{"schema_version":"1.0.0","facility":{"id":"cms-285266","ccn":"285266","name":"Gateway Vista","source_name":"Gateway Vista","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":"225 North 56th Street","city":"Lincoln","state":"NE","zip":"68504","county_name":"Lancaster County","county_fips":"31109","county_method":"name_match","ssa_county_code":"540","urban":true},"location":{"lat":40.8145,"lon":-96.644,"method":"cms_published_coordinates"},"phone":"4024646371","certification":{"authority":"CMS","ccn":"285266","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2005-03-01","certified_beds":80,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/285266"},"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":80,"avg_residents_per_day":70.2},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"GATEWAY PROPERTIES, INC.","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":5},"health_inspection":{"value":4},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":4},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.32346,"lpn_hprd":1.3627,"rn_hprd":0.96409,"licensed_hprd":2.32679,"total_nurse_hprd":4.65025,"weekend_total_nurse_hprd":3.89578,"weekend_rn_hprd":0.63883,"pt_hprd":0.14621,"nursing_turnover_pct":64.4,"rn_turnover_pct":41.2,"administrators_left":1,"case_mix_index":1.45217,"case_mix_index_ratio":1.02973,"case_mix_total_nurse_hprd":4.01681,"adjusted_total_nurse_hprd":4.48057,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-09-03","cycle1_deficiencies":3,"cycle1_score":28,"cycle2_date":"2024-06-12","cycle23_deficiencies":6,"cycle23_score":40,"total_weighted_score":31},"cms_penalty_counts":{"fines":1,"fine_total":8659,"payment_denials":1,"total":2},"operator_id":"op-gateway-properties-inc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/285266","provenance":[{"source_id":"cms_provider_info","source_record_id":"285266","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=285266&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":"285266","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=285266&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":8,"health_count":5,"fire_count":3,"complaint_count":3,"latest_date":"2025-12-23","latest_standard_health":"2025-09-03","earliest_date":"2023-07-13","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":52,"health_count":9,"fire_count":43,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":0,"serious_count":1,"complaint_count":3,"by_severity":{"potential":51,"actual_harm":1},"by_scope_severity":{"F":22,"D":6,"E":23,"G":1},"by_concept":{"administration":1,"clinical_care":5,"emergency_preparedness":2,"environment_life_safety":42,"infection_prevention":2},"type_ids":["cms-f0844","cms-f0697","cms-e0041","cms-k0291","cms-k0293","cms-k0355","cms-k0500","cms-k0712","cms-k0918","cms-k0921","cms-k0222","cms-k0311","cms-k0321","cms-k0351","cms-k0353","cms-k0363","cms-k0919","cms-k0922","cms-f0923","cms-f0880","cms-k0132","cms-k0232","cms-k0920","cms-k0923","cms-f0689","cms-f0641","cms-f0655","cms-f0656","cms-k0345","cms-k0354","cms-k0711","cms-k0912","cms-k0914","cms-k0781"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":2,"fines":1,"fine_total":8659,"payment_denials":1,"latest_date":"2024-06-12"},"ownership_summary":{"disclosures":6,"organizations":1,"individuals":5,"not_available":false}},"row":{"id":"cms-285266","ccn":"285266","name":"Gateway Vista","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NE","city":"Lincoln","zip":"68504","county_fips":"31109","county_name":"Lancaster County","address":"225 North 56th Street","beds":80,"residents":70.2,"ownership":"for_profit","operator_id":"op-gateway-properties-inc","operator_name":"Gateway Properties, Inc","lat":40.8145,"lon":-96.644,"overall":5,"health_rating":4,"staffing_rating":4,"qm_rating":5,"nurse_hprd":4.65,"turnover":64.4,"ccrc":true,"inspections":8,"last_inspection":"2025-12-23","deficiencies":52,"serious":1,"ij":0,"open":0,"penalties":2,"fines_total":8659,"deficiency_type_ids":["cms-f0844","cms-f0697","cms-e0041","cms-k0291","cms-k0293","cms-k0355","cms-k0500","cms-k0712","cms-k0918","cms-k0921","cms-k0222","cms-k0311","cms-k0321","cms-k0351","cms-k0353","cms-k0363","cms-k0919","cms-k0922","cms-f0923","cms-f0880","cms-k0132","cms-k0232","cms-k0920","cms-k0923","cms-f0689","cms-f0641","cms-f0655","cms-f0656","cms-k0345","cms-k0354","cms-k0711","cms-k0912","cms-k0914","cms-k0781"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-gateway-properties-inc","name":"Gateway Properties, Inc","legal_name":"GATEWAY PROPERTIES, INC","facility_count":1,"states":["NE"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_type":"individual","owner_name":"Jennifer Peterson","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":50,"percentage_raw":"50%","association_date":"2006-05-01","owner_name_raw":"PETERSON, JENNIFER"},{"owner_type":"individual","owner_name":"Russell Peterson","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":50,"percentage_raw":"50%","association_date":"2006-05-01","owner_name_raw":"PETERSON, RUSSELL"},{"owner_id":"org-paragon-management-services-inc","owner_type":"organization","owner_name":"Paragon Management Services Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2006-02-22"},{"owner_type":"individual","owner_name":"Jennifer Peterson","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2006-05-03","owner_name_raw":"PETERSON, JENNIFER"},{"owner_type":"individual","owner_name":"Russell Peterson","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2006-05-03","owner_name_raw":"PETERSON, RUSSELL"},{"owner_type":"individual","owner_name":"Mikel Ardley","role":"managing_employee","role_raw":"CONTRACTED MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2022-03-01","owner_name_raw":"ARDLEY, MIKEL"}],"inspections":[{"id":"cms-285266-20251223-health","ccn":"285266","date":"2025-12-23","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0844","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-16","cmp":1}]},{"id":"cms-285266-20250918-health","ccn":"285266","date":"2025-09-18","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-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-08","cmp":1}]},{"id":"cms-285266-20250903-fire","ccn":"285266","date":"2025-09-03","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":16,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0293","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0311","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0351","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0355","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0500","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0919","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"},{"t":"cms-k0922","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-18","std":1,"tv":"New"}]},{"id":"cms-285266-20250903-health","ccn":"285266","date":"2025-09-03","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-18","std":1},{"t":"cms-f0923","ss":"E","sl":2,"cs":"corrected","cd":"2025-10-18","std":1}]},{"id":"cms-285266-20240612-fire","ccn":"285266","date":"2024-06-12","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0132","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-27","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-27","std":1,"tv":"New"},{"t":"cms-k0232","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-27","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-27","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-27","std":1,"tv":"New"},{"t":"cms-k0500","ss":"F","sl":2,"cs":"corrected","cd":"2024-07-27","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2024-07-27","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-27","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-27","std":1,"tv":"New"}]},{"id":"cms-285266-20240612-health","ccn":"285266","date":"2024-06-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2,3],"footnotes":["29"],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2024-07-27","cmp":1,"std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-27","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-27","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-27","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-27","std":1}]},{"id":"cms-285266-20230713-fire","ccn":"285266","date":"2023-07-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":18,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0232","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0354","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0500","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0711","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0781","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0912","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0914","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0919","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"},{"t":"cms-k0922","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-25","std":1,"tv":"New"}]},{"id":"cms-285266-20230713-health","ccn":"285266","date":"2023-07-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]}],"deficiency_types":{"cms-f0844":{"code":"F-0844","title":"Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-k0500":{"code":"K-0500","title":"Meet other general requirements that are deficient.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous 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-k0921":{"code":"K-0921","title":"Ensure that testing and maintenance of electrical equipment is performed.","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-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-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","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-k0919":{"code":"K-0919","title":"Meet requirements for the use of electrical equipment.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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"},"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-k0132":{"code":"K-0132","title":"Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.","category":"Construction 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-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-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-k0354":{"code":"K-0354","title":"Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0711":{"code":"K-0711","title":"Provide a written emergency evacuation plan.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0912":{"code":"K-0912","title":"Have power receptacles that are properly grounded.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-k0781":{"code":"K-0781","title":"Have restrictions on the use of portable space heaters.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"penalties":[{"id":"cms-285266-pen-d20240612","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2024-06-12","denial_start":"2024-07-09","denial_days":18,"evidence_class":"VERIFIED","source_record_id":"285266|Payment Denial|2024-07-09"},{"id":"cms-285266-pen-f85946","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-06-12","amount":8659,"fine_id":"85946","evidence_class":"VERIFIED","source_record_id":"285266|Fine|85946"}],"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=285266&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=285266&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=285266&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=285266&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=285266&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=285266&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":"31109","name":"Lancaster County"},"zip":"68504","city":"Lincoln"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-285036","ccn":"285036","name":"Eastmont","address":"6315 O Street","city":"Lincoln","state":"NE","zip":"68510","beds":23,"overall":5,"inspections":7,"last_inspection":"2026-07-09","deficiencies":25,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":1.2},{"id":"cms-285057","ccn":"285057","name":"Eventide Lincoln Care Center","address":"4720 Randolph Street","city":"Lincoln","state":"NE","zip":"68510","beds":197,"overall":1,"inspections":10,"last_inspection":"2026-07-09","deficiencies":61,"serious":1,"ij":0,"open":0,"fines_total":13065,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.3},{"id":"cms-285004","ccn":"285004","name":"St. Jane De Chantal","address":"2200 South 52nd Street","city":"Lincoln","state":"NE","zip":"68506","beds":103,"overall":4,"inspections":6,"last_inspection":"2026-01-08","deficiencies":63,"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":2.7},{"id":"cms-285164","ccn":"285164","name":"Holmes Lake Rehabilitation & Care Center","address":"6101 Normal Blvd","city":"Lincoln","state":"NE","zip":"68506","beds":97,"overall":2,"inspections":10,"last_inspection":"2026-04-09","deficiencies":56,"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":3},{"id":"cms-285066","ccn":"285066","name":"Ambassador Health of Lincoln","address":"4405 Normal Blvd","city":"Lincoln","state":"NE","zip":"68506","beds":122,"overall":3,"inspections":7,"last_inspection":"2026-05-12","deficiencies":32,"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":3},{"id":"cms-285002","ccn":"285002","name":"Sumner Place","address":"1750 South 20th Street","city":"Lincoln","state":"NE","zip":"68502","beds":104,"overall":4,"inspections":6,"last_inspection":"2026-08-18","deficiencies":33,"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":4.6},{"id":"cms-285049","ccn":"285049","name":"Emerald Nursing & Rehab Brookside LLC","address":"4735 South 54th Street","city":"Lincoln","state":"NE","zip":"68516","beds":173,"overall":1,"inspections":19,"last_inspection":"2026-05-19","deficiencies":105,"serious":1,"ij":1,"open":0,"fines_total":37998,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.4},{"id":"cms-285275","ccn":"285275","name":"Emerald Nursing & Rehab Lancaster LLC","address":"1001 South Street","city":"Lincoln","state":"NE","zip":"68502","beds":293,"inspections":22,"last_inspection":"2026-06-17","deficiencies":80,"serious":4,"ij":2,"open":0,"fines_total":79725,"sff":"SFF","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.9}]}}