"row":{"id":"cms-265672","ccn":"265672","name":"Magnolia Wellness Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"Saint Louis","zip":"63118","county_fips":"29510","county_name":"St. Louis city","address":"3421 Gasconade","beds":120,"residents":75.4,"ownership":"for_profit","operator_id":"op-sage-nursing-and-rehab-llc","operator_name":"Sage Nursing & Rehab LLC","chain_id":"cms-chain-773","chain_name":"Opco Skilled Management","lat":38.5825,"lon":-90.242,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":4,"nurse_hprd":3.25,"turnover":59.3,"inspections":17,"last_inspection":"2026-06-12","deficiencies":114,"serious":9,"ij":2,"open":0,"penalties":11,"fines_total":404600,"deficiency_type_ids":["cms-f0686","cms-f0689","cms-f0584","cms-f0610","cms-f0627","cms-f0740","cms-f0755","cms-f0600","cms-f0550","cms-f0688","cms-f0684","cms-f0759","cms-f0880","cms-f0658","cms-k0372","cms-k0918","cms-k0222","cms-k0281","cms-k0311","cms-k0321","cms-k0324","cms-k0353","cms-k0363","cms-f0812","cms-f0567","cms-f0805","cms-f0921","cms-f0636","cms-f0645","cms-f0657","cms-f0700","cms-f0909","cms-f0940","cms-f0680","cms-e0004","cms-e0030","cms-e0041","cms-k0914","cms-k0223","cms-k0232","cms-k0293","cms-k0325","cms-k0374","cms-k0511","cms-k0541","cms-k0741","cms-f0679","cms-f0727","cms-f0838","cms-f0865","cms-f0564","cms-f0578","cms-f0656","cms-f0725","cms-f0761","cms-f0804","cms-f0842","cms-f0881","cms-f0882","cms-f0887","cms-f0677","cms-f0687","cms-f0692","cms-f0825","cms-f0732","cms-f0888","cms-k0345","cms-f0568","cms-f0569","cms-f0698","cms-f0577","cms-f0641"],"universe":"cms","licensed_beds":120,"state_license":"MO 053438","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-sage-nursing-and-rehab-llc","name":"Sage Nursing & Rehab LLC","legal_name":"SAGE NURSING & REHAB LLC","facility_count":1,"states":["MO"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-773","name":"Opco Skilled Management","cms_chain_id":"773","facility_count":68,"states":["AZ","MO","NM","TX"],"cms_reported":{"facility_count":68,"avg_overall_rating":2.4,"avg_health_inspection_rating":2.3,"avg_staffing_rating":1.7,"avg_qm_rating":4.4}},"ownership":[{"owner_id":"org-wildflower-healthcare-llc","owner_type":"organization","owner_name":"Wildflower Healthcare LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2024-07-01"},{"owner_id":"org-blooming-willow-partners-llc","owner_type":"organization","owner_name":"Blooming Willow Partners LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2024-07-01"},{"owner_id":"org-derhoben-trust","owner_type":"organization","owner_name":"Derhoben Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2024-07-01"},{"owner_id":"org-pas-b-sol-trust","owner_type":"organization","owner_name":"Pas B Sol Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2024-07-01"},{"owner_id":"org-wildflower-healthcare-llc","owner_type":"organization","owner_name":"Wildflower Healthcare LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-11-25"},{"owner_type":"individual","owner_name":"Denise Thordsen","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"THORDSEN, DENISE"},{"owner_type":"individual","owner_name":"David Garetz","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"GARETZ, DAVID"},{"owner_type":"individual","owner_name":"Niv Davidovich","role":"trustee","role_raw":"TRUSTEE OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-01","owner_name_raw":"DAVIDOVICH, NIV"},{"owner_type":"individual","owner_name":"Elizabeth Hagins","role":"trustee","role_raw":"TRUSTEE OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"HAGINS, ELIZABETH"},{"owner_type":"individual","owner_name":"Mordechai Kaplan","role":"trustee","role_raw":"TRUSTEE OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"KAPLAN, MORDECHAI"},{"owner_type":"individual","owner_name":"Adam Mindle","role":"trustee","role_raw":"TRUSTEE OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"MINDLE, ADAM"},{"owner_type":"individual","owner_name":"Jennifer Sternshein","role":"trustee","role_raw":"TRUSTEE OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"STERNSHEIN, JENNIFER"},{"owner_type":"individual","owner_name":"Caroline Zimmerman","role":"trustee","role_raw":"TRUSTEE OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01","owner_name_raw":"ZIMMERMAN, CAROLINE"},{"owner_id":"org-321-gasconade-street-mo-llc","owner_type":"organization","owner_name":"321 Gasconade Street Mo LLC","role":"lender_interest","role_raw":"5% OR GREATER MORTGAGE INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2024-07-01"}],"inspections":[{"id":"cms-265672-20260612-health","ccn":"265672","date":"2026-06-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2026-07-16","cmp":1},{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2026-07-16","cmp":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-16","cmp":1}]},{"id":"cms-265672-20260409-health","ccn":"265672","date":"2026-04-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2026-04-10","cmp":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-10","cmp":1},{"t":"cms-f0627","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-17","cmp":1},{"t":"cms-f0740","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-10","cmp":1}]},{"id":"cms-265672-20251212-health","ccn":"265672","date":"2025-12-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2026-04-10","cmp":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-10","cmp":1},{"t":"cms-f0740","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-10","cmp":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-13","cmp":1}]},{"id":"cms-265672-20251024-health","ccn":"265672","date":"2025-10-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"past_noncompliance","cmp":1}]},{"id":"cms-265672-20250807-health","ccn":"265672","date":"2025-08-07","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-f0600","ss":"D","sl":2,"cs":"past_noncompliance","cmp":1}]},{"id":"cms-265672-20250625-health","ccn":"265672","date":"2025-06-25","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-f0550","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2025-06-23","cmp":1}]},{"id":"cms-265672-20250502-health","ccn":"265672","date":"2025-05-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-03","cmp":1},{"t":"cms-f0688","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-03","cmp":1}]},{"id":"cms-265672-20250326-health","ccn":"265672","date":"2025-03-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-22","cmp":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-03","cmp":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-03","cmp":1},{"t":"cms-f0759","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-22","cmp":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-02","cmp":1}]},{"id":"cms-265672-20250304-health","ccn":"265672","date":"2025-03-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"G","sl":3,"cs":"corrected","cd":"2025-03-05","cmp":1},{"t":"cms-f0740","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-05","cmp":1}]},{"id":"cms-265672-20240702-health","ccn":"265672","date":"2024-07-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2024-06-29","cmp":1}]},{"id":"cms-265672-20240502-health","ccn":"265672","date":"2024-05-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"J","sl":4,"cs":"corrected","cd":"2024-06-15","cmp":1}]},{"id":"cms-265672-20240215-fire","ccn":"265672","date":"2024-02-15","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-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-25","std":1,"tv":"New"},{"t":"cms-k0281","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-25","std":1,"tv":"New"},{"t":"cms-k0311","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-25","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-25","std":1,"tv":"New"},{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-25","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-25","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-25","std":1,"tv":"New"},{"t":"cms-k0372","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-25","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-25","std":1,"tv":"New"}]},{"id":"cms-265672-20240215-health","ccn":"265672","date":"2024-02-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2024-03-29","cmp":1,"std":1},{"t":"cms-f0567","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0636","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","cmp":1,"std":1},{"t":"cms-f0805","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-29","cmp":1,"std":1},{"t":"cms-f0909","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-29","cmp":1,"std":1},{"t":"cms-f0940","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0680","ss":"C","sl":1,"cs":"corrected","cd":"2024-03-29","std":1}]},{"id":"cms-265672-20211208-fire","ccn":"265672","date":"2021-12-08","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":17,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-e0030","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0223","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0232","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0293","ss":"E","sl":2,"cs":"corrected","cd":"2022-03-16","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2022-03-16","std":1,"tv":"New"},{"t":"cms-k0325","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0372","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0511","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0541","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0914","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-22","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"waiver_granted","cd":"2022-12-08","std":1,"tv":"New"}]},{"id":"cms-265672-20211208-health","ccn":"265672","date":"2021-12-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":29,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0564","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0578","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2022-04-30","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2022-04-30","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2022-04-30","std":1},{"t":"cms-f0679","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0680","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0687","ss":"D","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0727","ss":"F","sl":2,"cs":"corrected","cd":"2022-04-30","std":1},{"t":"cms-f0740","ss":"D","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2022-04-30","std":1},{"t":"cms-f0759","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2022-04-30","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0825","ss":"D","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0838","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0842","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0865","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0881","ss":"E","sl":2,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0882","ss":"E","sl":2,"cs":"corrected","cd":"2022-04-30","std":1},{"t":"cms-f0887","ss":"E","sl":2,"cs":"corrected","cd":"2022-04-30","std":1},{"t":"cms-f0732","ss":"C","sl":1,"cs":"corrected","cd":"2022-01-22","std":1},{"t":"cms-f0888","ss":"C","sl":1,"cs":"corrected","cd":"2022-04-30","std":1}]},{"id":"cms-265672-20190906-fire","ccn":"265672","date":"2019-09-06","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2019-10-18","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2019-10-18","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2019-10-18","std":1,"tv":"New"},{"t":"cms-k0914","ss":"F","sl":2,"cs":"corrected","cd":"2019-10-18","std":1,"tv":"New"}]},{"id":"cms-265672-20190906-health","ccn":"265672","date":"2019-09-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":17,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0568","ss":"E","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0569","ss":"E","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-30","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0698","ss":"E","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0550","ss":"B","sl":1,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0577","ss":"C","sl":1,"cs":"corrected","cd":"2019-10-18","std":1},{"t":"cms-f0641","ss":"B","sl":1,"cs":"corrected","cd":"2019-10-18","std":1}]}],"deficiency_types":{"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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-f0627":{"code":"F-0627","title":"Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-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-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-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-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-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-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-k0281":{"code":"K-0281","title":"Install proper backup exit lighting.","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-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-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","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-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-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-f0567":{"code":"F-0567","title":"Honor the resident's right to manage his or her financial affairs.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0636":{"code":"F-0636","title":"Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-f0909":{"code":"F-0909","title":"Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0940":{"code":"F-0940","title":"Develop, implement, and/or maintain an effective training program for all new and existing staff members.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0680":{"code":"F-0680","title":"Ensure the activities program is directed by a qualified professional.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0030":{"code":"E-0030","title":"List the names and contact information of those in the facility.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0914":{"code":"K-0914","title":"Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.","category":"Gas, Vacuum, and Electrical Systems 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-k0232":{"code":"K-0232","title":"Have corridors or aisles that are unobstructed and are at least 8 feet in width.","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-k0325":{"code":"K-0325","title":"Have properly installed hallway dispensers for alcohol-based hand rub.","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-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-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-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-f0838":{"code":"F-0838","title":"Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0865":{"code":"F-0865","title":"Have a  plan that describes the process for conducting QAPI and QAA activities.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0564":{"code":"F-0564","title":"Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0578":{"code":"F-0578","title":"Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-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-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-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-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-f0882":{"code":"F-0882","title":"Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0887":{"code":"F-0887","title":"Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"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-f0687":{"code":"F-0687","title":"Provide appropriate foot care.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0825":{"code":"F-0825","title":"Provide or get specialized rehabilitative services as required for a resident.","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-f0888":{"code":"F-0888","title":"Ensure staff are vaccinated for COVID-19","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"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-f0568":{"code":"F-0568","title":"Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0569":{"code":"F-0569","title":"Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0577":{"code":"F-0577","title":"Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.","category":"Resident Rights 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"}},"penalties":[{"id":"cms-265672-pen-d20260612","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2026-06-12","denial_start":"2026-07-22","denial_days":13,"evidence_class":"VERIFIED","source_record_id":"265672|Payment Denial|2026-07-22"},{"id":"cms-265672-pen-f143589","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-06-12","amount":152190,"fine_id":"143589","evidence_class":"VERIFIED","source_record_id":"265672|Fine|143589"},{"id":"cms-265672-pen-d20251212","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2025-12-12","denial_start":"2026-03-12","denial_days":29,"evidence_class":"VERIFIED","source_record_id":"265672|Payment Denial|2026-03-12"},{"id":"cms-265672-pen-f144194","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-12-12","amount":26685,"fine_id":"144194","evidence_class":"VERIFIED","source_record_id":"265672|Fine|144194"},{"id":"cms-265672-pen-f144195","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-12-12","amount":15935,"fine_id":"144195","evidence_class":"VERIFIED","source_record_id":"265672|Fine|144195"},{"id":"cms-265672-pen-f136409","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-10-24","amount":12438,"fine_id":"136409","evidence_class":"VERIFIED","source_record_id":"265672|Fine|136409"},{"id":"cms-265672-pen-d20250304","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2025-03-04","denial_start":"2025-04-10","denial_days":23,"evidence_class":"VERIFIED","source_record_id":"265672|Payment Denial|2025-04-10"},{"id":"cms-265672-pen-f90749","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-03-04","amount":40717,"fine_id":"90749","evidence_class":"VERIFIED","source_record_id":"265672|Fine|90749"},{"id":"cms-265672-pen-d20240502","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2024-05-02","denial_start":"2024-06-14","denial_days":1,"evidence_class":"VERIFIED","source_record_id":"265672|Payment Denial|2024-06-14"},{"id":"cms-265672-pen-f90575","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-05-02","amount":139544,"fine_id":"90575","evidence_class":"VERIFIED","source_record_id":"265672|Fine|90575"},{"id":"cms-265672-pen-f90530","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-02-15","amount":17091,"fine_id":"90530","evidence_class":"VERIFIED","source_record_id":"265672|Fine|90530"}],"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=265672&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=265672&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=265672&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=265672&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=265672&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=265672&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":"29510","name":"St. Louis city"},"zip":"63118","city":"Saint Louis"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-265343","ccn":"265343","name":"Country Villa Wellness & Rehabilitation","address":"850 Country Manor Lane","city":"Creve Coeur","state":"MO","zip":"63141","beds":148,"overall":1,"inspections":11,"last_inspection":"2026-07-17","deficiencies":37,"serious":2,"ij":1,"open":7,"fines_total":0,"status":"active","universe":"cms","licensed_beds":148,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265395","ccn":"265395","name":"Maple Grove Wellness & Rehabilitation","address":"560 Corisande Hill Rd","city":"Fenton","state":"MO","zip":"63026","beds":144,"overall":1,"inspections":9,"last_inspection":"2025-08-29","deficiencies":65,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":144,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265476","ccn":"265476","name":"Sunrise Nursing & Rehabilitation","address":"600 E Sunrise Drive","city":"Raymore","state":"MO","zip":"64083","beds":162,"overall":3,"inspections":10,"last_inspection":"2026-05-21","deficiencies":71,"serious":1,"ij":0,"open":0,"fines_total":10193,"status":"active","universe":"cms","licensed_beds":162,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265595","ccn":"265595","name":"Blue Springs Wellness & Rehabilitation","address":"930 NE Duncan Road","city":"Blue Springs","state":"MO","zip":"64014","beds":120,"overall":1,"inspections":13,"last_inspection":"2026-07-16","deficiencies":104,"serious":2,"ij":1,"open":0,"fines_total":96959,"abuse":true,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265597","ccn":"265597","name":"The Hilltop at Blue River","address":"10425 Chestnut Dr","city":"Kansas City","state":"MO","zip":"64137","beds":160,"overall":2,"inspections":12,"last_inspection":"2026-05-01","deficiencies":85,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":160,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265607","ccn":"265607","name":"Willowcreek Wellness & Rehabilitation","address":"250 New Florissant Road South","city":"Florissant","state":"MO","zip":"63031","beds":158,"overall":1,"inspections":19,"last_inspection":"2026-08-14","deficiencies":118,"serious":8,"ij":6,"open":2,"fines_total":80993,"sff":"SFF Candidate","status":"active","universe":"cms","licensed_beds":158,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-265633","ccn":"265633","name":"Cameron Nursing Center","address":"801 Euclid","city":"Cameron","state":"MO","zip":"64429","beds":120,"overall":1,"inspections":8,"last_inspection":"2025-11-03","deficiencies":79,"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-265693","ccn":"265693","name":"The Rehabilitation Center of Independence","address":"1800 S Swope Drive","city":"Independence","state":"MO","zip":"64057","beds":130,"overall":2,"inspections":8,"last_inspection":"2026-01-27","deficiencies":84,"serious":5,"ij":3,"open":0,"fines_total":71208,"abuse":true,"status":"active","universe":"cms","licensed_beds":130,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":67,"same_site_review":[],"nearby":[{"id":"cms-265668","ccn":"265668","name":"Carrie Elligson Gietner Health Care Center","address":"5000 South Broadway","city":"Saint Louis","state":"MO","zip":"63111","beds":130,"overall":1,"inspections":14,"last_inspection":"2026-07-20","deficiencies":81,"serious":9,"ij":2,"open":4,"fines_total":236408,"status":"active","universe":"cms","licensed_beds":130,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.8},{"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"],"distance_km":2.1},{"id":"cms-265828","ccn":"265828","name":"Pine Grove Manor","address":"4359 Taft Avenue","city":"Saint Louis","state":"MO","zip":"63116","beds":77,"overall":1,"inspections":10,"last_inspection":"2026-07-01","deficiencies":36,"serious":4,"ij":2,"open":0,"fines_total":28337,"status":"active","universe":"cms","licensed_beds":77,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.3},{"id":"cms-265351","ccn":"265351","name":"Lansdowne Village","address":"4624 Lansdowne Avenue","city":"Saint Louis","state":"MO","zip":"63116","beds":145,"overall":1,"inspections":8,"last_inspection":"2025-11-17","deficiencies":89,"serious":4,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":145,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.7},{"id":"cms-265699","ccn":"265699","name":"Beauvais Rehab and Healthcare Center","address":"3625 Magnolia Avenue","city":"Saint Louis","state":"MO","zip":"63110","beds":184,"overall":1,"inspections":9,"last_inspection":"2025-09-26","deficiencies":78,"serious":2,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","licensed_beds":184,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.7},{"id":"cms-265610","ccn":"265610","name":"Life Care Center of St Louis","address":"3520 Chouteau Ave","city":"Saint Louis","state":"MO","zip":"63103","beds":100,"overall":4,"inspections":9,"last_inspection":"2026-08-14","deficiencies":63,"serious":1,"ij":1,"open":0,"fines_total":15646,"status":"active","universe":"cms","licensed_beds":100,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.8},{"id":"cms-265775","ccn":"265775","name":"Lemay Nursing","address":"9353 South Broadway","city":"Saint Louis","state":"MO","zip":"63125","beds":60,"overall":3,"inspections":10,"last_inspection":"2025-05-15","deficiencies":44,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":60,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.1},{"id":"cms-145581","ccn":"145581","name":"La Bella of Cahokia","address":"2 Annable Court","city":"Cahokia","state":"IL","zip":"62206","beds":150,"overall":1,"inspections":25,"last_inspection":"2026-08-21","deficiencies":78,"serious":15,"ij":6,"open":0,"fines_total":714107,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.3}]}}