{"schema_version":"1.0.0","facility":{"id":"cms-395331","ccn":"395331","name":"Mountain Laurel Healthcare and Rehabilitation Ctr","source_name":"MOUNTAIN LAUREL HEALTHCARE AND REHABILITATION CTR","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":"PA","address":{"line1":"700 Leonard Street","city":"Clearfield","state":"PA","zip":"16830","county_name":"Clearfield County","county_fips":"42033","county_method":"name_match","ssa_county_code":"230","urban":false},"location":{"lat":41.0216,"lon":-78.412,"method":"cms_published_coordinates"},"phone":"8147657545","certification":{"authority":"CMS","ccn":"395331","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1975-05-02","certified_beds":240,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/395331"},"licenses":[{"state":"PA","authority":"Pennsylvania Department of Health","license_number":"32702","state_facility_id":"32702","license_type":"Nursing home (PA Department of Health)","status":"active","as_of":"2026-09-17","evidence_class":"INFERRED","source_id":"pa_doh_nursing_homes","source_url":"https://data.pa.gov/d/xgn8-z9eg","link_method":"exact_address_zip"}],"capacity":{"certified_beds":240,"avg_residents_per_day":131},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"MOUNTAIN LAUREL 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":4},"long_stay_qm":{"value":5},"short_stay_qm":{"value":4},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.11742,"lpn_hprd":1.00269,"rn_hprd":0.51528,"licensed_hprd":1.51797,"total_nurse_hprd":3.63539,"weekend_total_nurse_hprd":3.19162,"weekend_rn_hprd":0.27199,"pt_hprd":0.14081,"nursing_turnover_pct":65.1,"rn_turnover_pct":72.2,"administrators_left":5,"case_mix_index":1.17957,"case_mix_index_ratio":0.83642,"case_mix_total_nurse_hprd":3.26277,"adjusted_total_nurse_hprd":4.31225,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-07-23","cycle1_deficiencies":32,"cycle1_score":200,"cycle2_date":"2025-08-14","cycle23_deficiencies":19,"cycle23_score":120,"total_weighted_score":180},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"operator_id":"op-mountain-laurel-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/395331","provenance":[{"source_id":"cms_provider_info","source_record_id":"395331","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=395331&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":"395331","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=395331&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."},{"source_id":"pa_doh_nursing_homes","source_record_id":"32702","url":"https://data.pa.gov/d/xgn8-z9eg","retrieved_at":"2026-11-07T14:54:00.622Z","source_updated_at":"2026-09-17","effective_date":"2026-09-17","jurisdiction":"PA","fields":["state_license","licensed_beds","licensee"],"evidence_class":"INFERRED","status":"current","note":"Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN)."}],"inspection_summary":{"count":16,"health_count":13,"fire_count":3,"complaint_count":12,"latest_date":"2026-07-23","latest_standard_health":"2026-07-23","earliest_date":"2023-10-05","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":95,"health_count":66,"fire_count":29,"open_count":9,"actual_harm_count":2,"immediate_jeopardy_count":0,"serious_count":2,"complaint_count":25,"by_severity":{"potential":78,"minimal":15,"actual_harm":2},"by_scope_severity":{"F":9,"D":41,"C":13,"E":28,"G":2,"B":2},"by_concept":{"environment_life_safety":22,"emergency_preparedness":7,"resident_rights":18,"clinical_care":23,"staffing":3,"food_nutrition":7,"medication":7,"administration":4,"infection_prevention":4},"type_ids":["cms-k0521","cms-k0712","cms-k0100","cms-k0321","cms-e0036","cms-k0324","cms-k0341","cms-k0523","cms-k0923","cms-f0565","cms-f0584","cms-f0605","cms-f0636","cms-f0656","cms-f0699","cms-f0730","cms-f0804","cms-f0812","cms-f0582","cms-f0638","cms-f0655","cms-f0658","cms-f0686","cms-f0689","cms-f0756","cms-f0867","cms-f0880","cms-f0883","cms-f0743","cms-f0744","cms-f0607","cms-f0755","cms-f0627","cms-f0628","cms-f0585","cms-f0684","cms-f0761","cms-f0801","cms-f0835","cms-k0345","cms-k0353","cms-k0761","cms-k0918","cms-e0022","cms-e0037","cms-e0039","cms-k0355","cms-f0558","cms-f0690","cms-f0725","cms-f0947","cms-f0580","cms-f0693","cms-f0760","cms-f0807","cms-k0223","cms-k0372","cms-k0200","cms-k0363","cms-f0802","cms-f0550","cms-f0600","cms-f0623","cms-f0657","cms-f0759"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":12,"organizations":7,"individuals":5,"not_available":false}},"row":{"id":"cms-395331","ccn":"395331","name":"Mountain Laurel Healthcare and Rehabilitation Ctr","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"PA","city":"Clearfield","zip":"16830","county_fips":"42033","county_name":"Clearfield County","address":"700 Leonard Street","beds":240,"residents":131,"ownership":"for_profit","operator_id":"op-mountain-laurel-opco-llc","operator_name":"Mountain Laurel Opco LLC","lat":41.0216,"lon":-78.412,"overall":1,"health_rating":1,"staffing_rating":3,"qm_rating":4,"nurse_hprd":3.64,"turnover":65.1,"inspections":16,"last_inspection":"2026-07-23","deficiencies":95,"serious":2,"ij":0,"open":9,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0521","cms-k0712","cms-k0100","cms-k0321","cms-e0036","cms-k0324","cms-k0341","cms-k0523","cms-k0923","cms-f0565","cms-f0584","cms-f0605","cms-f0636","cms-f0656","cms-f0699","cms-f0730","cms-f0804","cms-f0812","cms-f0582","cms-f0638","cms-f0655","cms-f0658","cms-f0686","cms-f0689","cms-f0756","cms-f0867","cms-f0880","cms-f0883","cms-f0743","cms-f0744","cms-f0607","cms-f0755","cms-f0627","cms-f0628","cms-f0585","cms-f0684","cms-f0761","cms-f0801","cms-f0835","cms-k0345","cms-k0353","cms-k0761","cms-k0918","cms-e0022","cms-e0037","cms-e0039","cms-k0355","cms-f0558","cms-f0690","cms-f0725","cms-f0947","cms-f0580","cms-f0693","cms-f0760","cms-f0807","cms-k0223","cms-k0372","cms-k0200","cms-k0363","cms-f0802","cms-f0550","cms-f0600","cms-f0623","cms-f0657","cms-f0759"],"universe":"cms","state_license":"PA 32702","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-mountain-laurel-opco-llc","name":"Mountain Laurel Opco LLC","legal_name":"MOUNTAIN LAUREL OPCO LLC","facility_count":1,"states":["PA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-mountain-laurel-opcp-holdco-llc","owner_type":"organization","owner_name":"Mountain Laurel Opcp Holdco LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2021-12-15"},{"owner_id":"org-bl-panho-trust","owner_type":"organization","owner_name":"Bl Panho Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-12-15"},{"owner_id":"org-mlspa-llc","owner_type":"organization","owner_name":"Mlspa LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-12-15"},{"owner_id":"org-mlspa-trust","owner_type":"organization","owner_name":"Mlspa Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-12-15"},{"owner_id":"org-mvrk-i-llc","owner_type":"organization","owner_name":"Mvrk I LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-12-15"},{"owner_id":"org-panho-capital-group-llc","owner_type":"organization","owner_name":"Panho Capital Group LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-12-15"},{"owner_type":"individual","owner_name":"Andrew Garbacz","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-12-15","owner_name_raw":"GARBACZ, ANDREW"},{"owner_type":"individual","owner_name":"Daniel Gottesman","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-12-15","owner_name_raw":"GOTTESMAN, DANIEL"},{"owner_type":"individual","owner_name":"Robert Kolman","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-12-15","owner_name_raw":"KOLMAN, ROBERT"},{"owner_id":"org-premier-management-support-llc","owner_type":"organization","owner_name":"Premier Management Support LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-12-15"},{"owner_type":"individual","owner_name":"Robert Kolman","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2021-12-15","owner_name_raw":"KOLMAN, ROBERT"},{"owner_type":"individual","owner_name":"Gary Plasschaert","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2021-12-15","owner_name_raw":"PLASSCHAERT, GARY"}],"inspections":[{"id":"cms-395331-20260723-fire","ccn":"395331","date":"2026-07-23","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":9,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0100","ss":"D","sl":2,"cs":"plan_of_correction","cd":"2026-09-02","std":1,"tv":"New"},{"t":"cms-k0321","ss":"D","sl":2,"cs":"plan_of_correction","cd":"2026-09-02","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"plan_of_correction","cd":"2026-09-02","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"plan_of_correction","cd":"2026-09-02","std":1,"tv":"New"},{"t":"cms-e0036","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2026-09-02","std":1,"tv":"New"},{"t":"cms-k0324","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2026-09-02","std":1,"tv":"New"},{"t":"cms-k0341","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2026-09-02","std":1,"tv":"New"},{"t":"cms-k0523","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2026-09-02","std":1,"tv":"New"},{"t":"cms-k0923","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2026-09-02","std":1,"tv":"New"}]},{"id":"cms-395331-20260723-health","ccn":"395331","date":"2026-07-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":19,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0605","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-02","cmp":1,"std":1},{"t":"cms-f0636","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0638","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-02","cmp":1,"std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0699","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-02","cmp":1,"std":1},{"t":"cms-f0730","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-02","cmp":1,"std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2026-09-02","cmp":1,"std":1},{"t":"cms-f0867","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-02","std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-02","std":1}]},{"id":"cms-395331-20260709-health","ccn":"395331","date":"2026-07-09","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0607","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-14","cmp":1},{"t":"cms-f0743","ss":"E","sl":2,"cs":"corrected","cd":"2026-08-14","cmp":1},{"t":"cms-f0744","ss":"E","sl":2,"cs":"corrected","cd":"2026-08-14","cmp":1}]},{"id":"cms-395331-20260605-health","ccn":"395331","date":"2026-06-05","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0627","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-18","cmp":1},{"t":"cms-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-18","cmp":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2026-08-22","cmp":1}]},{"id":"cms-395331-20260512-health","ccn":"395331","date":"2026-05-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0585","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-15","cmp":1}]},{"id":"cms-395331-20260430-health","ccn":"395331","date":"2026-04-30","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":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-15","cmp":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-15","cmp":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-15","cmp":1}]},{"id":"cms-395331-20260319-health","ccn":"395331","date":"2026-03-19","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2026-04-14","cmp":1}]},{"id":"cms-395331-20251216-health","ccn":"395331","date":"2025-12-16","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-f0801","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-07","cmp":1},{"t":"cms-f0835","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-07","cmp":1}]},{"id":"cms-395331-20250814-fire","ccn":"395331","date":"2025-08-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2025-12-15","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-12-15","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2025-12-18","std":1,"tv":"New"},{"t":"cms-k0923","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"},{"t":"cms-e0022","ss":"C","sl":1,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"},{"t":"cms-e0036","ss":"C","sl":1,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"},{"t":"cms-e0037","ss":"C","sl":1,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"},{"t":"cms-e0039","ss":"C","sl":1,"cs":"corrected","cd":"2025-12-15","std":1,"tv":"New"},{"t":"cms-k0324","ss":"C","sl":1,"cs":"corrected","cd":"2025-12-15","std":1,"tv":"New"},{"t":"cms-k0355","ss":"B","sl":1,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"}]},{"id":"cms-395331-20250814-health","ccn":"395331","date":"2025-08-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-25","cmp":1,"std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0690","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-25","cmp":1,"std":1},{"t":"cms-f0756","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0807","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0867","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0947","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-25","std":1}]},{"id":"cms-395331-20240926-fire","ccn":"395331","date":"2024-09-26","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-k0223","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-24","std":1,"tv":"New"},{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-24","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-24","std":1,"tv":"New"},{"t":"cms-k0372","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-24","std":1,"tv":"New"},{"t":"cms-e0036","ss":"C","sl":1,"cs":"corrected","cd":"2024-10-24","std":1,"tv":"New"},{"t":"cms-e0039","ss":"C","sl":1,"cs":"corrected","cd":"2024-10-24","std":1,"tv":"New"},{"t":"cms-k0200","ss":"C","sl":1,"cs":"corrected","cd":"2024-10-24","std":1,"tv":"New"},{"t":"cms-k0363","ss":"B","sl":1,"cs":"corrected","cd":"2024-10-24","std":1,"tv":"New"}]},{"id":"cms-395331-20240926-health","ccn":"395331","date":"2024-09-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0690","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0699","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0744","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0802","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0867","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-04","std":1},{"t":"cms-f0883","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","std":1}]},{"id":"cms-395331-20240502-health","ccn":"395331","date":"2024-05-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-29","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-29","cmp":1}]},{"id":"cms-395331-20240205-health","ccn":"395331","date":"2024-02-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-21","cmp":1}]},{"id":"cms-395331-20231201-health","ccn":"395331","date":"2023-12-01","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"G","sl":3,"cs":"corrected","cd":"2023-12-29","cmp":1}]},{"id":"cms-395331-20231005-health","ccn":"395331","date":"2023-10-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0585","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-22","cmp":1}]}],"deficiency_types":{"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-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-k0100":{"code":"K-0100","title":"Meet other general requirements.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-e0036":{"code":"E-0036","title":"Establish emergency prep training and testing.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0341":{"code":"K-0341","title":"Install a fire alarm system that can be heard throughout the facility.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0523":{"code":"K-0523","title":"Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.","category":"Services 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-f0565":{"code":"F-0565","title":"Honor the resident's right to organize and participate in resident/family groups in the facility.","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-f0605":{"code":"F-0605","title":"Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0636":{"code":"F-0636","title":"Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-f0699":{"code":"F-0699","title":"Provide care or services that was trauma informed and/or culturally competent.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0730":{"code":"F-0730","title":"Observe each nurse aide's job performance and give regular training.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-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-f0638":{"code":"F-0638","title":"Assure that each resident’s assessment is updated at least once every 3 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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-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-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-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-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-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-f0743":{"code":"F-0743","title":"Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0744":{"code":"F-0744","title":"Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-f0627":{"code":"F-0627","title":"Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0628":{"code":"F-0628","title":"Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-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-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-f0801":{"code":"F-0801","title":"Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0835":{"code":"F-0835","title":"Administer the facility in a manner that enables it to use its resources effectively and efficiently.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","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-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-e0022":{"code":"E-0022","title":"Establish policies and procedures for sheltering.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0037":{"code":"E-0037","title":"Establish staff and initial training requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0947":{"code":"F-0947","title":"Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-f0693":{"code":"F-0693","title":"Ensure that feeding tubes are  not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.","category":"Quality of Life and Care 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-f0807":{"code":"F-0807","title":"Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-k0223":{"code":"K-0223","title":"Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.","category":"Egress 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-k0200":{"code":"K-0200","title":"Meet other general requirements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-f0802":{"code":"F-0802","title":"Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=395331&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=395331&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=395331&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=395331&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=395331&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=395331&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":"PA","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.8,"staffing_rating":3.1,"avg_residents_per_day":104.4,"cycle1_health_deficiencies":10,"cycle1_fire_deficiencies":3.4,"nurse_aide_hprd":2.22,"lpn_hprd":0.9,"rn_hprd":0.77551,"licensed_hprd":1.68,"total_nurse_hprd":3.89536,"weekend_total_nurse_hprd":3.52034,"weekend_rn_hprd":0.55,"pt_hprd":0.1,"nursing_turnover_pct":44.6,"rn_turnover_pct":39.4,"administrators_left":0.5,"case_mix_index":1.4174,"fines":0.8,"fine_amount":26769,"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":"PA","name":"Pennsylvania"},"county":{"fips":"42033","name":"Clearfield County"},"zip":"16830","city":"Clearfield"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"pa-doh-15002","name":"Ridgeview Healthcare and Rehabilitation Center","address":"30 4th Avenue","city":"Curwensville","state":"PA","zip":"16833","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"state","state_actions":0,"state_serious":0,"types":["nursing_home"],"distance_km":10.9},{"id":"cms-395652","ccn":"395652","name":"Ava Nursing and Rehab Center","address":"30 Fourth Avenue","city":"Curwensville","state":"PA","zip":"16833","beds":131,"overall":2,"inspections":10,"last_inspection":"2026-08-20","deficiencies":65,"serious":1,"ij":1,"open":13,"fines_total":38798,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":10.9}]}}