{"schema_version":"1.0.0","facility":{"id":"cms-265752","ccn":"265752","name":"Lawrence County Manor","source_name":"LAWRENCE COUNTY 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":"915 Carl Allen Street","city":"Mount Vernon","state":"MO","zip":"65712","county_name":"Lawrence County","county_fips":"29109","county_method":"name_match","ssa_county_code":"540","urban":false},"location":{"lat":37.0957,"lon":-93.827,"method":"cms_published_coordinates"},"phone":"4174662183","certification":{"authority":"CMS","ccn":"265752","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2003-03-01","certified_beds":90,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/265752"},"licenses":[{"state":"MO","authority":"Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation","license_number":"052586","state_facility_id":"04349","license_type":"Skilled nursing facility","status":"active","licensed_beds":90,"capacity_unit":"beds","effective_date":"2025-04-01","expiration_date":"2027-03-31","licensee":"LAWRENCE COUNTY NURSING HOME DISTRICT","licensee_entity_type":"Nursing Home District","certification_status":"Medicare/Medicaid","ccn":"265752","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":63.3},"ownership_type":"Government - County","ownership_class":"government","legal_business_name":"LAWRENCE COUNTY NURSING HOME DISTRICT","flags":{"ccrc":true,"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":1},"health_inspection":{"value":1},"quality_measures":{"value":2},"long_stay_qm":{"value":2},"short_stay_qm":{"value":2},"staffing":{"value":1,"footnote":"24"},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":0.81575,"lpn_hprd":0.17106,"rn_hprd":0.13432,"licensed_hprd":0.30538,"total_nurse_hprd":1.12113,"weekend_total_nurse_hprd":1.28977,"weekend_rn_hprd":0.14733,"pt_hprd":0.01913,"nursing_turnover_pct":87.5,"rn_turnover_footnote":"27","administrator_turnover_footnote":"26","case_mix_index":1.17557,"case_mix_index_ratio":0.83359,"case_mix_total_nurse_hprd":3.25171,"adjusted_total_nurse_hprd":1.33439,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-08-13","cycle1_deficiencies":12,"cycle1_score":197,"cycle2_date":"2023-09-22","cycle23_deficiencies":13,"cycle23_score":64,"total_weighted_score":163.75},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"operator_id":"op-lawrence-county-nursing-home-district","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/265752","provenance":[{"source_id":"cms_provider_info","source_record_id":"265752","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=265752&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":"265752","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=265752&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":"04349","url":"https://data.mo.gov/d/fenu-sipv","retrieved_at":"2026-11-07T14:53:42.852Z","source_updated_at":"2026-11-04","effective_date":"2026-11-04","jurisdiction":"MO","fields":["state_license","licensed_beds","licensee"],"evidence_class":"VERIFIED","status":"current","note":"Linked to the CMS record by exact CCN."}],"inspection_summary":{"count":11,"health_count":8,"fire_count":3,"complaint_count":5,"latest_date":"2026-02-02","latest_standard_health":"2025-08-13","earliest_date":"2020-01-21","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":43,"health_count":32,"fire_count":11,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":1,"serious_count":1,"complaint_count":9,"by_severity":{"potential":41,"immediate_jeopardy":1,"minimal":1},"by_scope_severity":{"D":18,"E":14,"F":9,"K":1,"C":1},"by_concept":{"resident_rights":9,"medication":2,"environment_life_safety":11,"clinical_care":15,"food_nutrition":4,"staffing":1,"emergency_preparedness":1},"type_ids":["cms-f0609","cms-f0610","cms-f0755","cms-f0602","cms-k0353","cms-k0372","cms-f0689","cms-f0812","cms-f0607","cms-f0645","cms-f0803","cms-f0658","cms-f0688","cms-f0700","cms-f0550","cms-f0697","cms-k0355","cms-k0918","cms-k0363","cms-k0920","cms-f0678","cms-f0661","cms-f0686","cms-f0691","cms-f0692","cms-f0732","cms-e0039","cms-k0374","cms-f0565","cms-f0575","cms-f0679","cms-f0923"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":19,"organizations":3,"individuals":15,"not_available":false}},"row":{"id":"cms-265752","ccn":"265752","name":"Lawrence County Manor","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"MO","city":"Mount Vernon","zip":"65712","county_fips":"29109","county_name":"Lawrence County","address":"915 Carl Allen Street","beds":90,"residents":63.3,"ownership":"government","operator_id":"op-lawrence-county-nursing-home-district","operator_name":"Lawrence County Nursing Home District","lat":37.0957,"lon":-93.827,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":2,"nurse_hprd":1.12,"turnover":87.5,"ccrc":true,"inspections":11,"last_inspection":"2026-02-02","deficiencies":43,"serious":1,"ij":1,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0609","cms-f0610","cms-f0755","cms-f0602","cms-k0353","cms-k0372","cms-f0689","cms-f0812","cms-f0607","cms-f0645","cms-f0803","cms-f0658","cms-f0688","cms-f0700","cms-f0550","cms-f0697","cms-k0355","cms-k0918","cms-k0363","cms-k0920","cms-f0678","cms-f0661","cms-f0686","cms-f0691","cms-f0692","cms-f0732","cms-e0039","cms-k0374","cms-f0565","cms-f0575","cms-f0679","cms-f0923"],"universe":"cms","licensed_beds":90,"state_license":"MO 052586","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-lawrence-county-nursing-home-district","name":"Lawrence County Nursing Home District","legal_name":"LAWRENCE COUNTY NURSING HOME DISTRICT","facility_count":2,"states":["MO"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-lawrence-county-nursing-home-district","owner_type":"organization","owner_name":"Lawrence County Nursing Home District","role":"direct_owner","role_raw":"DIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"1966-12-06"},{"owner_type":"individual","owner_name":"Darrel Baldwin","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"BALDWIN, DARREL"},{"owner_type":"individual","owner_name":"Dylan Burks","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-09-01","owner_name_raw":"BURKS, DYLAN"},{"owner_type":"individual","owner_name":"H Choate","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2014-06-24","owner_name_raw":"CHOATE, H"},{"owner_type":"individual","owner_name":"David Eden","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2023-04-01","owner_name_raw":"EDEN, DAVID"},{"owner_type":"individual","owner_name":"Kevin Hilton","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"HILTON, KEVIN"},{"owner_type":"individual","owner_name":"Max Springer","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-10","owner_name_raw":"SPRINGER, MAX"},{"owner_type":"individual","owner_name":"Cessily Huston","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-19","owner_name_raw":"HUSTON, CESSILY"},{"owner_type":"individual","owner_name":"Russell Newby","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-01-23","owner_name_raw":"NEWBY, RUSSELL"},{"owner_type":"individual","owner_name":"Cheryl Williams","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-04-01","owner_name_raw":"WILLIAMS, CHERYL"},{"owner_type":"individual","owner_name":"Tina Williams","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2015-12-01","owner_name_raw":"WILLIAMS, TINA"},{"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":"2021-09-17"},{"owner_id":"org-lawrence-county-nursing-home-district","owner_type":"organization","owner_name":"Lawrence County Nursing Home District","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1966-12-06"},{"owner_id":"org-midwest-physical-therapy-pc","owner_type":"organization","owner_name":"Midwest Physical Therapy PC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-10-01"},{"owner_type":"individual","owner_name":"Cessily Huston","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-19","owner_name_raw":"HUSTON, CESSILY"},{"owner_type":"individual","owner_name":"Russell Newby","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-01-23","owner_name_raw":"NEWBY, RUSSELL"},{"owner_type":"individual","owner_name":"Sophie Whitesell","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-01-23","owner_name_raw":"WHITESELL, SOPHIE"},{"owner_type":"individual","owner_name":"Cheryl Williams","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-04-01","owner_name_raw":"WILLIAMS, CHERYL"},{"owner_type":"individual","owner_name":"Tina Williams","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2015-12-01","owner_name_raw":"WILLIAMS, TINA"}],"inspections":[{"id":"cms-265752-20260202-health","ccn":"265752","date":"2026-02-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"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-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-19","cmp":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-19","cmp":1}]},{"id":"cms-265752-20251212-health","ccn":"265752","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":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0602","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-15","cmp":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-15","cmp":1}]},{"id":"cms-265752-20250813-fire","ccn":"265752","date":"2025-08-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-27","std":1,"tv":"New"},{"t":"cms-k0372","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-27","std":1,"tv":"New"}]},{"id":"cms-265752-20250813-health","ccn":"265752","date":"2025-08-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"K","sl":4,"cs":"corrected","cd":"2025-09-27","std":1},{"t":"cms-f0607","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-27","std":1},{"t":"cms-f0645","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-27","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-27","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-27","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-27","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-27","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-27","std":1}]},{"id":"cms-265752-20250502-health","ccn":"265752","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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-15","cmp":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-15","cmp":1}]},{"id":"cms-265752-20240509-health","ccn":"265752","date":"2024-05-09","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":"past_noncompliance","cd":"2024-04-25","cmp":1}]},{"id":"cms-265752-20231010-health","ccn":"265752","date":"2023-10-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-24","cmp":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-24","cmp":1}]},{"id":"cms-265752-20230922-fire","ccn":"265752","date":"2023-09-22","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-05","std":1,"tv":"New"},{"t":"cms-k0355","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-05","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-05","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-05","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-05","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-05","std":1,"tv":"New"}]},{"id":"cms-265752-20230922-health","ccn":"265752","date":"2023-09-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0661","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-05","std":1},{"t":"cms-f0678","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-05","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-05","std":1},{"t":"cms-f0691","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-05","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-05","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-05","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-05","std":1},{"t":"cms-f0732","ss":"C","sl":1,"cs":"corrected","cd":"2023-11-05","std":1}]},{"id":"cms-265752-20200121-fire","ccn":"265752","date":"2020-01-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2020-03-06","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2020-03-06","std":1,"tv":"New"},{"t":"cms-k0374","ss":"F","sl":2,"cs":"corrected","cd":"2020-02-12","std":1,"tv":"New"}]},{"id":"cms-265752-20200121-health","ccn":"265752","date":"2020-01-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"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-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2020-03-06","std":1},{"t":"cms-f0575","ss":"E","sl":2,"cs":"corrected","cd":"2020-03-01","std":1},{"t":"cms-f0679","ss":"E","sl":2,"cs":"corrected","cd":"2020-03-01","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2020-03-06","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2020-03-06","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2020-03-06","std":1},{"t":"cms-f0923","ss":"E","sl":2,"cs":"corrected","cd":"2020-03-06","std":1}]}],"deficiency_types":{"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-f0602":{"code":"F-0602","title":"Protect each resident from the wrongful use of the resident's belongings or money.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-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-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0607":{"code":"F-0607","title":"Develop and implement policies and procedures to prevent abuse, neglect, and theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-f0803":{"code":"F-0803","title":"Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-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-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-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-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-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-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-f0678":{"code":"F-0678","title":"Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0661":{"code":"F-0661","title":"Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-f0691":{"code":"F-0691","title":"Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.","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-f0732":{"code":"F-0732","title":"Post nurse staffing information every day.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-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-f0575":{"code":"F-0575","title":"Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0923":{"code":"F-0923","title":"Have enough outside ventilation via a window or mechanical ventilation, or both.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"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=265752&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=265752&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=265752&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=265752&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=265752&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=265752&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":"29109","name":"Lawrence County"},"zip":"65712","city":"Mount Vernon"},"related":{"same_operator":[{"id":"mo-dhss-04349","name":"Lawrence County Residential Care Center","address":"915 Carl Allen St","city":"Mt Vernon","state":"MO","zip":"65712","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"residential","state_actions":0,"state_serious":0,"types":["residential_care_facility"],"capacity":30,"capacity_unit":"beds"}],"same_operator_total":1,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-265452","ccn":"265452","name":"Mt Vernon Nursing","address":"1425 South Landrum","city":"Mount Vernon","state":"MO","zip":"65712","beds":60,"overall":4,"inspections":7,"last_inspection":"2024-10-10","deficiencies":35,"serious":1,"ij":1,"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":0.6},{"id":"cms-265182","ccn":"265182","name":"Ascend at Aurora","address":"1700 South Hudson Avenue","city":"Aurora","state":"MO","zip":"65605","beds":125,"overall":1,"inspections":13,"last_inspection":"2026-07-27","deficiencies":77,"serious":2,"ij":2,"open":0,"fines_total":46940,"abuse":true,"status":"active","universe":"cms","licensed_beds":125,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":18.5},{"id":"cms-265594","ccn":"265594","name":"The Ozarks Methodist Manor","address":"205 South College,","city":"Marionville","state":"MO","zip":"65705","beds":78,"overall":1,"inspections":8,"last_inspection":"2026-02-02","deficiencies":49,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":78,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":20},{"id":"cms-265634","ccn":"265634","name":"Lacoba Homes Inc","address":"850 Highway 60","city":"Monett","state":"MO","zip":"65708","beds":79,"overall":5,"inspections":8,"last_inspection":"2026-01-15","deficiencies":11,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":79,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":22.7}]}}