{"schema_version":"1.0.0","facility":{"id":"cms-435110","ccn":"435110","name":"Fountain Springs Healthcare","source_name":"Fountain Springs Healthcare","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":"SD","address":{"line1":"2000 Wesleyan Blvd","city":"Rapid City","state":"SD","zip":"57702","county_name":"Pennington County","county_fips":"46103","county_method":"name_match","ssa_county_code":"510","urban":true},"location":{"lat":44.1046,"lon":-103.25,"method":"cms_published_coordinates"},"phone":"6053433555","certification":{"authority":"CMS","ccn":"435110","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1998-02-01","certified_beds":90,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/435110"},"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":90,"avg_residents_per_day":83.6},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"FOUNTAIN SPRINGS SNF OPERATIONS, LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"None","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":3},"health_inspection":{"value":3},"quality_measures":{"value":2},"long_stay_qm":{"value":2},"short_stay_qm":{"value":3},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.09455,"lpn_hprd":0.88949,"rn_hprd":0.7066,"licensed_hprd":1.59609,"total_nurse_hprd":3.69064,"weekend_total_nurse_hprd":3.32334,"weekend_rn_hprd":0.4103,"pt_hprd":0.18461,"nursing_turnover_pct":58.7,"rn_turnover_pct":57.1,"administrators_left":0,"case_mix_index":1.5214,"case_mix_index_ratio":1.07881,"case_mix_total_nurse_hprd":4.20829,"adjusted_total_nurse_hprd":3.39418,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-12-09","cycle1_deficiencies":10,"cycle1_score":52,"cycle2_date":"2024-04-04","cycle23_deficiencies":5,"cycle23_score":52,"total_weighted_score":52},"cms_penalty_counts":{"fines":2,"fine_total":22526,"payment_denials":0,"total":2},"chain":{"id":"cms-chain-846","cms_chain_id":"846","name":"EVERGREEN HEALTHCARE GROUP"},"operator_id":"op-fountain-springs-snf-operations-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/435110","provenance":[{"source_id":"cms_provider_info","source_record_id":"435110","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=435110&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":"435110","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=435110&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":11,"health_count":8,"fire_count":3,"complaint_count":6,"latest_date":"2026-02-12","latest_standard_health":"2025-12-09","earliest_date":"2023-03-02","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":19,"health_count":18,"fire_count":1,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":1,"serious_count":2,"complaint_count":7,"by_severity":{"potential":17,"immediate_jeopardy":1,"actual_harm":1},"by_scope_severity":{"D":13,"E":4,"J":1,"G":1},"by_concept":{"clinical_care":10,"environment_life_safety":1,"staffing":1,"medication":1,"resident_rights":4,"infection_prevention":2},"type_ids":["cms-f0689","cms-k0211","cms-f0695","cms-f0726","cms-f0755","cms-f0554","cms-f0578","cms-f0641","cms-f0645","cms-f0655","cms-f0609","cms-f0684","cms-f0880","cms-f0583","cms-f0658"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":2,"fines":2,"fine_total":22526,"payment_denials":0,"latest_date":"2024-08-15"},"ownership_summary":{"disclosures":34,"organizations":9,"individuals":18,"not_available":false}},"row":{"id":"cms-435110","ccn":"435110","name":"Fountain Springs Healthcare","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"SD","city":"Rapid City","zip":"57702","county_fips":"46103","county_name":"Pennington County","address":"2000 Wesleyan Blvd","beds":90,"residents":83.6,"ownership":"for_profit","operator_id":"op-fountain-springs-snf-operations-llc","operator_name":"Fountain Springs SNF Operations, LLC","chain_id":"cms-chain-846","chain_name":"Evergreen Healthcare Group","lat":44.1046,"lon":-103.25,"overall":3,"health_rating":3,"staffing_rating":2,"qm_rating":2,"nurse_hprd":3.69,"turnover":58.7,"inspections":11,"last_inspection":"2026-02-12","deficiencies":19,"serious":2,"ij":1,"open":0,"penalties":2,"fines_total":22526,"deficiency_type_ids":["cms-f0689","cms-k0211","cms-f0695","cms-f0726","cms-f0755","cms-f0554","cms-f0578","cms-f0641","cms-f0645","cms-f0655","cms-f0609","cms-f0684","cms-f0880","cms-f0583","cms-f0658"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-fountain-springs-snf-operations-llc","name":"Fountain Springs SNF Operations, LLC","legal_name":"FOUNTAIN SPRINGS SNF OPERATIONS, LLC","facility_count":1,"states":["SD"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-846","name":"Evergreen Healthcare Group","cms_chain_id":"846","facility_count":43,"states":["MT","NV","OR","SD","WA","WY"],"cms_reported":{"facility_count":43,"avg_overall_rating":2.3,"avg_health_inspection_rating":2.2,"avg_staffing_rating":3.3,"avg_qm_rating":2.9}},"ownership":[{"owner_id":"org-pacific-northwest-snf-operations-holdings-sd-llc","owner_type":"organization","owner_name":"Pacific Northwest SNF Operations Holdings (Sd) LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2023-08-31"},{"owner_id":"org-ch-pacific-northwest-holdings-llc","owner_type":"organization","owner_name":"Ch Pacific Northwest Holdings LLC","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31"},{"owner_id":"org-pacific-northwest-snf-operations-holdings-llc","owner_type":"organization","owner_name":"Pacific Northwest SNF Operations Holdings LLC","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31"},{"owner_id":"org-witzcorp-global-llc","owner_type":"organization","owner_name":"Witzcorp Global LLC","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31"},{"owner_type":"individual","owner_name":"Yisroel Herzka","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"HERZKA, YISROEL"},{"owner_type":"individual","owner_name":"Yitzchok Yenowitz","role":"indirect_owner","role_raw":"INDIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"YENOWITZ, YITZCHOK"},{"owner_type":"individual","owner_name":"Leonor Lowe","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"LOWE, LEONOR"},{"owner_id":"org-couve-financial-services-llc","owner_type":"organization","owner_name":"Couve Financial Services LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31"},{"owner_id":"org-couve-healthcare-consulting-llc","owner_type":"organization","owner_name":"Couve Healthcare Consulting LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31"},{"owner_id":"org-fountain-springs-snf-operations-llc","owner_type":"organization","owner_name":"Fountain Springs SNF Operations, LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31"},{"owner_id":"org-pacific-northwest-opco-management-llc","owner_type":"organization","owner_name":"Pacific Northwest Opco Management LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31"},{"owner_id":"org-south-dakota-snf-consulting-llc","owner_type":"organization","owner_name":"South Dakota SNF Consulting LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31"},{"owner_type":"individual","owner_name":"Kristine Harvey","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"HARVEY, KRISTINE"},{"owner_type":"individual","owner_name":"Leonor Lowe","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"LOWE, LEONOR"},{"owner_type":"individual","owner_name":"Marie Phillips","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"PHILLIPS, MARIE"},{"owner_type":"individual","owner_name":"Travis Ptacek","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"PTACEK, TRAVIS"},{"owner_type":"individual","owner_name":"Shimon Spielman","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"SPIELMAN, SHIMON"},{"owner_type":"individual","owner_name":"Yitzchok Yenowitz","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"YENOWITZ, YITZCHOK"},{"owner_type":"individual","owner_name":"Shimon Spielman","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"SPIELMAN, SHIMON"},{"owner_type":"individual","owner_name":"Yitzchok Yenowitz","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"YENOWITZ, YITZCHOK"},{"owner_id":"org-ch-pacific-northwest-holdings-llc","owner_type":"organization","owner_name":"Ch Pacific Northwest Holdings LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31"},{"owner_id":"org-couve-financial-services-llc","owner_type":"organization","owner_name":"Couve Financial Services LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-17"},{"owner_id":"org-couve-healthcare-consulting-llc","owner_type":"organization","owner_name":"Couve Healthcare Consulting LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-31"},{"owner_id":"org-fountain-springs-snf-operations-llc","owner_type":"organization","owner_name":"Fountain Springs SNF Operations, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-31"},{"owner_id":"org-pacific-northwest-opco-management-llc","owner_type":"organization","owner_name":"Pacific Northwest Opco Management LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-31"},{"owner_id":"org-south-dakota-snf-consulting-llc","owner_type":"organization","owner_name":"South Dakota SNF Consulting LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-03-31"},{"owner_id":"org-witzcorp-global-llc","owner_type":"organization","owner_name":"Witzcorp Global LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-31"},{"owner_type":"individual","owner_name":"Kristine Harvey","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"HARVEY, KRISTINE"},{"owner_type":"individual","owner_name":"Yisroel Herzka","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"HERZKA, YISROEL"},{"owner_type":"individual","owner_name":"Leonor Lowe","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"LOWE, LEONOR"},{"owner_type":"individual","owner_name":"Marie Phillips","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"PHILLIPS, MARIE"},{"owner_type":"individual","owner_name":"Travis Ptacek","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"PTACEK, TRAVIS"},{"owner_type":"individual","owner_name":"Shimon Spielman","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"SPIELMAN, SHIMON"},{"owner_type":"individual","owner_name":"Yitzchok Yenowitz","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-08-31","owner_name_raw":"YENOWITZ, YITZCHOK"}],"inspections":[{"id":"cms-435110-20260212-health","ccn":"435110","date":"2026-02-12","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-f0689","ss":"D","sl":2,"cs":"past_noncompliance","cmp":1}]},{"id":"cms-435110-20251209-fire","ccn":"435110","date":"2025-12-09","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0211","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-16","std":1,"tv":"New"}]},{"id":"cms-435110-20251209-health","ccn":"435110","date":"2025-12-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-16","std":1},{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-16","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-16","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-16","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-16","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2025-08-07","cmp":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-16","std":1},{"t":"cms-f0726","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-16","std":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-16","std":1}]},{"id":"cms-435110-20250528-health","ccn":"435110","date":"2025-05-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0609","ss":"D","sl":2,"cs":"past_noncompliance","cd":"2025-01-24","cmp":1}]},{"id":"cms-435110-20240815-health","ccn":"435110","date":"2024-08-15","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":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"J","sl":4,"cs":"past_noncompliance","cd":"2024-07-24","cmp":1}]},{"id":"cms-435110-20240522-health","ccn":"435110","date":"2024-05-22","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":"past_noncompliance","cd":"2024-05-21","cmp":1}]},{"id":"cms-435110-20240404-fire","ccn":"435110","date":"2024-04-04","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-435110-20240404-health","ccn":"435110","date":"2024-04-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-05-22","std":1}]},{"id":"cms-435110-20240102-health","ccn":"435110","date":"2024-01-02","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-f0689","ss":"G","sl":3,"cs":"past_noncompliance","cd":"2023-12-26","cmp":1}]},{"id":"cms-435110-20230302-fire","ccn":"435110","date":"2023-03-02","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-435110-20230302-health","ccn":"435110","date":"2023-03-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"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-f0583","ss":"D","sl":2,"cs":"corrected","cd":"2023-04-07","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2023-04-07","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-04-07","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-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-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-f0726":{"code":"F-0726","title":"Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-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-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-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-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","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-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-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-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-f0583":{"code":"F-0583","title":"Keep residents' personal and medical records private and confidential.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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"}},"penalties":[{"id":"cms-435110-pen-f100191","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-08-15","amount":16801,"fine_id":"100191","evidence_class":"VERIFIED","source_record_id":"435110|Fine|100191"},{"id":"cms-435110-pen-f100175","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-01-02","amount":5725,"fine_id":"100175","evidence_class":"VERIFIED","source_record_id":"435110|Fine|100175"}],"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=435110&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=435110&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=435110&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=435110&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=435110&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=435110&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":"SD","overall_rating":3,"health_inspection_rating":2.9,"qm_rating":2.7,"staffing_rating":3.5,"avg_residents_per_day":51.2,"cycle1_health_deficiencies":6.3,"cycle1_fire_deficiencies":1.3,"nurse_aide_hprd":2.58,"lpn_hprd":0.5,"rn_hprd":0.77888,"licensed_hprd":1.28,"total_nurse_hprd":3.85636,"weekend_total_nurse_hprd":3.27915,"weekend_rn_hprd":0.49,"pt_hprd":0.04,"nursing_turnover_pct":48.6,"rn_turnover_pct":37.5,"administrators_left":0.3,"case_mix_index":1.23778,"fines":1.9,"fine_amount":40823,"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":"SD","name":"South Dakota"},"county":{"fips":"46103","name":"Pennington County"},"zip":"57702","city":"Rapid City"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-435086","ccn":"435086","name":"Riverview Healthcare Center","address":"611 East 2nd Ave","city":"Flandreau","state":"SD","zip":"57028","beds":63,"overall":1,"inspections":13,"last_inspection":"2026-08-28","deficiencies":64,"serious":15,"ij":4,"open":15,"fines_total":166076,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-435105","ccn":"435105","name":"Wheatcrest Hills Healthcare Center","address":"1311 Vander Horck St","city":"Britton","state":"SD","zip":"57430","beds":60,"overall":3,"inspections":11,"last_inspection":"2026-08-19","deficiencies":17,"serious":3,"ij":0,"open":0,"fines_total":37553,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-435109","ccn":"435109","name":"Firesteel Healthcare Center","address":"1120 East 7th Avenue","city":"Mitchell","state":"SD","zip":"57301","beds":125,"overall":1,"inspections":15,"last_inspection":"2026-07-30","deficiencies":49,"serious":9,"ij":0,"open":1,"fines_total":153308,"sff":"SFF Candidate","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-435115","ccn":"435115","name":"Palisade Healthcare Center","address":"920 4th St","city":"Garretson","state":"SD","zip":"57030","beds":55,"overall":1,"inspections":13,"last_inspection":"2026-04-16","deficiencies":37,"serious":5,"ij":1,"open":0,"fines_total":249546,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-435118","ccn":"435118","name":"Prairie View Healthcare Center","address":"401 South First Avenue","city":"Woonsocket","state":"SD","zip":"57385","beds":42,"overall":2,"inspections":8,"last_inspection":"2026-08-27","deficiencies":16,"serious":1,"ij":0,"open":6,"fines_total":8512,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":42,"same_site_review":[],"nearby":[{"id":"cms-435064","ccn":"435064","name":"Avantara North","address":"1620 North 7th Street","city":"Rapid City","state":"SD","zip":"57701","beds":68,"overall":3,"inspections":8,"last_inspection":"2026-02-20","deficiencies":19,"serious":2,"ij":0,"open":0,"fines_total":24108,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.7},{"id":"cms-435040","ccn":"435040","name":"Avantara Mountain View","address":"916 Mountain View Road","city":"Rapid City","state":"SD","zip":"57702","beds":101,"overall":2,"inspections":9,"last_inspection":"2026-07-02","deficiencies":22,"serious":2,"ij":0,"open":0,"fines_total":38613,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3},{"id":"cms-435134","ccn":"435134","name":"Good Samaritan Society - St Martin Village","address":"4825 Jericho Way","city":"Rapid City","state":"SD","zip":"57702","beds":60,"overall":3,"inspections":8,"last_inspection":"2026-07-30","deficiencies":31,"serious":0,"ij":0,"open":2,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4},{"id":"cms-435060","ccn":"435060","name":"Avantara Saint Cloud","address":"302 St Cloud Street","city":"Rapid City","state":"SD","zip":"57701","beds":78,"overall":1,"inspections":10,"last_inspection":"2026-03-18","deficiencies":20,"serious":3,"ij":0,"open":2,"fines_total":39131,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4},{"id":"cms-435051","ccn":"435051","name":"Avantara Arrowhead","address":"2500 Arrowhead Dr","city":"Rapid City","state":"SD","zip":"57702","beds":68,"overall":1,"inspections":13,"last_inspection":"2026-06-22","deficiencies":46,"serious":10,"ij":0,"open":0,"fines_total":144523,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.1},{"id":"cms-435037","ccn":"435037","name":"Clarkson Health Care","address":"1015 Mt View Rd","city":"Rapid City","state":"SD","zip":"57702","beds":49,"overall":5,"inspections":7,"last_inspection":"2026-08-13","deficiencies":5,"serious":1,"ij":0,"open":0,"fines_total":20100,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.2},{"id":"cms-435033","ccn":"435033","name":"Westhills Village Health Care Facility","address":"255 Texas St","city":"Rapid City","state":"SD","zip":"57701","beds":44,"overall":5,"inspections":7,"last_inspection":"2026-03-12","deficiencies":11,"serious":1,"ij":0,"open":0,"fines_total":8788,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":6.6}]}}