{"schema_version":"1.0.0","facility":{"id":"cms-285151","ccn":"285151","name":"Wisner Care Center","source_name":"Wisner Care 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":"NE","address":{"line1":"1105 9th Street","city":"Wisner","state":"NE","zip":"68791","county_name":"Cuming County","county_fips":"31039","county_method":"name_match","ssa_county_code":"190","urban":false},"location":{"lat":41.992,"lon":-96.908,"method":"cms_published_coordinates"},"phone":"4025293286","certification":{"authority":"CMS","ccn":"285151","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1994-08-01","certified_beds":38,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/285151"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":38,"avg_residents_per_day":31.4},"ownership_type":"Government - City/county","ownership_class":"government","legal_business_name":"WISNER CARE CENTER","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":3},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"footnote":"2"},"staffing":{"value":5},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.87334,"lpn_hprd":0.58438,"rn_hprd":0.77283,"licensed_hprd":1.35721,"total_nurse_hprd":4.23055,"weekend_total_nurse_hprd":3.44252,"weekend_rn_hprd":0.4472,"pt_hprd":0.00126,"nursing_turnover_pct":47.4,"rn_turnover_pct":0,"administrators_left":0,"case_mix_index":1.23896,"case_mix_index_ratio":0.87854,"case_mix_total_nurse_hprd":3.42704,"adjusted_total_nurse_hprd":4.77766,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-07-08","cycle1_deficiencies":7,"cycle1_score":40,"cycle2_date":"2025-03-04","cycle23_deficiencies":1,"cycle23_score":4,"total_weighted_score":31},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"operator_id":"op-wisner-care-center","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/285151","provenance":[{"source_id":"cms_provider_info","source_record_id":"285151","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=285151&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":"285151","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=285151&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."}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":2,"latest_date":"2026-07-08","latest_standard_health":"2026-07-08","earliest_date":"2024-02-13","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":27,"health_count":17,"fire_count":10,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":3,"by_severity":{"potential":27},"by_scope_severity":{"E":5,"F":7,"D":15},"by_concept":{"environment_life_safety":6,"food_nutrition":1,"resident_rights":4,"clinical_care":7,"emergency_preparedness":4,"infection_prevention":2,"medication":3},"type_ids":["cms-k0922","cms-f0812","cms-f0552","cms-f0609","cms-f0610","cms-f0677","cms-f0684","cms-f0689","cms-e0020","cms-e0035","cms-k0324","cms-k0353","cms-f0880","cms-e0004","cms-e0039","cms-k0511","cms-k0222","cms-f0656","cms-f0690","cms-f0699","cms-f0757","cms-f0758","cms-f0761"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":15,"organizations":1,"individuals":13,"not_available":false}},"row":{"id":"cms-285151","ccn":"285151","name":"Wisner Care Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NE","city":"Wisner","zip":"68791","county_fips":"31039","county_name":"Cuming County","address":"1105 9th Street","beds":38,"residents":31.4,"ownership":"government","operator_id":"op-wisner-care-center","operator_name":"Wisner Care Center","lat":41.992,"lon":-96.908,"overall":5,"health_rating":3,"staffing_rating":5,"qm_rating":5,"nurse_hprd":4.23,"turnover":47.4,"inspections":6,"last_inspection":"2026-07-08","deficiencies":27,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0922","cms-f0812","cms-f0552","cms-f0609","cms-f0610","cms-f0677","cms-f0684","cms-f0689","cms-e0020","cms-e0035","cms-k0324","cms-k0353","cms-f0880","cms-e0004","cms-e0039","cms-k0511","cms-k0222","cms-f0656","cms-f0690","cms-f0699","cms-f0757","cms-f0758","cms-f0761"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-wisner-care-center","name":"Wisner Care Center","legal_name":"WISNER CARE CENTER","facility_count":1,"states":["NE"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-city-of-wisner-city-clerk-treas","owner_type":"organization","owner_name":"City of Wisner City Clerk Treas","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"1970-06-30"},{"owner_type":"individual","owner_name":"Catherine Gobar","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2022-12-05","owner_name_raw":"GOBAR, CATHERINE"},{"owner_type":"individual","owner_name":"Stephanie James","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2019-12-02","owner_name_raw":"JAMES, STEPHANIE"},{"owner_type":"individual","owner_name":"Barry Meyer","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-02","owner_name_raw":"MEYER, BARRY"},{"owner_type":"individual","owner_name":"Leroy Parker","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2022-12-05","owner_name_raw":"PARKER, LEROY"},{"owner_type":"individual","owner_name":"Lauren Phillips","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2023-01-03","owner_name_raw":"PHILLIPS, LAUREN"},{"owner_type":"individual","owner_name":"Andrew Schweers","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-02","owner_name_raw":"SCHWEERS, ANDREW"},{"owner_type":"individual","owner_name":"Terry Soden","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2022-12-05","owner_name_raw":"SODEN, TERRY"},{"owner_type":"individual","owner_name":"Rhett Eckmann","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2016-04-30","owner_name_raw":"ECKMANN, RHETT"},{"owner_type":"individual","owner_name":"Sammye Nyman","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-06-30","owner_name_raw":"NYMAN, SAMMYE"},{"owner_type":"individual","owner_name":"Susan Urbanec","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-07-31","owner_name_raw":"URBANEC, SUSAN"},{"owner_id":"org-city-of-wisner-city-clerk-treas","owner_type":"organization","owner_name":"City of Wisner City Clerk Treas","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-12"},{"owner_type":"individual","owner_name":"Rhett Eckmann","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2016-04-30","owner_name_raw":"ECKMANN, RHETT"},{"owner_type":"individual","owner_name":"Stephanie James","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-12-02","owner_name_raw":"JAMES, STEPHANIE"},{"owner_type":"individual","owner_name":"Sammye Nyman","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-16","owner_name_raw":"NYMAN, SAMMYE"}],"inspections":[{"id":"cms-285151-20260708-fire","ccn":"285151","date":"2026-07-08","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0922","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-30","std":1,"tv":"New"}]},{"id":"cms-285151-20260708-health","ccn":"285151","date":"2026-07-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0552","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-22","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-22","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-22","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-22","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-22","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-22","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-08-22","std":1}]},{"id":"cms-285151-20250304-fire","ccn":"285151","date":"2025-03-04","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Complaint","Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0020","ss":"F","sl":2,"cs":"corrected","cd":"2025-04-08","std":1,"tv":"New"},{"t":"cms-e0035","ss":"F","sl":2,"cs":"corrected","cd":"2025-04-08","cmp":1,"tv":"New"},{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-20","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-20","std":1,"tv":"New"}]},{"id":"cms-285151-20250304-health","ccn":"285151","date":"2025-03-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-08","std":1}]},{"id":"cms-285151-20240213-fire","ccn":"285151","date":"2024-02-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Complaint","Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-29","cmp":1,"std":1,"tv":"New"},{"t":"cms-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-29","cmp":1,"std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-09","std":1,"tv":"New"},{"t":"cms-k0511","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-09","std":1,"tv":"New"}]},{"id":"cms-285151-20240213-health","ccn":"285151","date":"2024-02-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0699","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-29","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-29","std":1}]}],"deficiency_types":{"cms-k0922":{"code":"K-0922","title":"Meet requirements for the use and maintenance of medical gas equipment.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0552":{"code":"F-0552","title":"Ensure that residents are fully informed and understand their health status, care and treatments.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-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-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-e0020":{"code":"E-0020","title":"Establish policies and procedures including evacuation.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0035":{"code":"E-0035","title":"Provide family notifications of emergency plan.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-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-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-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-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-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-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0699":{"code":"F-0699","title":"Provide care or services that was trauma informed and/or culturally competent.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-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"}},"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=285151&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=285151&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=285151&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=285151&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=285151&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=285151&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":"NE","overall_rating":2.9,"health_inspection_rating":2.8,"qm_rating":3.2,"staffing_rating":3.3,"avg_residents_per_day":55.2,"cycle1_health_deficiencies":7.6,"cycle1_fire_deficiencies":5.4,"nurse_aide_hprd":2.75,"lpn_hprd":0.68,"rn_hprd":0.69285,"licensed_hprd":1.38,"total_nurse_hprd":4.12348,"weekend_total_nurse_hprd":3.56548,"weekend_rn_hprd":0.48,"pt_hprd":0.05,"nursing_turnover_pct":48.5,"rn_turnover_pct":43.5,"administrators_left":0.5,"case_mix_index":1.28233,"fines":0.4,"fine_amount":12761,"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":"NE","name":"Nebraska"},"county":{"fips":"31039","name":"Cuming County"},"zip":"68791","city":"Wisner"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-285204","ccn":"285204","name":"Colonial Haven","address":"424 Harrison St","city":"Beemer","state":"NE","zip":"68716","beds":34,"overall":5,"inspections":6,"last_inspection":"2026-06-26","deficiencies":13,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":10.9}]}}