{"schema_version":"1.0.0","facility":{"id":"cms-345339","ccn":"345339","name":"Windsor Rehabilitation and Healthcare Center","source_name":"Windsor Rehabilitation and Healthcare 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":"NC","address":{"line1":"1306 South King Street","city":"Windsor","state":"NC","zip":"27983","county_name":"Bertie County","county_fips":"37015","county_method":"name_match","ssa_county_code":"070","urban":false},"location":{"lat":35.9895,"lon":-76.93,"method":"cms_published_coordinates"},"phone":"2527945146","certification":{"authority":"CMS","ccn":"345339","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1990-12-18","certified_beds":82,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/345339"},"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":82,"avg_residents_per_day":65.1},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"WINDSOR OPCO LLC","flags":{"ccrc":false,"abuse_icon":true,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":3},"long_stay_qm":{"value":2},"short_stay_qm":{"value":3},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.92878,"lpn_hprd":0.71108,"rn_hprd":0.54092,"licensed_hprd":1.252,"total_nurse_hprd":3.18078,"weekend_total_nurse_hprd":2.76549,"weekend_rn_hprd":0.42345,"pt_hprd":0.00865,"nursing_turnover_pct":63.3,"rn_turnover_pct":58.3,"administrators_left":1,"case_mix_index":1.6118,"case_mix_index_ratio":1.14292,"case_mix_total_nurse_hprd":4.45835,"adjusted_total_nurse_hprd":2.7612,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-01-13","cycle1_deficiencies":14,"cycle1_score":64,"cycle2_date":"2024-10-15","cycle23_deficiencies":24,"cycle23_score":267,"total_weighted_score":114.75},"cms_penalty_counts":{"fines":2,"fine_total":249991,"payment_denials":1,"total":3},"chain":{"id":"cms-chain-580","cms_chain_id":"580","name":"SIMCHA HYMAN & NAFTALI ZANZIPER"},"operator_id":"op-windsor-opco-llc","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/345339","provenance":[{"source_id":"cms_provider_info","source_record_id":"345339","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=345339&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":"345339","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=345339&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":12,"health_count":9,"fire_count":3,"complaint_count":8,"latest_date":"2026-01-13","latest_standard_health":"2026-01-13","earliest_date":"2023-08-10","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":64,"health_count":52,"fire_count":12,"open_count":2,"actual_harm_count":2,"immediate_jeopardy_count":3,"serious_count":5,"complaint_count":24,"by_severity":{"potential":56,"minimal":3,"actual_harm":2,"immediate_jeopardy":3},"by_scope_severity":{"F":6,"E":10,"D":40,"C":2,"G":2,"J":3,"B":1},"by_concept":{"emergency_preparedness":1,"environment_life_safety":11,"medication":7,"clinical_care":14,"infection_prevention":8,"resident_rights":18,"administration":2,"staffing":3},"type_ids":["cms-e0004","cms-k0363","cms-k0521","cms-k0511","cms-k0324","cms-k0372","cms-f0760","cms-f0842","cms-f0880","cms-f0552","cms-f0580","cms-f0602","cms-f0641","cms-f0658","cms-f0756","cms-f0761","cms-f0883","cms-f0576","cms-f0550","cms-f0600","cms-f0882","cms-f0945","cms-f0585","cms-f0607","cms-f0770","cms-k0211","cms-k0918","cms-f0727","cms-f0561","cms-f0582","cms-f0609","cms-f0656","cms-f0657","cms-f0689","cms-f0745","cms-k0111","cms-k0923","cms-f0698","cms-f0867","cms-f0677","cms-f0684","cms-f0686","cms-f0732"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":3,"fines":2,"fine_total":249991,"payment_denials":1,"latest_date":"2025-05-06"},"ownership_summary":{"disclosures":3,"organizations":1,"individuals":2,"not_available":false}},"row":{"id":"cms-345339","ccn":"345339","name":"Windsor Rehabilitation and Healthcare Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NC","city":"Windsor","zip":"27983","county_fips":"37015","county_name":"Bertie County","address":"1306 South King Street","beds":82,"residents":65.1,"ownership":"for_profit","operator_id":"op-windsor-opco-llc","operator_name":"Windsor Opco LLC","chain_id":"cms-chain-580","chain_name":"Simcha Hyman & Naftali Zanziper","lat":35.9895,"lon":-76.93,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":3,"nurse_hprd":3.18,"turnover":63.3,"abuse":true,"inspections":12,"last_inspection":"2026-01-13","deficiencies":64,"serious":5,"ij":3,"open":2,"penalties":3,"fines_total":249991,"deficiency_type_ids":["cms-e0004","cms-k0363","cms-k0521","cms-k0511","cms-k0324","cms-k0372","cms-f0760","cms-f0842","cms-f0880","cms-f0552","cms-f0580","cms-f0602","cms-f0641","cms-f0658","cms-f0756","cms-f0761","cms-f0883","cms-f0576","cms-f0550","cms-f0600","cms-f0882","cms-f0945","cms-f0585","cms-f0607","cms-f0770","cms-k0211","cms-k0918","cms-f0727","cms-f0561","cms-f0582","cms-f0609","cms-f0656","cms-f0657","cms-f0689","cms-f0745","cms-k0111","cms-k0923","cms-f0698","cms-f0867","cms-f0677","cms-f0684","cms-f0686","cms-f0732"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-windsor-opco-llc","name":"Windsor Opco LLC","legal_name":"WINDSOR OPCO LLC","facility_count":1,"states":["NC"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-580","name":"Simcha Hyman & Naftali Zanziper","cms_chain_id":"580","facility_count":79,"states":["FL","KY","NC","OH","TN","VA"],"cms_reported":{"facility_count":79,"avg_overall_rating":2.8,"avg_health_inspection_rating":2.8,"avg_staffing_rating":2.3,"avg_qm_rating":3.6}},"ownership":[{"owner_id":"org-nc-east-holding-llc","owner_type":"organization","owner_name":"Nc East Holding LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2023-01-01"},{"owner_type":"individual","owner_name":"Tzvi Alter","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":80,"percentage_raw":"80%","association_date":"2023-01-01","owner_name_raw":"ALTER, TZVI"},{"owner_type":"individual","owner_name":"Chris Murray","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2023-01-01","owner_name_raw":"MURRAY, CHRIS"}],"inspections":[{"id":"cms-345339-20260113-fire","ccn":"345339","date":"2026-01-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"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-e0004","ss":"F","sl":2,"cs":"corrected","cd":"2026-02-03","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-04","std":1,"tv":"New"},{"t":"cms-k0363","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-11","std":1,"tv":"New"},{"t":"cms-k0372","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-04","std":1,"tv":"New"},{"t":"cms-k0511","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-04","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"corrected","cd":"2026-05-04","std":1,"tv":"New"}]},{"id":"cms-345339-20260113-health","ccn":"345339","date":"2026-01-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":12,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0552","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-03","std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-02","cmp":1,"std":1},{"t":"cms-f0602","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-02","cmp":1,"std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-02","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-04","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-02","std":1},{"t":"cms-f0760","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-04","cmp":1,"std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-02","std":1},{"t":"cms-f0842","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-04","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-02-04","cmp":1,"std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-04","std":1},{"t":"cms-f0576","ss":"C","sl":1,"cs":"no_revisit_needed","cd":"2026-02-02","cmp":1,"std":1}]},{"id":"cms-345339-20251114-health","ccn":"345339","date":"2025-11-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-20","cmp":1},{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-20","cmp":1}]},{"id":"cms-345339-20250528-health","ccn":"345339","date":"2025-05-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-13","cmp":1},{"t":"cms-f0585","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-13","cmp":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-13","cmp":1},{"t":"cms-f0882","ss":"F","sl":2,"cs":"corrected","cd":"2025-06-13","cmp":1},{"t":"cms-f0945","ss":"E","sl":2,"cs":"corrected","cd":"2025-06-13","cmp":1}]},{"id":"cms-345339-20250506-health","ccn":"345339","date":"2025-05-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"G","sl":3,"cs":"corrected","cd":"2025-05-28","cmp":1},{"t":"cms-f0607","ss":"G","sl":3,"cs":"corrected","cd":"2025-05-28","cmp":1}]},{"id":"cms-345339-20250410-health","ccn":"345339","date":"2025-04-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0607","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-24","cmp":1}]},{"id":"cms-345339-20241126-health","ccn":"345339","date":"2024-11-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0760","ss":"J","sl":4,"cs":"past_noncompliance","cd":"2024-11-14","cmp":1},{"t":"cms-f0770","ss":"J","sl":4,"cs":"past_noncompliance","cd":"2024-11-14","cmp":1}]},{"id":"cms-345339-20241015-fire","ccn":"345339","date":"2024-10-15","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-k0211","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-26","std":1,"tv":"New"},{"t":"cms-k0918","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-26","std":1,"tv":"New"}]},{"id":"cms-345339-20241015-health","ccn":"345339","date":"2024-10-15","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":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"J","sl":4,"cs":"corrected","cd":"2024-11-14","cmp":1,"std":1},{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","cmp":1,"std":1},{"t":"cms-f0561","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","cmp":1,"std":1},{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","cmp":1,"std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","cmp":1,"std":1},{"t":"cms-f0727","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-14","std":1},{"t":"cms-f0745","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","cmp":1,"std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-14","std":1}]},{"id":"cms-345339-20240806-health","ccn":"345339","date":"2024-08-06","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":1,"open_count":1,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0842","ss":"B","sl":1,"cs":"plan_of_correction","cd":"2024-08-16","cmp":1}]},{"id":"cms-345339-20230810-fire","ccn":"345339","date":"2023-08-10","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety 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-k0111","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-06","std":1,"tv":"New"},{"t":"cms-k0511","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-06","std":1,"tv":"New"},{"t":"cms-k0918","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-06","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-06","std":1,"tv":"New"}]},{"id":"cms-345339-20230810-health","ccn":"345339","date":"2023-08-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":2,"open_count":1,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0561","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0698","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0727","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0745","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0867","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-30","std":1},{"t":"cms-f0732","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2023-08-30","std":1}]}],"deficiency_types":{"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services 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-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-f0552":{"code":"F-0552","title":"Ensure that residents are fully informed and understand their health status, care and treatments.","category":"Resident Rights 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-f0602":{"code":"F-0602","title":"Protect each resident from the wrongful use of the resident's belongings or money.","category":"Freedom from Abuse, Neglect, and Exploitation 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-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning 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-f0761":{"code":"F-0761","title":"Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0883":{"code":"F-0883","title":"Develop and implement policies and procedures for flu and pneumonia vaccinations.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0576":{"code":"F-0576","title":"Ensure residents have reasonable access to and privacy in their use of communication methods.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0882":{"code":"F-0882","title":"Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0945":{"code":"F-0945","title":"Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"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-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-f0770":{"code":"F-0770","title":"Provide timely, quality laboratory services/tests to meet the needs of residents.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress 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-f0727":{"code":"F-0727","title":"Have a registered nurse on duty 8 hours a day; and  select a registered nurse to be the director of nurses on a full time basis.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0561":{"code":"F-0561","title":"Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0582":{"code":"F-0582","title":"Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.","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-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-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-f0745":{"code":"F-0745","title":"Provide medically-related social services to help each resident achieve the highest possible quality of life.","category":"Quality of Life and Care 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"},"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-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"},"cms-f0867":{"code":"F-0867","title":"Set up an ongoing quality assessment and assurance group to review quality deficiencies  and develop corrective plans of action.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-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-f0732":{"code":"F-0732","title":"Post nurse staffing information every day.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"}},"penalties":[{"id":"cms-345339-pen-d20250506","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2025-05-06","denial_start":"2025-05-27","denial_days":17,"evidence_class":"VERIFIED","source_record_id":"345339|Payment Denial|2025-05-27"},{"id":"cms-345339-pen-f42768","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-05-06","amount":70220,"fine_id":"42768","evidence_class":"VERIFIED","source_record_id":"345339|Fine|42768"},{"id":"cms-345339-pen-f42585","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-10-15","amount":179771,"fine_id":"42585","evidence_class":"VERIFIED","source_record_id":"345339|Fine|42585"}],"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=345339&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=345339&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=345339&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=345339&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=345339&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=345339&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":"37015","name":"Bertie County"},"zip":"27983","city":"Windsor"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-345081","ccn":"345081","name":"Accordius Health at Rose Manor LLC","address":"4230 North Roxboro Street","city":"Durham","state":"NC","zip":"27704","beds":111,"overall":2,"inspections":7,"last_inspection":"2026-08-27","deficiencies":50,"serious":2,"ij":1,"open":5,"fines_total":16801,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-345162","ccn":"345162","name":"Belmont Health & Rehabilitation","address":"416 N Highland Street","city":"Gastonia","state":"NC","zip":"28052","beds":118,"overall":3,"inspections":7,"last_inspection":"2026-08-31","deficiencies":36,"serious":0,"ij":0,"open":2,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-345201","ccn":"345201","name":"Plaza Health & Rehab","address":"2616 East 5th Street","city":"Charlotte","state":"NC","zip":"28204","beds":120,"overall":2,"inspections":7,"last_inspection":"2026-04-29","deficiencies":60,"serious":6,"ij":5,"open":0,"fines_total":47037,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-345241","ccn":"345241","name":"Eden Rehabilitation and Healthcare Center","address":"226 N Oakland Avenue","city":"Eden","state":"NC","zip":"27288","beds":112,"overall":2,"inspections":8,"last_inspection":"2026-04-13","deficiencies":23,"serious":1,"ij":1,"open":1,"fines_total":16572,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-345243","ccn":"345243","name":"Redwood Health & Rehab","address":"5939 Reddman Road","city":"Charlotte","state":"NC","zip":"28212","beds":116,"overall":1,"inspections":7,"last_inspection":"2026-06-23","deficiencies":29,"serious":0,"ij":0,"open":2,"fines_total":14702,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-345261","ccn":"345261","name":"Lotus Village Center for Nursing and Rehabilitatio","address":"179 Combs Street","city":"Sparta","state":"NC","zip":"28675","beds":90,"overall":1,"inspections":12,"last_inspection":"2026-05-15","deficiencies":69,"serious":7,"ij":5,"open":0,"fines_total":329752,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-345262","ccn":"345262","name":"Hertford Rehabilitation and Healthcare Center","address":"1300 Don Juan Road","city":"Hertford","state":"NC","zip":"27944","beds":78,"overall":3,"inspections":6,"last_inspection":"2026-07-30","deficiencies":44,"serious":0,"ij":0,"open":5,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-345265","ccn":"345265","name":"Yanceyville Rehabilitation and Healthcare Center","address":"1086 Main Street North","city":"Yanceyville","state":"NC","zip":"27379","beds":157,"overall":3,"inspections":6,"last_inspection":"2026-05-29","deficiencies":42,"serious":0,"ij":0,"open":3,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":78,"same_site_review":[],"nearby":[{"id":"cms-345404","ccn":"345404","name":"Three Rivers Health and Rehabilitation Center","address":"1403 Conner Drive","city":"Windsor","state":"NC","zip":"27983","beds":60,"overall":4,"inspections":6,"last_inspection":"2026-01-30","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"],"distance_km":0.2}]}}