{"schema_version":"1.0.0","facility":{"id":"cms-285306","ccn":"285306","name":"Hemingford Care Center","source_name":"Hemingford 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":"605 Donald Avenue","city":"Hemingford","state":"NE","zip":"69348","county_name":"Box Butte County","county_fips":"31013","county_method":"name_match","ssa_county_code":"060","urban":false},"location":{"lat":42.3196,"lon":-103.08,"method":"cms_published_coordinates"},"phone":"3084873301","certification":{"authority":"CMS","ccn":"285306","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2022-12-13","certified_beds":39,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/285306"},"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":39,"avg_residents_per_day":30.8},"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":"Both","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":4},"long_stay_qm":{"value":4},"short_stay_qm":{"footnote":"2"},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.47228,"lpn_hprd":0.34574,"rn_hprd":0.71138,"licensed_hprd":1.05711,"total_nurse_hprd":3.52939,"weekend_total_nurse_hprd":2.92106,"weekend_rn_hprd":0.46826,"pt_hprd":0.00582,"nursing_turnover_pct":57.1,"rn_turnover_pct":50,"administrators_left":1,"case_mix_index":1.22719,"case_mix_index_ratio":0.87019,"case_mix_total_nurse_hprd":3.39449,"adjusted_total_nurse_hprd":4.02406,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-02-02","cycle1_deficiencies":20,"cycle1_score":192,"cycle2_date":"2024-12-10","cycle23_deficiencies":20,"cycle23_score":136,"total_weighted_score":178},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"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/285306","provenance":[{"source_id":"cms_provider_info","source_record_id":"285306","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=285306&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":"285306","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=285306&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":11,"health_count":8,"fire_count":3,"complaint_count":7,"latest_date":"2026-08-06","latest_standard_health":"2026-02-02","earliest_date":"2023-12-13","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":68,"health_count":51,"fire_count":17,"open_count":1,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":21,"by_severity":{"potential":67,"minimal":1},"by_scope_severity":{"D":34,"E":11,"F":22,"C":1},"by_concept":{"infection_prevention":2,"resident_rights":14,"clinical_care":21,"medication":4,"environment_life_safety":15,"staffing":2,"food_nutrition":8,"emergency_preparedness":2},"type_ids":["cms-f0880","cms-f0577","cms-f0609","cms-f0656","cms-f0760","cms-k0353","cms-k0712","cms-k0923","cms-k0511","cms-f0730","cms-f0804","cms-f0812","cms-f0584","cms-f0657","cms-f0605","cms-f0628","cms-f0641","cms-f0684","cms-f0686","cms-f0692","cms-f0712","cms-f0756","cms-e0013","cms-e0025","cms-k0901","cms-k0200","cms-f0801","cms-f0943","cms-f0655","cms-f0689","cms-f0661","cms-f0757","cms-f0805","cms-f0606","cms-f0610","cms-f0580","cms-f0677","cms-f0759","cms-k0222","cms-k0291","cms-k0761","cms-k0920","cms-k0921","cms-f0604","cms-f0623","cms-f0637","cms-f0645","cms-f0698"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":0,"organizations":0,"individuals":0,"not_available":true}},"row":{"id":"cms-285306","ccn":"285306","name":"Hemingford Care Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NE","city":"Hemingford","zip":"69348","county_fips":"31013","county_name":"Box Butte County","address":"605 Donald Avenue","beds":39,"residents":30.8,"ownership":"for_profit","lat":42.3196,"lon":-103.08,"overall":1,"health_rating":1,"staffing_rating":3,"qm_rating":4,"nurse_hprd":3.53,"turnover":57.1,"inspections":11,"last_inspection":"2026-08-06","deficiencies":68,"serious":0,"ij":0,"open":1,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0880","cms-f0577","cms-f0609","cms-f0656","cms-f0760","cms-k0353","cms-k0712","cms-k0923","cms-k0511","cms-f0730","cms-f0804","cms-f0812","cms-f0584","cms-f0657","cms-f0605","cms-f0628","cms-f0641","cms-f0684","cms-f0686","cms-f0692","cms-f0712","cms-f0756","cms-e0013","cms-e0025","cms-k0901","cms-k0200","cms-f0801","cms-f0943","cms-f0655","cms-f0689","cms-f0661","cms-f0757","cms-f0805","cms-f0606","cms-f0610","cms-f0580","cms-f0677","cms-f0759","cms-k0222","cms-k0291","cms-k0761","cms-k0920","cms-k0921","cms-f0604","cms-f0623","cms-f0637","cms-f0645","cms-f0698"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"ownership":[],"inspections":[{"id":"cms-285306-20260806-health","ccn":"285306","date":"2026-08-06","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":1,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0880","ss":"D","sl":2,"cs":"plan_of_correction","cd":"2026-08-10","cmp":1}]},{"id":"cms-285306-20260427-health","ccn":"285306","date":"2026-04-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0577","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-22","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-22","cmp":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-22","cmp":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-22","cmp":1}]},{"id":"cms-285306-20260202-fire","ccn":"285306","date":"2026-02-02","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":"2026-02-27","std":1,"tv":"New"},{"t":"cms-k0511","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-27","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-27","std":1,"tv":"New"},{"t":"cms-k0923","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-27","std":1,"tv":"New"}]},{"id":"cms-285306-20260202-health","ccn":"285306","date":"2026-02-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":15,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-20","cmp":1,"std":1},{"t":"cms-f0605","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-27","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-27","cmp":1,"std":1},{"t":"cms-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-27","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-27","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-27","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-27","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-27","cmp":1,"std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-06","cmp":1,"std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-06","std":1},{"t":"cms-f0712","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-06","std":1},{"t":"cms-f0730","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-06","cmp":1,"std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-27","std":1},{"t":"cms-f0804","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-06","cmp":1,"std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-10","cmp":1,"std":1}]},{"id":"cms-285306-20241210-fire","ccn":"285306","date":"2024-12-10","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-e0013","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-24","std":1,"tv":"New"},{"t":"cms-e0025","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-24","std":1,"tv":"New"},{"t":"cms-k0200","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-24","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-24","std":1,"tv":"New"},{"t":"cms-k0901","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-24","std":1,"tv":"New"}]},{"id":"cms-285306-20241210-health","ccn":"285306","date":"2024-12-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-24","cmp":1,"std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-24","std":1},{"t":"cms-f0655","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-24","std":1},{"t":"cms-f0661","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-24","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-24","cmp":1,"std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-24","std":1},{"t":"cms-f0801","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-24","std":1},{"t":"cms-f0804","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-24","std":1},{"t":"cms-f0805","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-24","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-24","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-24","std":1},{"t":"cms-f0943","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-24","std":1},{"t":"cms-f0606","ss":"C","sl":1,"cs":"corrected","cd":"2025-01-24","std":1}]},{"id":"cms-285306-20240716-health","ccn":"285306","date":"2024-07-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-31","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-31","cmp":1}]},{"id":"cms-285306-20240327-health","ccn":"285306","date":"2024-03-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-03","cmp":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-03","cmp":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-03","cmp":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-03","cmp":1}]},{"id":"cms-285306-20240130-health","ccn":"285306","date":"2024-01-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-15","cmp":1}]},{"id":"cms-285306-20231213-fire","ccn":"285306","date":"2023-12-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"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-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-21","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-21","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-21","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-21","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-21","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-21","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-21","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-21","std":1,"tv":"New"}]},{"id":"cms-285306-20231213-health","ccn":"285306","date":"2023-12-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-21","std":1},{"t":"cms-f0604","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-21","std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-21","std":1},{"t":"cms-f0637","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-21","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-21","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-21","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-21","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-21","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-21","std":1},{"t":"cms-f0801","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-21","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-21","std":1}]}],"deficiency_types":{"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-f0577":{"code":"F-0577","title":"Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.","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-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-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"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-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-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-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-f0730":{"code":"F-0730","title":"Observe each nurse aide's job performance and give regular training.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-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-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","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-f0605":{"code":"F-0605","title":"Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0628":{"code":"F-0628","title":"Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-f0712":{"code":"F-0712","title":"Ensure that the resident and his/her doctor meet face-to-face at all required visits.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-e0013":{"code":"E-0013","title":"Develop Emergency Preparedness policies and procedures.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0025":{"code":"E-0025","title":"Create arrangements with other facilities to receive patients.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0901":{"code":"K-0901","title":"Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.","category":"Electrical Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0200":{"code":"K-0200","title":"Meet other general requirements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0801":{"code":"F-0801","title":"Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0943":{"code":"F-0943","title":"Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-f0661":{"code":"F-0661","title":"Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-f0805":{"code":"F-0805","title":"Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0606":{"code":"F-0606","title":"Not hire anyone with a finding of abuse, neglect, exploitation, or 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-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights 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-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"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-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-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-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-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-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-f0637":{"code":"F-0637","title":"Assess the resident when there is a significant change in condition","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"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=285306&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=285306&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=285306&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=285306&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=285306&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=285306&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":"31013","name":"Box Butte County"},"zip":"69348","city":"Hemingford"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[]}}