{"schema_version":"1.0.0","facility":{"id":"cms-375362","ccn":"375362","name":"Shanoan Springs Nursing and Rehabilitation","source_name":"Shanoan Springs Nursing and Rehabilitation","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":"2500 South 12th Street","city":"Chickasha","state":"OK","zip":"73018","county_name":"Grady County","county_fips":"40051","county_method":"name_match","ssa_county_code":"250","urban":true},"location":{"lat":35.0264,"lon":-97.948,"method":"cms_published_coordinates"},"phone":"4052241397","certification":{"authority":"CMS","ccn":"375362","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1999-02-01","certified_beds":82,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/375362"},"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":49.2},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"N&R OF CHICKASHA, 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":3},"health_inspection":{"value":3},"quality_measures":{"value":2},"long_stay_qm":{"value":1},"short_stay_qm":{"value":4},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.70577,"lpn_hprd":0.98108,"rn_hprd":0.51602,"licensed_hprd":1.4971,"total_nurse_hprd":4.20287,"weekend_total_nurse_hprd":3.78568,"weekend_rn_hprd":0.52424,"pt_hprd":0,"nursing_turnover_pct":74,"rn_turnover_footnote":"27","administrators_left":0,"case_mix_index":1.32916,"case_mix_index_ratio":0.9425,"case_mix_total_nurse_hprd":3.67654,"adjusted_total_nurse_hprd":4.4243,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-05-30","cycle1_deficiencies":3,"cycle1_score":28,"cycle2_date":"2024-04-18","cycle23_deficiencies":15,"cycle23_score":88,"total_weighted_score":43},"cms_penalty_counts":{"fines":1,"fine_total":8426,"payment_denials":0,"total":1},"operator_id":"op-n-and-r-of-chickasha-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/375362","provenance":[{"source_id":"cms_provider_info","source_record_id":"375362","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=375362&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":"375362","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=375362&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":7,"health_count":4,"fire_count":3,"complaint_count":3,"latest_date":"2026-03-25","latest_standard_health":"2025-05-30","earliest_date":"2023-03-06","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":28,"health_count":24,"fire_count":4,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":1,"serious_count":1,"complaint_count":6,"by_severity":{"immediate_jeopardy":1,"potential":27},"by_scope_severity":{"J":1,"E":8,"D":18,"F":1},"by_concept":{"food_nutrition":6,"environment_life_safety":4,"resident_rights":5,"infection_prevention":3,"clinical_care":7,"medication":2,"staffing":1},"type_ids":["cms-f0803","cms-k0321","cms-k0741","cms-k0923","cms-f0628","cms-f0880","cms-f0812","cms-f0578","cms-f0804","cms-f0609","cms-f0641","cms-f0644","cms-f0692","cms-f0695","cms-f0700","cms-f0756","cms-f0814","cms-f0600","cms-f0677","cms-f0584","cms-f0657","cms-f0732","cms-f0758"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":8426,"payment_denials":0,"latest_date":"2026-03-25"},"ownership_summary":{"disclosures":4,"organizations":1,"individuals":3,"not_available":false}},"row":{"id":"cms-375362","ccn":"375362","name":"Shanoan Springs Nursing and Rehabilitation","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"OK","city":"Chickasha","zip":"73018","county_fips":"40051","county_name":"Grady County","address":"2500 South 12th Street","beds":82,"residents":49.2,"ownership":"for_profit","operator_id":"op-n-and-r-of-chickasha-llc","operator_name":"N&R of Chickasha, LLC","lat":35.0264,"lon":-97.948,"overall":3,"health_rating":3,"staffing_rating":3,"qm_rating":2,"nurse_hprd":4.2,"turnover":74,"inspections":7,"last_inspection":"2026-03-25","deficiencies":28,"serious":1,"ij":1,"open":0,"penalties":1,"fines_total":8426,"deficiency_type_ids":["cms-f0803","cms-k0321","cms-k0741","cms-k0923","cms-f0628","cms-f0880","cms-f0812","cms-f0578","cms-f0804","cms-f0609","cms-f0641","cms-f0644","cms-f0692","cms-f0695","cms-f0700","cms-f0756","cms-f0814","cms-f0600","cms-f0677","cms-f0584","cms-f0657","cms-f0732","cms-f0758"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-n-and-r-of-chickasha-llc","name":"N&R of Chickasha, LLC","legal_name":"N&R OF CHICKASHA, LLC","facility_count":1,"states":["OK"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_type":"individual","owner_name":"Jay Trumbo","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":33,"percentage_raw":"33%","association_date":"2012-08-01","owner_name_raw":"TRUMBO, JAY"},{"owner_type":"individual","owner_name":"John Vinson","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":33,"percentage_raw":"33%","association_date":"2012-08-01","owner_name_raw":"VINSON, JOHN"},{"owner_id":"org-health-systems-of-oklahoma-llc","owner_type":"organization","owner_name":"Health Systems of Oklahoma, LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2011-08-24"},{"owner_type":"individual","owner_name":"Merica Corr","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2021-03-05","owner_name_raw":"CORR, MERICA"}],"inspections":[{"id":"cms-375362-20260325-health","ccn":"375362","date":"2026-03-25","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":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0803","ss":"J","sl":4,"cs":"past_noncompliance","cmp":1}]},{"id":"cms-375362-20250530-fire","ccn":"375362","date":"2025-05-30","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2025-07-14","std":1,"tv":"New"},{"t":"cms-k0741","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-14","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-14","std":1,"tv":"New"}]},{"id":"cms-375362-20250530-health","ccn":"375362","date":"2025-05-30","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":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-14","cmp":1,"std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-14","cmp":1,"std":1}]},{"id":"cms-375362-20240418-fire","ccn":"375362","date":"2024-04-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-25","std":1,"tv":"New"}]},{"id":"cms-375362-20240418-health","ccn":"375362","date":"2024-04-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2,3],"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-f0578","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0600","ss":"E","sl":2,"cs":"past_noncompliance","cd":"2023-10-26","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-15","cmp":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0803","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0814","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-15","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-15","cmp":1,"std":1}]},{"id":"cms-375362-20230306-fire","ccn":"375362","date":"2023-03-06","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-375362-20230306-health","ccn":"375362","date":"2023-03-06","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":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2023-05-25","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-25","std":1},{"t":"cms-f0732","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-25","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-25","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2023-05-25","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-05-25","std":1}]}],"deficiency_types":{"cms-f0803":{"code":"F-0803","title":"Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","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-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-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-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-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-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-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-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning 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-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-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-f0814":{"code":"F-0814","title":"Dispose of garbage and refuse properly.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-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-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-f0732":{"code":"F-0732","title":"Post nurse staffing information every day.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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"}},"penalties":[{"id":"cms-375362-pen-f138076","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-03-25","amount":8426,"fine_id":"138076","evidence_class":"VERIFIED","source_record_id":"375362|Fine|138076"}],"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=375362&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=375362&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=375362&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=375362&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=375362&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=375362&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":"40051","name":"Grady County"},"zip":"73018","city":"Chickasha"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-375541","ccn":"375541","name":"Chickasha Nursing Center, Inc","address":"2701 South 9th Street","city":"Chickasha","state":"OK","zip":"73018","beds":60,"overall":1,"inspections":6,"last_inspection":"2026-06-10","deficiencies":32,"serious":2,"ij":2,"open":0,"fines_total":16355,"sff":"SFF Candidate","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.5},{"id":"cms-375144","ccn":"375144","name":"Cottonwood Creek Skilled Nursing & Therapy","address":"2300 Iowa Avenue","city":"Chickasha","state":"OK","zip":"73023","beds":120,"overall":4,"inspections":6,"last_inspection":"2025-02-06","deficiencies":32,"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":2.8},{"id":"cms-375359","ccn":"375359","name":"Glenhaven Retirement Village","address":"3003 Iowa","city":"Chickasha","state":"OK","zip":"73023","beds":120,"overall":1,"inspections":9,"last_inspection":"2026-08-04","deficiencies":34,"serious":2,"ij":1,"open":1,"fines_total":14433,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.8}]}}