{"schema_version":"1.0.0","facility":{"id":"cms-345166","ccn":"345166","name":"Stokes County Nursing Home","source_name":"Stokes County Nursing Home","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":"NC","address":{"line1":"1570 Nc 8 and 89 Highway","city":"Danbury","state":"NC","zip":"27016","county_name":"Stokes County","county_fips":"37169","county_method":"name_match","ssa_county_code":"840","urban":true},"location":{"lat":36.4165,"lon":-80.226,"method":"cms_published_coordinates"},"phone":"3365932831","certification":{"authority":"CMS","ccn":"345166","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1977-06-13","certified_beds":40,"resides_in_hospital":true,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/345166"},"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":40,"avg_residents_per_day":36.7},"ownership_type":"For profit - Limited Liability company","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":2},"long_stay_qm":{"value":2},"short_stay_qm":{"footnote":"2"},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.39243,"lpn_hprd":0.85565,"rn_hprd":0.68336,"licensed_hprd":1.53901,"total_nurse_hprd":3.93144,"weekend_total_nurse_hprd":3.45706,"weekend_rn_hprd":0.42602,"pt_hprd":0.00948,"nursing_turnover_pct":29.5,"rn_turnover_pct":27.3,"administrator_turnover_footnote":"27","case_mix_index":1.25852,"case_mix_index_ratio":0.89241,"case_mix_total_nurse_hprd":3.48115,"adjusted_total_nurse_hprd":4.37087,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-11-21","cycle1_deficiencies":7,"cycle1_score":36,"cycle2_date":"2024-08-12","cycle23_deficiencies":2,"cycle23_score":32,"total_weighted_score":35},"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/345166","provenance":[{"source_id":"cms_provider_info","source_record_id":"345166","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=345166&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":"345166","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=345166&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":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2025-11-21","latest_standard_health":"2025-11-21","earliest_date":"2021-07-09","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":17,"health_count":15,"fire_count":2,"open_count":1,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":15,"minimal":2},"by_scope_severity":{"F":4,"D":10,"C":2,"E":1},"by_concept":{"administration":2,"resident_rights":3,"clinical_care":4,"medication":1,"environment_life_safety":3,"staffing":2,"infection_prevention":1,"food_nutrition":1},"type_ids":["cms-f0838","cms-f0605","cms-f0657","cms-f0695","cms-f0756","cms-f0919","cms-f0732","cms-k0918","cms-f0851","cms-f0880","cms-f0812","cms-f0638","cms-f0553","cms-f0558","cms-f0636","cms-k0111"],"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-345166","ccn":"345166","name":"Stokes County Nursing Home","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NC","city":"Danbury","zip":"27016","county_fips":"37169","county_name":"Stokes County","address":"1570 Nc 8 and 89 Highway","beds":40,"residents":36.7,"ownership":"for_profit","lat":36.4165,"lon":-80.226,"overall":3,"health_rating":3,"staffing_rating":4,"qm_rating":2,"nurse_hprd":3.93,"turnover":29.5,"inspections":6,"last_inspection":"2025-11-21","deficiencies":17,"serious":0,"ij":0,"open":1,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0838","cms-f0605","cms-f0657","cms-f0695","cms-f0756","cms-f0919","cms-f0732","cms-k0918","cms-f0851","cms-f0880","cms-f0812","cms-f0638","cms-f0553","cms-f0558","cms-f0636","cms-k0111"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"ownership":[],"inspections":[{"id":"cms-345166-20251121-health","ccn":"345166","date":"2025-11-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0605","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-26","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-16","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-12","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-13","std":1},{"t":"cms-f0838","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-03","std":1},{"t":"cms-f0919","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-13","std":1},{"t":"cms-f0732","ss":"C","sl":1,"cs":"corrected","cd":"2025-12-05","std":1}]},{"id":"cms-345166-20240812-fire","ccn":"345166","date":"2024-08-12","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0918","ss":"D","sl":2,"cs":"corrected","cd":"2024-12-07","std":1,"tv":"New"}]},{"id":"cms-345166-20240812-health","ccn":"345166","date":"2024-08-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"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-f0851","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-05","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-05","std":1}]},{"id":"cms-345166-20230309-fire","ccn":"345166","date":"2023-03-09","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-345166-20230309-health","ccn":"345166","date":"2023-03-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":1,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0553","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-30","std":1},{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2023-03-30","std":1},{"t":"cms-f0636","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-12","std":1},{"t":"cms-f0638","ss":"E","sl":2,"cs":"corrected","cd":"2023-05-22","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-03-15","std":1},{"t":"cms-f0732","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2023-03-31","std":1}]},{"id":"cms-345166-20210709-fire","ccn":"345166","date":"2021-07-09","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0111","ss":"D","sl":2,"cs":"corrected","cd":"2021-08-06","std":1,"tv":"New"}]}],"deficiency_types":{"cms-f0838":{"code":"F-0838","title":"Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-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-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-f0919":{"code":"F-0919","title":"Make sure that a working call system is available in each resident's  bathroom and bathing area.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0732":{"code":"F-0732","title":"Post nurse staffing information every day.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-f0851":{"code":"F-0851","title":"Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-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-f0638":{"code":"F-0638","title":"Assure that each resident’s assessment is updated at least once every 3 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0553":{"code":"F-0553","title":"Allow resident to participate in the development and implementation of his or her person-centered plan of care.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0636":{"code":"F-0636","title":"Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0111":{"code":"K-0111","title":"Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.","category":"Construction 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=345166&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=345166&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=345166&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=345166&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=345166&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=345166&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":"NC","overall_rating":3,"health_inspection_rating":2.9,"qm_rating":3.5,"staffing_rating":2.7,"avg_residents_per_day":86.5,"cycle1_health_deficiencies":4.6,"cycle1_fire_deficiencies":4,"nurse_aide_hprd":2.37,"lpn_hprd":0.88,"rn_hprd":0.62215,"licensed_hprd":1.5,"total_nurse_hprd":3.87089,"weekend_total_nurse_hprd":3.39532,"weekend_rn_hprd":0.41,"pt_hprd":0.09,"nursing_turnover_pct":48.7,"rn_turnover_pct":45.7,"administrators_left":0.6,"case_mix_index":1.36815,"fines":1.2,"fine_amount":36609,"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":"NC","name":"North Carolina"},"county":{"fips":"37169","name":"Stokes County"},"zip":"27016","city":"Danbury"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[]}}