{"schema_version":"1.0.0","facility":{"id":"cms-285267","ccn":"285267","name":"Nye Summit","source_name":"Nye Summit","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":"410 West 5th Street","city":"Louisville","state":"NE","zip":"68037","county_name":"Cass County","county_fips":"31025","county_method":"name_match","ssa_county_code":"120","urban":true},"location":{"lat":40.9976,"lon":-96.164,"method":"cms_published_coordinates"},"phone":"4022342125","certification":{"authority":"CMS","ccn":"285267","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2005-05-19","certified_beds":61,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/285267"},"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":61,"avg_residents_per_day":41.9},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name_note":"CMS reports the legal business name as not available.","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":3},"health_inspection":{"value":3},"quality_measures":{"value":3},"long_stay_qm":{"value":2},"short_stay_qm":{"value":5},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.53923,"lpn_hprd":0.77637,"rn_hprd":0.54336,"licensed_hprd":1.31973,"total_nurse_hprd":3.85896,"weekend_total_nurse_hprd":3.20948,"weekend_rn_hprd":0.34369,"pt_hprd":0.08371,"nursing_turnover_pct":83.1,"rn_turnover_pct":88.2,"administrators_left":0,"case_mix_index":1.41182,"case_mix_index_ratio":1.00111,"case_mix_total_nurse_hprd":3.90518,"adjusted_total_nurse_hprd":3.82444,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-06-17","cycle1_deficiencies":2,"cycle1_score":20,"cycle2_date":"2025-01-13","cycle23_deficiencies":13,"cycle23_score":128,"total_weighted_score":47},"cms_penalty_counts":{"fines":1,"fine_total":23595,"payment_denials":0,"total":1},"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/285267","provenance":[{"source_id":"cms_provider_info","source_record_id":"285267","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=285267&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":"285267","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=285267&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."}],"ownership_not_available":true,"inspection_summary":{"count":9,"health_count":6,"fire_count":3,"complaint_count":4,"latest_date":"2026-06-17","latest_standard_health":"2026-06-17","earliest_date":"2023-12-12","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":30,"health_count":15,"fire_count":15,"open_count":0,"actual_harm_count":2,"immediate_jeopardy_count":0,"serious_count":2,"complaint_count":7,"by_severity":{"potential":28,"actual_harm":2},"by_scope_severity":{"F":9,"E":12,"D":7,"G":2},"by_concept":{"environment_life_safety":16,"food_nutrition":4,"clinical_care":8,"medication":1,"resident_rights":1},"type_ids":["cms-k0353","cms-k0912","cms-k0920","cms-k0922","cms-f0812","cms-f0684","cms-k0161","cms-k0321","cms-k0324","cms-k0345","cms-k0363","cms-k0374","cms-k0781","cms-f0692","cms-f0923","cms-f0689","cms-f0693","cms-f0758","cms-f0609","cms-k0923","cms-f0804","cms-f0677"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":23595,"payment_denials":0,"latest_date":"2024-10-17"},"ownership_summary":{"disclosures":0,"organizations":0,"individuals":0,"not_available":true}},"row":{"id":"cms-285267","ccn":"285267","name":"Nye Summit","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NE","city":"Louisville","zip":"68037","county_fips":"31025","county_name":"Cass County","address":"410 West 5th Street","beds":61,"residents":41.9,"ownership":"for_profit","lat":40.9976,"lon":-96.164,"overall":3,"health_rating":3,"staffing_rating":2,"qm_rating":3,"nurse_hprd":3.86,"turnover":83.1,"inspections":9,"last_inspection":"2026-06-17","deficiencies":30,"serious":2,"ij":0,"open":0,"penalties":1,"fines_total":23595,"deficiency_type_ids":["cms-k0353","cms-k0912","cms-k0920","cms-k0922","cms-f0812","cms-f0684","cms-k0161","cms-k0321","cms-k0324","cms-k0345","cms-k0363","cms-k0374","cms-k0781","cms-f0692","cms-f0923","cms-f0689","cms-f0693","cms-f0758","cms-f0609","cms-k0923","cms-f0804","cms-f0677"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"ownership":[],"inspections":[{"id":"cms-285267-20260617-fire","ccn":"285267","date":"2026-06-17","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"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-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2026-07-20","std":1,"tv":"New"},{"t":"cms-k0912","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-20","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-20","std":1,"tv":"New"},{"t":"cms-k0922","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-20","std":1,"tv":"New"}]},{"id":"cms-285267-20260617-health","ccn":"285267","date":"2026-06-17","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-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-20","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-07-20","std":1}]},{"id":"cms-285267-20250113-fire","ccn":"285267","date":"2025-01-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-k0161","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-21","std":1,"tv":"New"},{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-21","std":1,"tv":"New"},{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-21","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-21","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-21","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-21","std":1,"tv":"New"},{"t":"cms-k0781","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-21","std":1,"tv":"New"},{"t":"cms-k0922","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-21","std":1,"tv":"New"}]},{"id":"cms-285267-20250113-health","ccn":"285267","date":"2025-01-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-21","std":1},{"t":"cms-f0692","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-21","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-21","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-21","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-21","std":1},{"t":"cms-f0923","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-21","std":1}]},{"id":"cms-285267-20241017-health","ccn":"285267","date":"2024-10-17","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2024-11-08","cmp":1}]},{"id":"cms-285267-20240722-health","ccn":"285267","date":"2024-07-22","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2024-08-09","cmp":1}]},{"id":"cms-285267-20240304-health","ccn":"285267","date":"2024-03-04","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-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-18","cmp":1}]},{"id":"cms-285267-20231212-fire","ccn":"285267","date":"2023-12-12","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-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-26","std":1,"tv":"New"},{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-26","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-26","std":1,"tv":"New"}]},{"id":"cms-285267-20231212-health","ccn":"285267","date":"2023-12-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health 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-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-26","cmp":1,"std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-26","cmp":1,"std":1},{"t":"cms-f0804","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-26","cmp":1,"std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-26","cmp":1,"std":1}]}],"deficiency_types":{"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-k0912":{"code":"K-0912","title":"Have power receptacles that are properly grounded.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction 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-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-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-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-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"},"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-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-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-f0693":{"code":"F-0693","title":"Ensure that feeding tubes are  not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-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-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-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"}},"penalties":[{"id":"cms-285267-pen-f85965","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-10-17","amount":23595,"fine_id":"85965","evidence_class":"VERIFIED","source_record_id":"285267|Fine|85965"}],"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=285267&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=285267&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=285267&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=285267&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=285267&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=285267&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":"31025","name":"Cass County"},"zip":"68037","city":"Louisville"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[]}}