{"schema_version":"1.0.0","facility":{"id":"cms-445425","ccn":"445425","name":"Millington Healthcare Center","source_name":"MILLINGTON HEALTHCARE 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":"5081 Easley Avenue","city":"Millington","state":"TN","zip":"38053","county_name":"Shelby County","county_fips":"47157","county_method":"name_match","ssa_county_code":"780","urban":true},"location":{"lat":35.3317,"lon":-89.895,"method":"cms_published_coordinates","footnote":"22"},"phone":"9018733290","certification":{"authority":"CMS","ccn":"445425","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2001-07-01","certified_beds":85,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/445425"},"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":85,"avg_residents_per_day":75.8},"ownership_type":"For profit - Partnership","ownership_class":"for_profit","legal_business_name":"MILLINGTON OPCO LP","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":2},"health_inspection":{"value":2},"quality_measures":{"value":4},"long_stay_qm":{"value":5},"short_stay_qm":{"value":3},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.83379,"lpn_hprd":1.01099,"rn_hprd":0.53281,"licensed_hprd":1.5438,"total_nurse_hprd":3.37759,"weekend_total_nurse_hprd":2.79743,"weekend_rn_hprd":0.28026,"pt_hprd":0.05189,"nursing_turnover_pct":55.6,"rn_turnover_pct":41.7,"administrators_left":0,"case_mix_index":1.29998,"case_mix_index_ratio":0.9218,"case_mix_total_nurse_hprd":3.59582,"adjusted_total_nurse_hprd":3.63536,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-07-31","cycle1_deficiencies":4,"cycle1_score":16,"cycle2_date":"2024-03-07","cycle23_deficiencies":11,"cycle23_score":183,"total_weighted_score":57.75},"cms_penalty_counts":{"fines":2,"fine_total":226623,"payment_denials":0,"total":2},"chain":{"id":"cms-chain-559","cms_chain_id":"559","name":"WELLINGTON HEALTH CARE SERVICES"},"operator_id":"op-millington-opco-lp","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/445425","provenance":[{"source_id":"cms_provider_info","source_record_id":"445425","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=445425&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":"445425","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=445425&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":1,"latest_date":"2026-07-31","latest_standard_health":"2026-07-31","earliest_date":"2022-04-26","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":23,"health_count":21,"fire_count":2,"open_count":0,"actual_harm_count":2,"immediate_jeopardy_count":1,"serious_count":3,"complaint_count":9,"by_severity":{"potential":20,"immediate_jeopardy":1,"actual_harm":2},"by_scope_severity":{"D":13,"J":1,"G":2,"F":4,"E":3},"by_concept":{"environment_life_safety":2,"clinical_care":9,"medication":4,"resident_rights":4,"staffing":1,"administration":1,"food_nutrition":1,"infection_prevention":1},"type_ids":["cms-k0223","cms-k0321","cms-f0640","cms-f0695","cms-f0756","cms-f0761","cms-f0697","cms-f0689","cms-f0602","cms-f0726","cms-f0755","cms-f0835","cms-f0842","cms-f0609","cms-f0760","cms-f0812","cms-f0656","cms-f0692","cms-f0880","cms-f0550","cms-f0558"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":2,"fines":2,"fine_total":226623,"payment_denials":0,"latest_date":"2025-03-27"},"ownership_summary":{"disclosures":10,"organizations":3,"individuals":7,"not_available":false}},"row":{"id":"cms-445425","ccn":"445425","name":"Millington Healthcare Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"TN","city":"Millington","zip":"38053","county_fips":"47157","county_name":"Shelby County","address":"5081 Easley Avenue","beds":85,"residents":75.8,"ownership":"for_profit","operator_id":"op-millington-opco-lp","operator_name":"Millington Opco LP","chain_id":"cms-chain-559","chain_name":"Wellington Health Care Services","lat":35.3317,"lon":-89.895,"overall":2,"health_rating":2,"staffing_rating":3,"qm_rating":4,"nurse_hprd":3.38,"turnover":55.6,"inspections":7,"last_inspection":"2026-07-31","deficiencies":23,"serious":3,"ij":1,"open":0,"penalties":2,"fines_total":226623,"deficiency_type_ids":["cms-k0223","cms-k0321","cms-f0640","cms-f0695","cms-f0756","cms-f0761","cms-f0697","cms-f0689","cms-f0602","cms-f0726","cms-f0755","cms-f0835","cms-f0842","cms-f0609","cms-f0760","cms-f0812","cms-f0656","cms-f0692","cms-f0880","cms-f0550","cms-f0558"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-millington-opco-lp","name":"Millington Opco LP","legal_name":"MILLINGTON OPCO LP","facility_count":1,"states":["TN"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-559","name":"Wellington Health Care Services","cms_chain_id":"559","facility_count":14,"states":["AL","GA","LA","TN"],"cms_reported":{"facility_count":14,"avg_overall_rating":1.9,"avg_health_inspection_rating":2.1,"avg_staffing_rating":2.1,"avg_qm_rating":2.1}},"ownership":[{"owner_id":"org-wellington-healthcare-services-lp","owner_type":"organization","owner_name":"Wellington Healthcare Services LP","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2007-07-31"},{"owner_id":"org-andwell-investments-llc","owner_type":"organization","owner_name":"Andwell Investments, LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2012-01-10"},{"owner_type":"individual","owner_name":"James Andrews","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2012-01-10","owner_name_raw":"ANDREWS, JAMES"},{"owner_id":"org-elkins-road-associates-llc","owner_type":"organization","owner_name":"Elkins Road Associates LLC","role":"partner","role_raw":"GENERAL PARTNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2007-07-31"},{"owner_type":"individual","owner_name":"James Andrews","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2007-07-31","owner_name_raw":"ANDREWS, JAMES"},{"owner_type":"individual","owner_name":"James Andrews","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2007-07-31","owner_name_raw":"ANDREWS, JAMES"},{"owner_type":"individual","owner_name":"James Andrews","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2007-07-03","owner_name_raw":"ANDREWS, JAMES"},{"owner_type":"individual","owner_name":"Moshe Kelman","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2023-07-01","owner_name_raw":"KELMAN, MOSHE"},{"owner_type":"individual","owner_name":"Teresa Bailey","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2023-07-01","owner_name_raw":"BAILEY, TERESA"},{"owner_type":"individual","owner_name":"Felicia Nicks Speaks","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2021-12-20","owner_name_raw":"NICKS SPEAKS, FELICIA"}],"inspections":[{"id":"cms-445425-20260731-fire","ccn":"445425","date":"2026-07-31","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0223","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-01","std":1,"tv":"New"},{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-01","std":1,"tv":"New"}]},{"id":"cms-445425-20260731-health","ccn":"445425","date":"2026-07-31","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0640","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-01","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-01","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-01","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-01","std":1}]},{"id":"cms-445425-20250327-health","ccn":"445425","date":"2025-03-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":9,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0697","ss":"J","sl":4,"cs":"corrected","cd":"2025-05-24","cmp":1},{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2025-04-25","cmp":1},{"t":"cms-f0602","ss":"F","sl":2,"cs":"corrected","cd":"2025-04-25","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-25","cmp":1},{"t":"cms-f0726","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-24","cmp":1},{"t":"cms-f0755","ss":"F","sl":2,"cs":"corrected","cd":"2025-08-08","cmp":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-25","cmp":1},{"t":"cms-f0835","ss":"E","sl":2,"cs":"corrected","cd":"2025-08-08","cmp":1},{"t":"cms-f0842","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-24","cmp":1}]},{"id":"cms-445425-20240307-fire","ccn":"445425","date":"2024-03-07","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-445425-20240307-health","ccn":"445425","date":"2024-03-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-06","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-06","std":1}]},{"id":"cms-445425-20220426-fire","ccn":"445425","date":"2022-04-26","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-445425-20220426-health","ccn":"445425","date":"2022-04-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0692","ss":"G","sl":3,"cs":"corrected","cd":"2022-06-01","std":1},{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2022-06-01","std":1},{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2022-06-01","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2022-06-01","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2022-06-01","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2022-06-01","std":1}]}],"deficiency_types":{"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-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-f0640":{"code":"F-0640","title":"Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","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-f0602":{"code":"F-0602","title":"Protect each resident from the wrongful use of the resident's belongings or money.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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-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-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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"}},"penalties":[{"id":"cms-445425-pen-f33649","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-03-27","amount":203873,"fine_id":"33649","evidence_class":"VERIFIED","source_record_id":"445425|Fine|33649"},{"id":"cms-445425-pen-f33559","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-03-07","amount":22750,"fine_id":"33559","evidence_class":"VERIFIED","source_record_id":"445425|Fine|33559"}],"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=445425&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=445425&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=445425&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=445425&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=445425&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=445425&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":"47157","name":"Shelby County"},"zip":"38053","city":"Millington"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-445387","ccn":"445387","name":"Parkway Health and Rehabilitation Center","address":"200 South Parkway West","city":"Memphis","state":"TN","zip":"38109","beds":120,"overall":3,"inspections":7,"last_inspection":"2026-03-17","deficiencies":34,"serious":3,"ij":0,"open":0,"fines_total":67587,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":13,"same_site_review":[],"nearby":[{"id":"cms-445220","ccn":"445220","name":"Spring Gate Rehab & Healthcare Center","address":"3909 Covington Pike","city":"Memphis","state":"TN","zip":"38135","beds":206,"overall":1,"inspections":7,"last_inspection":"2025-04-30","deficiencies":49,"serious":3,"ij":1,"open":0,"fines_total":128974,"sff":"SFF Candidate","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":12},{"id":"cms-445221","ccn":"445221","name":"The Kings Daughters and Sons","address":"3568 Appling Road","city":"Bartlett","state":"TN","zip":"38133","beds":108,"overall":2,"inspections":7,"last_inspection":"2026-03-17","deficiencies":14,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":16.8},{"id":"cms-445283","ccn":"445283","name":"Rainbow Rehab and Healthcare","address":"8119 Memphis Arlington Road","city":"Bartlett","state":"TN","zip":"38133","beds":115,"overall":1,"inspections":7,"last_inspection":"2026-07-22","deficiencies":26,"serious":2,"ij":2,"open":0,"fines_total":130970,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":16.8}]}}