{"schema_version":"1.0.0","facility":{"id":"cms-445214","ccn":"445214","name":"Mountain City Care & Rehabilitation Center","source_name":"MOUNTAIN CITY CARE & REHABILITATION CENTER","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"TN","address":{"line1":"919 Medical Park Drive","city":"Mountain City","state":"TN","zip":"37683","county_name":"Johnson County","county_fips":"47091","county_method":"name_match","ssa_county_code":"450","urban":false},"location":{"lat":36.4868,"lon":-81.813,"method":"cms_published_coordinates"},"phone":"4237277800","certification":{"authority":"CMS","ccn":"445214","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1988-12-01","certified_beds":120,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/445214"},"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":120,"avg_residents_per_day":72.9},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"LP MOUNTAIN CITY LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":true,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Both","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":5},"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":1.89773,"lpn_hprd":0.82827,"rn_hprd":0.81229,"licensed_hprd":1.64056,"total_nurse_hprd":3.53829,"weekend_total_nurse_hprd":2.95668,"weekend_rn_hprd":0.43429,"pt_hprd":0.06987,"nursing_turnover_pct":31.3,"rn_turnover_pct":27.3,"administrators_left":3,"case_mix_index":1.43214,"case_mix_index_ratio":1.01552,"case_mix_total_nurse_hprd":3.96139,"adjusted_total_nurse_hprd":3.45688,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-22","cycle1_deficiencies":0,"cycle1_score":0,"cycle2_date":"2022-10-19","cycle23_deficiencies":1,"cycle23_score":4,"total_weighted_score":1},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-474","cms_chain_id":"474","name":"SIGNATURE HEALTHCARE"},"operator_id":"op-lp-mountain-city-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/445214","provenance":[{"source_id":"cms_provider_info","source_record_id":"445214","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=445214&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":"445214","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=445214&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":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2026-04-22","latest_standard_health":"2026-04-22","earliest_date":"2019-10-02","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":13,"health_count":6,"fire_count":7,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":13},"by_scope_severity":{"D":11,"F":1,"E":1},"by_concept":{"environment_life_safety":7,"clinical_care":2,"medication":3,"infection_prevention":1},"type_ids":["cms-k0918","cms-k0921","cms-k0321","cms-k0324","cms-k0345","cms-k0363","cms-f0689","cms-k0161","cms-f0756","cms-f0656","cms-f0758","cms-f0759","cms-f0880"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":8,"organizations":5,"individuals":3,"not_available":false}},"row":{"id":"cms-445214","ccn":"445214","name":"Mountain City Care & Rehabilitation Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"TN","city":"Mountain City","zip":"37683","county_fips":"47091","county_name":"Johnson County","address":"919 Medical Park Drive","beds":120,"residents":72.9,"ownership":"for_profit","operator_id":"op-lp-mountain-city-llc","operator_name":"LP Mountain City LLC","chain_id":"cms-chain-474","chain_name":"Signature Healthcare","lat":36.4868,"lon":-81.813,"overall":5,"health_rating":5,"staffing_rating":3,"qm_rating":4,"nurse_hprd":3.54,"turnover":31.3,"inspections":6,"last_inspection":"2026-04-22","deficiencies":13,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0918","cms-k0921","cms-k0321","cms-k0324","cms-k0345","cms-k0363","cms-f0689","cms-k0161","cms-f0756","cms-f0656","cms-f0758","cms-f0759","cms-f0880"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-lp-mountain-city-llc","name":"LP Mountain City LLC","legal_name":"LP MOUNTAIN CITY LLC","facility_count":1,"states":["TN"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-474","name":"Signature Healthcare","cms_chain_id":"474","facility_count":67,"states":["IN","KY","NC","TN","VA"],"cms_reported":{"facility_count":67,"avg_overall_rating":3.1,"avg_health_inspection_rating":2.8,"avg_staffing_rating":3,"avg_qm_rating":3.9}},"ownership":[{"owner_id":"org-lp-cr-holdings-llc","owner_type":"organization","owner_name":"LP Cr Holdings LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2007-11-01"},{"owner_id":"org-agemo-holdings-llc","owner_type":"organization","owner_name":"Agemo Holdings LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2016-10-01"},{"owner_id":"org-jjla-llc","owner_type":"organization","owner_name":"Jjla LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2007-11-01"},{"owner_id":"org-lpsnf-ii-llc","owner_type":"organization","owner_name":"Lpsnf II LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2016-10-01"},{"owner_id":"org-wheaten-llc","owner_type":"organization","owner_name":"Wheaten LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2007-11-01"},{"owner_type":"individual","owner_name":"Elmer Steier III","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2007-11-01","owner_name_raw":"STEIER III, ELMER"},{"owner_type":"individual","owner_name":"John Harrison","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2007-11-01","owner_name_raw":"HARRISON, JOHN"},{"owner_type":"individual","owner_name":"James Rife","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2023-09-25","owner_name_raw":"RIFE, JAMES"}],"inspections":[{"id":"cms-445214-20260422-fire","ccn":"445214","date":"2026-04-22","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-k0918","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-22","std":1,"tv":"New"}]},{"id":"cms-445214-20260422-health","ccn":"445214","date":"2026-04-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-445214-20221019-fire","ccn":"445214","date":"2022-10-19","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-28","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-28","std":1,"tv":"New"},{"t":"cms-k0345","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-28","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-28","std":1,"tv":"New"},{"t":"cms-k0921","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-28","std":1,"tv":"New"}]},{"id":"cms-445214-20221019-health","ccn":"445214","date":"2022-10-19","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-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-27","std":1}]},{"id":"cms-445214-20191002-fire","ccn":"445214","date":"2019-10-02","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"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-k0161","ss":"D","sl":2,"cs":"corrected","cd":"2019-11-01","std":1,"tv":"New"}]},{"id":"cms-445214-20191002-health","ccn":"445214","date":"2019-10-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-26","std":1},{"t":"cms-f0756","ss":"E","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-26","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2019-11-01","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2019-11-01","std":1}]}],"deficiency_types":{"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-k0921":{"code":"K-0921","title":"Ensure that testing and maintenance of electrical equipment is performed.","category":"Gas, Vacuum, and Electrical Systems 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-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-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-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-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"},"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"}},"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=445214&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=445214&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=445214&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=445214&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=445214&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=445214&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":"TN","overall_rating":3.1,"health_inspection_rating":3,"qm_rating":3.7,"staffing_rating":2.5,"avg_residents_per_day":83.4,"cycle1_health_deficiencies":4.3,"cycle1_fire_deficiencies":3.6,"nurse_aide_hprd":2.14,"lpn_hprd":1.08,"rn_hprd":0.5969,"licensed_hprd":1.68,"total_nurse_hprd":3.81924,"weekend_total_nurse_hprd":3.32104,"weekend_rn_hprd":0.39,"pt_hprd":0.08,"nursing_turnover_pct":48.6,"rn_turnover_pct":43.2,"administrators_left":0.6,"case_mix_index":1.48006,"fines":0.5,"fine_amount":20665,"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":"TN","name":"Tennessee"},"county":{"fips":"47091","name":"Johnson County"},"zip":"37683","city":"Mountain City"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-445136","ccn":"445136","name":"Signature Healthcare of Putnam County","address":"278 Dry Valley Rd","city":"Cookeville","state":"TN","zip":"38506","beds":175,"overall":2,"inspections":7,"last_inspection":"2026-07-22","deficiencies":18,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445140","ccn":"445140","name":"Signature Healthcare of Primacy","address":"6025 Primacy Parkway","city":"Memphis","state":"TN","zip":"38119","beds":120,"overall":4,"inspections":6,"last_inspection":"2026-03-03","deficiencies":11,"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"]},{"id":"cms-445143","ccn":"445143","name":"Signature Healthcare of Rockwood Rehab & Wellness","address":"5580 Roane State Hwy","city":"Rockwood","state":"TN","zip":"37854","beds":157,"overall":5,"inspections":6,"last_inspection":"2026-08-05","deficiencies":16,"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"]},{"id":"cms-445209","ccn":"445209","name":"Spring City Care and Rehabilitation Center","address":"331 Hinch Street","city":"Spring City","state":"TN","zip":"37381","beds":138,"overall":4,"inspections":7,"last_inspection":"2026-05-06","deficiencies":21,"serious":1,"ij":0,"open":0,"fines_total":8512,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445217","ccn":"445217","name":"Signature Healthcare of Elizabethton Rehab & Welln","address":"1200 Spruce Lane","city":"Elizabethton","state":"TN","zip":"37643","beds":94,"overall":4,"inspections":6,"last_inspection":"2026-07-29","deficiencies":7,"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"]},{"id":"cms-445241","ccn":"445241","name":"Signature Healthcare of Memphis","address":"1150 Dovecrest Rd","city":"Memphis","state":"TN","zip":"38134","beds":140,"overall":5,"inspections":7,"last_inspection":"2026-05-13","deficiencies":9,"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"]},{"id":"cms-445306","ccn":"445306","name":"Signature Health of Portland Rehab & Wellness Cent","address":"215 Highland Circle Drive","city":"Portland","state":"TN","zip":"37148","beds":112,"overall":1,"inspections":10,"last_inspection":"2025-12-04","deficiencies":49,"serious":10,"ij":6,"open":0,"fines_total":171234,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-445327","ccn":"445327","name":"Signature Healthcare of Ridgely Rehab&Wellness Ctr","address":"117 N Main Street","city":"Ridgely","state":"TN","zip":"38080","beds":100,"overall":2,"inspections":6,"last_inspection":"2023-08-25","deficiencies":31,"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"]}],"same_chain_total":66,"same_site_review":[],"nearby":[]}}