{"schema_version":"1.0.0","facility":{"id":"cms-375165","ccn":"375165","name":"Broken Bow Health and Rehab","source_name":"Broken Bow Health and Rehab","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":"OK","address":{"line1":"700 West Jones","city":"Broken Bow","state":"OK","zip":"74728","county_name":"McCurtain County","county_fips":"40089","county_method":"name_match","ssa_county_code":"440","urban":false},"location":{"lat":34.0217,"lon":-94.744,"method":"cms_published_coordinates"},"phone":"5805846433","certification":{"authority":"CMS","ccn":"375165","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1994-04-01","certified_beds":105,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/375165"},"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":105,"avg_residents_per_day":62.9},"ownership_type":"For profit - Partnership","ownership_class":"for_profit","legal_business_name":"BBHR OPCO, LLC","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":1},"health_inspection":{"value":1},"quality_measures":{"value":1},"long_stay_qm":{"value":2},"short_stay_qm":{"value":1},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.29069,"lpn_hprd":0.61293,"rn_hprd":0.39062,"licensed_hprd":1.00355,"total_nurse_hprd":3.29424,"weekend_total_nurse_hprd":3.00723,"weekend_rn_hprd":0.24656,"pt_hprd":0.00651,"nursing_turnover_pct":54.4,"rn_turnover_pct":50,"administrator_turnover_footnote":"26","case_mix_index":1.11324,"case_mix_index_ratio":0.78939,"case_mix_total_nurse_hprd":3.07929,"adjusted_total_nurse_hprd":4.1404,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2024-12-12","cycle1_deficiencies":10,"cycle1_score":139,"cycle2_date":"2023-08-31","cycle23_deficiencies":15,"cycle23_score":112,"total_weighted_score":132.25},"cms_penalty_counts":{"fines":1,"fine_total":14385,"payment_denials":0,"total":1},"operator_id":"op-bbhr-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/375165","provenance":[{"source_id":"cms_provider_info","source_record_id":"375165","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=375165&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":"375165","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=375165&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":9,"health_count":6,"fire_count":3,"complaint_count":4,"latest_date":"2026-05-21","latest_standard_health":"2024-12-12","earliest_date":"2022-09-29","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":57,"health_count":36,"fire_count":21,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":1,"serious_count":2,"complaint_count":10,"by_severity":{"immediate_jeopardy":1,"potential":50,"minimal":5,"actual_harm":1},"by_scope_severity":{"J":1,"E":22,"F":13,"D":15,"C":5,"G":1},"by_concept":{"clinical_care":18,"administration":2,"medication":6,"environment_life_safety":21,"food_nutrition":3,"infection_prevention":2,"resident_rights":4,"emergency_preparedness":1},"type_ids":["cms-f0689","cms-f0657","cms-f0770","cms-f0755","cms-f0761","cms-f0656","cms-f0865","cms-k0271","cms-k0291","cms-k0293","cms-k0344","cms-k0355","cms-k0712","cms-k0911","cms-k0918","cms-f0641","cms-f0677","cms-f0758","cms-f0812","cms-f0880","cms-f0554","cms-f0842","cms-f0760","cms-f0809","cms-k0211","cms-k0923","cms-f0550","cms-f0584","cms-f0756","cms-f0686","cms-f0690","cms-f0692","cms-e0004","cms-k0321","cms-k0324","cms-k0353","cms-f0578","cms-f0881","cms-f0655","cms-f0661","cms-f0695","cms-f0700","cms-f0909"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":14385,"payment_denials":0,"latest_date":"2026-05-21"},"ownership_summary":{"disclosures":32,"organizations":7,"individuals":19,"not_available":false}},"row":{"id":"cms-375165","ccn":"375165","name":"Broken Bow Health and Rehab","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"OK","city":"Broken Bow","zip":"74728","county_fips":"40089","county_name":"McCurtain County","address":"700 West Jones","beds":105,"residents":62.9,"ownership":"for_profit","operator_id":"op-bbhr-opco-llc","operator_name":"Bbhr Opco, LLC","lat":34.0217,"lon":-94.744,"overall":1,"health_rating":1,"staffing_rating":3,"qm_rating":1,"nurse_hprd":3.29,"turnover":54.4,"inspections":9,"last_inspection":"2026-05-21","deficiencies":57,"serious":2,"ij":1,"open":0,"penalties":1,"fines_total":14385,"deficiency_type_ids":["cms-f0689","cms-f0657","cms-f0770","cms-f0755","cms-f0761","cms-f0656","cms-f0865","cms-k0271","cms-k0291","cms-k0293","cms-k0344","cms-k0355","cms-k0712","cms-k0911","cms-k0918","cms-f0641","cms-f0677","cms-f0758","cms-f0812","cms-f0880","cms-f0554","cms-f0842","cms-f0760","cms-f0809","cms-k0211","cms-k0923","cms-f0550","cms-f0584","cms-f0756","cms-f0686","cms-f0690","cms-f0692","cms-e0004","cms-k0321","cms-k0324","cms-k0353","cms-f0578","cms-f0881","cms-f0655","cms-f0661","cms-f0695","cms-f0700","cms-f0909"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-bbhr-opco-llc","name":"Bbhr Opco, LLC","legal_name":"BBHR OPCO, LLC","facility_count":1,"states":["OK"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-grant-rhodes-revocable-trust-dated-january-30-2018","owner_type":"organization","owner_name":"Grant Rhodes Revocable Trust Dated January 30, 2018","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":25,"percentage_raw":"25%","association_date":"2022-05-01"},{"owner_id":"org-jack-l-byers-revocable-trust-dated-january-26-2017","owner_type":"organization","owner_name":"Jack L Byers Revocable Trust Dated January 26, 2017","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":25,"percentage_raw":"25%","association_date":"2022-05-01"},{"owner_id":"org-jeffrey-w-young-revocable-trust-dated-july-27-2017","owner_type":"organization","owner_name":"Jeffrey W Young Revocable Trust Dated July 27, 2017","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":25,"percentage_raw":"25%","association_date":"2022-05-01"},{"owner_id":"org-snow-family-trust-dated-june-29-2012","owner_type":"organization","owner_name":"Snow Family Trust Dated June 29, 2012","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":25,"percentage_raw":"25%","association_date":"2022-05-01"},{"owner_type":"individual","owner_name":"Jack Byers","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":25,"percentage_raw":"25%","association_date":"2022-05-01","owner_name_raw":"BYERS, JACK"},{"owner_type":"individual","owner_name":"Jonathan Rhodes","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":25,"percentage_raw":"25%","association_date":"2022-05-01","owner_name_raw":"RHODES, JONATHAN"},{"owner_type":"individual","owner_name":"Audrey Snow","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":13,"percentage_raw":"13%","association_date":"2022-05-01","owner_name_raw":"SNOW, AUDREY"},{"owner_type":"individual","owner_name":"Larry Snow","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":13,"percentage_raw":"13%","association_date":"2022-05-01","owner_name_raw":"SNOW, LARRY"},{"owner_type":"individual","owner_name":"Bridgette Young","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":13,"percentage_raw":"13%","association_date":"2022-05-01","owner_name_raw":"YOUNG, BRIDGETTE"},{"owner_type":"individual","owner_name":"Jeffrey Young","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":13,"percentage_raw":"13%","association_date":"2022-05-01","owner_name_raw":"YOUNG, JEFFREY"},{"owner_id":"org-bedlam-properties-ho-llc","owner_type":"organization","owner_name":"Bedlam Properties Ho LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01"},{"owner_id":"org-matrix-provider-solutions-llc","owner_type":"organization","owner_name":"Matrix Provider Solutions LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-27"},{"owner_type":"individual","owner_name":"Mark Lietzke","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-27","owner_name_raw":"LIETZKE, MARK"},{"owner_type":"individual","owner_name":"Larry Snow","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01","owner_name_raw":"SNOW, LARRY"},{"owner_type":"individual","owner_name":"Kevin Williams","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-07-11","owner_name_raw":"WILLIAMS, KEVIN"},{"owner_type":"individual","owner_name":"Larry Snow","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01","owner_name_raw":"SNOW, LARRY"},{"owner_id":"org-bbhr-propco-llc","owner_type":"organization","owner_name":"Bbhr Propco, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01"},{"owner_id":"org-bedlam-properties-ho-llc","owner_type":"organization","owner_name":"Bedlam Properties Ho LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-02-22"},{"owner_id":"org-grant-rhodes-revocable-trust-dated-january-30-2018","owner_type":"organization","owner_name":"Grant Rhodes Revocable Trust Dated January 30, 2018","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01"},{"owner_id":"org-jack-l-byers-revocable-trust-dated-january-26-2017","owner_type":"organization","owner_name":"Jack L Byers Revocable Trust Dated January 26, 2017","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01"},{"owner_id":"org-jeffrey-w-young-revocable-trust-dated-july-27-2017","owner_type":"organization","owner_name":"Jeffrey W Young Revocable Trust Dated July 27, 2017","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01"},{"owner_id":"org-matrix-provider-solutions-llc","owner_type":"organization","owner_name":"Matrix Provider Solutions LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-08"},{"owner_id":"org-snow-family-trust-dated-june-29-2012","owner_type":"organization","owner_name":"Snow Family Trust Dated June 29, 2012","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01"},{"owner_type":"individual","owner_name":"Jack Byers","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01","owner_name_raw":"BYERS, JACK"},{"owner_type":"individual","owner_name":"Mark Lietzke","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-27","owner_name_raw":"LIETZKE, MARK"},{"owner_type":"individual","owner_name":"Arthur Pearson","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01","owner_name_raw":"PEARSON, ARTHUR"},{"owner_type":"individual","owner_name":"Jonathan Rhodes","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01","owner_name_raw":"RHODES, JONATHAN"},{"owner_type":"individual","owner_name":"Audrey Snow","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01","owner_name_raw":"SNOW, AUDREY"},{"owner_type":"individual","owner_name":"Larry Snow","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01","owner_name_raw":"SNOW, LARRY"},{"owner_type":"individual","owner_name":"Kevin Williams","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-07-11","owner_name_raw":"WILLIAMS, KEVIN"},{"owner_type":"individual","owner_name":"Bridgette Young","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-01","owner_name_raw":"YOUNG, BRIDGETTE"},{"owner_type":"individual","owner_name":"Jeffrey Young","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2017-05-01","owner_name_raw":"YOUNG, JEFFREY"}],"inspections":[{"id":"cms-375165-20260521-health","ccn":"375165","date":"2026-05-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2026-05-21","cmp":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-26","cmp":1},{"t":"cms-f0770","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-29","cmp":1}]},{"id":"cms-375165-20250826-health","ccn":"375165","date":"2025-08-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"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-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-16","cmp":1},{"t":"cms-f0755","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-16","cmp":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-16","cmp":1},{"t":"cms-f0865","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-16","cmp":1}]},{"id":"cms-375165-20241212-fire","ccn":"375165","date":"2024-12-12","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"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-k0271","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0293","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0344","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0355","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0911","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"},{"t":"cms-k0918","ss":"C","sl":1,"cs":"corrected","cd":"2025-01-31","std":1,"tv":"New"}]},{"id":"cms-375165-20241212-health","ccn":"375165","date":"2024-12-12","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":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-13","std":1},{"t":"cms-f0641","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-13","std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-13","cmp":1,"std":1},{"t":"cms-f0758","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-13","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-13","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-13","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-13","std":1}]},{"id":"cms-375165-20241126-health","ccn":"375165","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0760","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-20","cmp":1},{"t":"cms-f0809","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-20","cmp":1}]},{"id":"cms-375165-20230831-fire","ccn":"375165","date":"2023-08-31","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-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-23","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-23","std":1,"tv":"New"},{"t":"cms-k0293","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-23","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-23","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-23","std":1,"tv":"New"}]},{"id":"cms-375165-20230831-health","ccn":"375165","date":"2023-08-31","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"past_noncompliance","cd":"2023-07-10","std":1},{"t":"cms-f0550","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","std":1},{"t":"cms-f0756","ss":"E","sl":2,"cs":"corrected","cd":"2023-10-16","std":1}]},{"id":"cms-375165-20220929-fire","ccn":"375165","date":"2022-09-29","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-e0004","ss":"F","sl":2,"cs":"corrected","cd":"2022-11-14","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2022-11-14","std":1,"tv":"New"},{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2022-11-14","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2022-11-14","std":1,"tv":"New"},{"t":"cms-k0291","ss":"C","sl":1,"cs":"corrected","cd":"2022-11-14","std":1,"tv":"New"},{"t":"cms-k0353","ss":"C","sl":1,"cs":"corrected","cd":"2022-11-14","std":1,"tv":"New"},{"t":"cms-k0355","ss":"C","sl":1,"cs":"corrected","cd":"2022-11-14","std":1,"tv":"New"},{"t":"cms-k0712","ss":"C","sl":1,"cs":"corrected","cd":"2022-11-14","std":1,"tv":"New"}]},{"id":"cms-375165-20220929-health","ccn":"375165","date":"2022-09-29","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-f0578","ss":"E","sl":2,"cs":"corrected","cd":"2022-11-14","std":1},{"t":"cms-f0641","ss":"E","sl":2,"cs":"corrected","cd":"2022-11-14","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2022-11-14","std":1},{"t":"cms-f0656","ss":"F","sl":2,"cs":"corrected","cd":"2022-11-14","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2022-11-14","std":1},{"t":"cms-f0661","ss":"D","sl":2,"cs":"corrected","cd":"2022-11-14","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2022-11-14","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2022-11-14","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2022-11-14","std":1},{"t":"cms-f0881","ss":"E","sl":2,"cs":"corrected","cd":"2022-11-14","std":1},{"t":"cms-f0909","ss":"D","sl":2,"cs":"corrected","cd":"2022-11-14","std":1}]}],"deficiency_types":{"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-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-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-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","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-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-f0865":{"code":"F-0865","title":"Have a  plan that describes the process for conducting QAPI and QAA activities.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-k0271":{"code":"K-0271","title":"Have exits that are accessible at all times.","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-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0344":{"code":"K-0344","title":"Have an alternate power supply for its alarm system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","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-k0911":{"code":"K-0911","title":"Meet requirements for the installation and maintenance of electrical systems.","category":"Gas, Vacuum, and Electrical Systems 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-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-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-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-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-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-f0554":{"code":"F-0554","title":"Allow residents to self-administer drugs if determined clinically appropriate.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-f0809":{"code":"F-0809","title":"Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests.  Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-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-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-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-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-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-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","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-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-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-f0578":{"code":"F-0578","title":"Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"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-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-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-f0700":{"code":"F-0700","title":"Try different approaches before using a bed rail.  If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0909":{"code":"F-0909","title":"Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"penalties":[{"id":"cms-375165-pen-f139388","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-05-21","amount":14385,"fine_id":"139388","evidence_class":"VERIFIED","source_record_id":"375165|Fine|139388"}],"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=375165&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=375165&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=375165&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=375165&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=375165&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=375165&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":"OK","overall_rating":2.7,"health_inspection_rating":2.8,"qm_rating":2.8,"staffing_rating":2.7,"avg_residents_per_day":61.1,"cycle1_health_deficiencies":6.5,"cycle1_fire_deficiencies":2.5,"nurse_aide_hprd":2.55,"lpn_hprd":0.92,"rn_hprd":0.3357,"licensed_hprd":1.26,"total_nurse_hprd":3.81512,"weekend_total_nurse_hprd":3.44088,"weekend_rn_hprd":0.27,"pt_hprd":0.02,"nursing_turnover_pct":55.4,"rn_turnover_pct":52,"administrators_left":0.6,"case_mix_index":1.16825,"fines":0.8,"fine_amount":17843,"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":"OK","name":"Oklahoma"},"county":{"fips":"40089","name":"McCurtain County"},"zip":"74728","city":"Broken Bow"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[]}}