{"schema_version":"1.0.0","facility":{"id":"cms-285287","ccn":"285287","name":"Mitchell Care Center","source_name":"Mitchell 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":"1723 23rd Street","city":"Mitchell","state":"NE","zip":"69357","county_name":"Scotts Bluff County","county_fips":"31157","county_method":"point_in_polygon","ssa_county_code":"780","urban":false},"location":{"lat":41.9502,"lon":-103.79,"method":"cms_published_coordinates"},"phone":"3086231212","certification":{"authority":"CMS","ccn":"285287","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2014-02-01","certified_beds":50,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/285287"},"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":50,"avg_residents_per_day":47.1},"ownership_type":"Government - City/county","ownership_class":"government","legal_business_name":"CITY OF MITCHELL","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":4},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.64368,"lpn_hprd":0.76041,"rn_hprd":0.38881,"licensed_hprd":1.14922,"total_nurse_hprd":3.79289,"weekend_total_nurse_hprd":3.32308,"weekend_rn_hprd":0.24139,"pt_hprd":0.01103,"nursing_turnover_pct":63.6,"rn_turnover_pct":66.7,"administrators_left":1,"case_mix_index":1.27397,"case_mix_index_ratio":0.90336,"case_mix_total_nurse_hprd":3.52388,"adjusted_total_nurse_hprd":4.1657,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-09-10","cycle1_deficiencies":4,"cycle1_score":36,"cycle2_date":"2024-08-13","cycle23_deficiencies":9,"cycle23_score":72,"total_weighted_score":45},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-879","cms_chain_id":"879","name":"RURAL HEALTH DEVELOPMENT"},"operator_id":"op-city-of-mitchell","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/285287","provenance":[{"source_id":"cms_provider_info","source_record_id":"285287","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=285287&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":"285287","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=285287&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":"cms_provider_info","source_record_id":"285287","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=285287&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":["county_fips"],"evidence_class":"INFERRED","status":"current","note":"County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list)."}],"inspection_summary":{"count":8,"health_count":5,"fire_count":3,"complaint_count":3,"latest_date":"2026-07-15","latest_standard_health":"2025-09-10","earliest_date":"2022-07-26","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":34,"health_count":20,"fire_count":14,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":5,"by_severity":{"potential":32,"minimal":2},"by_scope_severity":{"F":15,"D":9,"C":2,"E":8},"by_concept":{"food_nutrition":3,"staffing":1,"clinical_care":3,"resident_rights":8,"emergency_preparedness":1,"environment_life_safety":14,"infection_prevention":2,"medication":2},"type_ids":["cms-f0812","cms-f0947","cms-f0684","cms-f0607","cms-f0610","cms-f0609","cms-e0041","cms-k0222","cms-k0761","cms-k0918","cms-k0921","cms-f0923","cms-f0880","cms-f0756","cms-f0758","cms-k0920","cms-f0625","cms-f0585","cms-f0604","cms-f0623","cms-f0657","cms-k0161","cms-k0712","cms-k0353","cms-k0923"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":8,"organizations":2,"individuals":6,"not_available":false}},"row":{"id":"cms-285287","ccn":"285287","name":"Mitchell Care Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NE","city":"Mitchell","zip":"69357","county_fips":"31157","county_name":"Scotts Bluff County","address":"1723 23rd Street","beds":50,"residents":47.1,"ownership":"government","operator_id":"op-city-of-mitchell","operator_name":"City of Mitchell","chain_id":"cms-chain-879","chain_name":"Rural Health Development","lat":41.9502,"lon":-103.79,"overall":3,"health_rating":3,"staffing_rating":2,"qm_rating":3,"nurse_hprd":3.79,"turnover":63.6,"inspections":8,"last_inspection":"2026-07-15","deficiencies":34,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0812","cms-f0947","cms-f0684","cms-f0607","cms-f0610","cms-f0609","cms-e0041","cms-k0222","cms-k0761","cms-k0918","cms-k0921","cms-f0923","cms-f0880","cms-f0756","cms-f0758","cms-k0920","cms-f0625","cms-f0585","cms-f0604","cms-f0623","cms-f0657","cms-k0161","cms-k0712","cms-k0353","cms-k0923"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-city-of-mitchell","name":"City of Mitchell","legal_name":"CITY OF MITCHELL","facility_count":1,"states":["NE"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-879","name":"Rural Health Development","cms_chain_id":"879","facility_count":9,"states":["NE","SD"],"cms_reported":{"facility_count":9,"avg_overall_rating":3.7,"avg_health_inspection_rating":3.6,"avg_staffing_rating":3.9,"avg_qm_rating":3.9}},"ownership":[{"owner_id":"org-city-of-mitchell","owner_type":"organization","owner_name":"City of Mitchell","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"1992-02-04"},{"owner_id":"org-rural-health-development-inc","owner_type":"organization","owner_name":"Rural Health Development Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2014-02-01"},{"owner_type":"individual","owner_name":"Dave Curtis","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2016-12-06","owner_name_raw":"CURTIS, DAVE"},{"owner_type":"individual","owner_name":"Tim Schneider","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2016-12-06","owner_name_raw":"SCHNEIDER, TIM"},{"owner_type":"individual","owner_name":"Brian Taylor","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2013-11-01","owner_name_raw":"TAYLOR, BRIAN"},{"owner_type":"individual","owner_name":"Stephanie Hahn","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2016-03-01","owner_name_raw":"HAHN, STEPHANIE"},{"owner_type":"individual","owner_name":"Stephanie Hahn","role":"managing_employee","role_raw":"CONTRACTED MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2013-03-01","owner_name_raw":"HAHN, STEPHANIE"},{"owner_type":"individual","owner_name":"Crystal Wickham","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2017-08-01","owner_name_raw":"WICKHAM, CRYSTAL"}],"inspections":[{"id":"cms-285287-20260715-health","ccn":"285287","date":"2026-07-15","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-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-08-28","cmp":1}]},{"id":"cms-285287-20250910-health","ccn":"285287","date":"2025-09-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,2],"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-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-25","std":1},{"t":"cms-f0947","ss":"F","sl":2,"cs":"corrected","cd":"2025-10-25","cmp":1,"std":1},{"t":"cms-f0607","ss":"C","sl":1,"cs":"corrected","cd":"2025-10-25","std":1}]},{"id":"cms-285287-20250617-health","ccn":"285287","date":"2025-06-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0607","ss":"E","sl":2,"cs":"corrected","cd":"2025-07-17","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-17","cmp":1},{"t":"cms-f0610","ss":"E","sl":2,"cs":"corrected","cd":"2025-07-17","cmp":1}]},{"id":"cms-285287-20240813-fire","ccn":"285287","date":"2024-08-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0041","ss":"F","sl":2,"cs":"corrected","cd":"2024-08-22","std":1,"tv":"New"},{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-13","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-12","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2024-08-22","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-20","std":1,"tv":"New"}]},{"id":"cms-285287-20240813-health","ccn":"285287","date":"2024-08-13","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-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-12","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-12","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-12","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-12","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-12","std":1},{"t":"cms-f0923","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-12","std":1}]},{"id":"cms-285287-20230926-fire","ccn":"285287","date":"2023-09-26","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-26","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-26","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2023-10-26","std":1,"tv":"New"}]},{"id":"cms-285287-20230926-health","ccn":"285287","date":"2023-09-26","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-f0585","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-10","std":1},{"t":"cms-f0604","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-10","std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-10","std":1},{"t":"cms-f0625","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-10","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-10","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-10","std":1},{"t":"cms-f0657","ss":"C","sl":1,"cs":"corrected","cd":"2023-11-10","std":1}]},{"id":"cms-285287-20220726-fire","ccn":"285287","date":"2022-07-26","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"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-k0161","ss":"F","sl":2,"cs":"corrected","cd":"2022-08-26","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2022-08-25","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2022-08-19","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2022-08-18","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2022-08-26","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2022-08-18","std":1,"tv":"New"}]}],"deficiency_types":{"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-f0947":{"code":"F-0947","title":"Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-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-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-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-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","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-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-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","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-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-f0625":{"code":"F-0625","title":"Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0585":{"code":"F-0585","title":"Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0604":{"code":"F-0604","title":"Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction 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-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-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"}},"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=285287&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=285287&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=285287&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=285287&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=285287&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=285287&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":"31157","name":"Scotts Bluff County"},"zip":"69357","city":"Mitchell"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-285172","ccn":"285172","name":"Wilber Care Center","address":"611 North Main","city":"Wilber","state":"NE","zip":"68465","beds":58,"overall":2,"inspections":8,"last_inspection":"2026-06-10","deficiencies":43,"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"]},{"id":"cms-285190","ccn":"285190","name":"Alpine Village Retirement Center","address":"706 James Street","city":"Verdigre","state":"NE","zip":"68783","beds":45,"overall":4,"inspections":6,"last_inspection":"2026-08-03","deficiencies":14,"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"]},{"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"]},{"id":"cms-285245","ccn":"285245","name":"Parkside Manor","address":"607 North Main Street","city":"Stuart","state":"NE","zip":"68780","beds":40,"overall":5,"inspections":6,"last_inspection":"2026-03-11","deficiencies":18,"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"]},{"id":"cms-285248","ccn":"285248","name":"Colonial Acres of Humboldt","address":"1043 10th Street","city":"Humboldt","state":"NE","zip":"68376","beds":49,"overall":2,"inspections":6,"last_inspection":"2026-03-12","deficiencies":59,"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"]},{"id":"cms-285249","ccn":"285249","name":"St. Joseph's Villa, Inc.","address":"927 Seventh Street","city":"David City","state":"NE","zip":"68632","beds":58,"overall":2,"inspections":8,"last_inspection":"2025-08-12","deficiencies":29,"serious":1,"ij":1,"open":0,"fines_total":27115,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-285258","ccn":"285258","name":"Bertrand Nursing Home","address":"100 Minor Avenue","city":"Bertrand","state":"NE","zip":"68927","beds":26,"overall":5,"inspections":6,"last_inspection":"2025-05-01","deficiencies":14,"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"]}],"same_chain_total":8,"same_site_review":[],"nearby":[{"id":"cms-285095","ccn":"285095","name":"Monument Healthcare and Nursing Center","address":"111 West 36th Street","city":"Scottsbluff","state":"NE","zip":"69361","beds":160,"overall":1,"inspections":12,"last_inspection":"2026-08-31","deficiencies":63,"serious":2,"ij":1,"open":7,"fines_total":28182,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":13.1},{"id":"cms-285271","ccn":"285271","name":"Northfield Retirement Communities Care Center","address":"2100 Circle Drive","city":"Scottsbluff","state":"NE","zip":"69361","beds":66,"overall":1,"inspections":8,"last_inspection":"2026-07-09","deficiencies":42,"serious":1,"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":14.7},{"id":"cms-285071","ccn":"285071","name":"Heritage Estates","address":"2325 Lodge Drive","city":"Gering","state":"NE","zip":"69341","beds":102,"overall":3,"inspections":8,"last_inspection":"2026-08-04","deficiencies":17,"serious":1,"ij":0,"open":0,"fines_total":14070,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":17.1}]}}