{"schema_version":"1.0.0","facility":{"id":"cms-495237","ccn":"495237","name":"Virginia Beach Healthcare and Rehab Center","source_name":"VIRGINIA BEACH HEALTHCARE AND REHAB 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":"VA","address":{"line1":"1801 Camelot Drive","city":"Virginia Beach","state":"VA","zip":"23454","county_name":"Virginia Beach city","county_fips":"51810","county_method":"name_match","ssa_county_code":"921","urban":true},"location":{"lat":36.8681,"lon":-76.027,"method":"cms_published_coordinates"},"phone":"7574813500","certification":{"authority":"CMS","ccn":"495237","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1991-04-05","certified_beds":180,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/495237"},"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":180,"avg_residents_per_day":165.3},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"VIRGINIA BEACH SNF LLC","flags":{"ccrc":false,"abuse_icon":true,"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":3},"long_stay_qm":{"value":3},"short_stay_qm":{"value":3},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.09154,"lpn_hprd":1.2703,"rn_hprd":0.40414,"licensed_hprd":1.67445,"total_nurse_hprd":3.76598,"weekend_total_nurse_hprd":3.04798,"weekend_rn_hprd":0.29693,"pt_hprd":0.13032,"nursing_turnover_pct":63.5,"rn_turnover_pct":79.2,"administrators_left":3,"case_mix_index":1.53446,"case_mix_index_ratio":1.08807,"case_mix_total_nurse_hprd":4.24441,"adjusted_total_nurse_hprd":3.434,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2024-10-11","cycle1_deficiencies":45,"cycle1_score":735,"cycle2_date":"2021-12-30","cycle23_deficiencies":37,"cycle23_score":212,"total_weighted_score":604.25},"cms_penalty_counts":{"fines":2,"fine_total":199252,"payment_denials":0,"total":2},"chain":{"id":"cms-chain-768","cms_chain_id":"768","name":"LIFEWORKS REHAB"},"operator_id":"op-virginia-beach-snf-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/495237","provenance":[{"source_id":"cms_provider_info","source_record_id":"495237","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=495237&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":"495237","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=495237&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":"2026-05-07","latest_standard_health":"2024-10-11","earliest_date":"2019-03-14","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":109,"health_count":96,"fire_count":13,"open_count":0,"actual_harm_count":2,"immediate_jeopardy_count":2,"serious_count":4,"complaint_count":49,"by_severity":{"immediate_jeopardy":2,"potential":105,"actual_harm":2},"by_scope_severity":{"J":2,"E":33,"D":62,"G":2,"F":10},"by_concept":{"resident_rights":23,"food_nutrition":6,"clinical_care":42,"medication":8,"environment_life_safety":17,"administration":7,"infection_prevention":2,"staffing":4},"type_ids":["cms-f0600","cms-f0607","cms-f0809","cms-f0656","cms-f0658","cms-f0677","cms-f0687","cms-f0761","cms-f0609","cms-f0689","cms-k0324","cms-k0918","cms-k0932","cms-f0686","cms-f0584","cms-f0804","cms-f0835","cms-f0838","cms-f0880","cms-f0921","cms-f0565","cms-f0610","cms-f0740","cms-f0760","cms-f0925","cms-f0940","cms-f0942","cms-f0944","cms-f0946","cms-f0947","cms-f0949","cms-f0554","cms-f0558","cms-f0645","cms-f0660","cms-f0691","cms-f0692","cms-f0727","cms-f0742","cms-f0745","cms-f0755","cms-f0812","cms-f0908","cms-f0697","cms-f0580","cms-f0661","cms-f0725","cms-f0842","cms-f0690","cms-f0550","cms-f0553","cms-f0635","cms-k0915","cms-f0578","cms-f0655","cms-f0679","cms-f0684","cms-f0688","cms-f0698","cms-f0806","cms-k0222","cms-k0361","cms-k0753","cms-k0761","cms-k0221","cms-k0353","cms-k0711","cms-k0920","cms-k0923","cms-f0583","cms-f0657","cms-f0756","cms-f0758","cms-f0849"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":2,"fines":2,"fine_total":199252,"payment_denials":0,"latest_date":"2026-05-07"},"ownership_summary":{"disclosures":20,"organizations":18,"individuals":2,"not_available":false}},"row":{"id":"cms-495237","ccn":"495237","name":"Virginia Beach Healthcare and Rehab Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"VA","city":"Virginia Beach","zip":"23454","county_fips":"51810","county_name":"Virginia Beach city","address":"1801 Camelot Drive","beds":180,"residents":165.3,"ownership":"for_profit","operator_id":"op-virginia-beach-snf-llc","operator_name":"Virginia Beach SNF LLC","chain_id":"cms-chain-768","chain_name":"Lifeworks Rehab","lat":36.8681,"lon":-76.027,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":3,"nurse_hprd":3.77,"turnover":63.5,"abuse":true,"inspections":11,"last_inspection":"2026-05-07","deficiencies":109,"serious":4,"ij":2,"open":0,"penalties":2,"fines_total":199252,"deficiency_type_ids":["cms-f0600","cms-f0607","cms-f0809","cms-f0656","cms-f0658","cms-f0677","cms-f0687","cms-f0761","cms-f0609","cms-f0689","cms-k0324","cms-k0918","cms-k0932","cms-f0686","cms-f0584","cms-f0804","cms-f0835","cms-f0838","cms-f0880","cms-f0921","cms-f0565","cms-f0610","cms-f0740","cms-f0760","cms-f0925","cms-f0940","cms-f0942","cms-f0944","cms-f0946","cms-f0947","cms-f0949","cms-f0554","cms-f0558","cms-f0645","cms-f0660","cms-f0691","cms-f0692","cms-f0727","cms-f0742","cms-f0745","cms-f0755","cms-f0812","cms-f0908","cms-f0697","cms-f0580","cms-f0661","cms-f0725","cms-f0842","cms-f0690","cms-f0550","cms-f0553","cms-f0635","cms-k0915","cms-f0578","cms-f0655","cms-f0679","cms-f0684","cms-f0688","cms-f0698","cms-f0806","cms-k0222","cms-k0361","cms-k0753","cms-k0761","cms-k0221","cms-k0353","cms-k0711","cms-k0920","cms-k0923","cms-f0583","cms-f0657","cms-f0756","cms-f0758","cms-f0849"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-virginia-beach-snf-llc","name":"Virginia Beach SNF LLC","legal_name":"VIRGINIA BEACH SNF LLC","facility_count":1,"states":["VA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-768","name":"Lifeworks Rehab","cms_chain_id":"768","facility_count":64,"states":["DE","MD","NC","PA","VA"],"cms_reported":{"facility_count":64,"avg_overall_rating":2.2,"avg_health_inspection_rating":2,"avg_staffing_rating":1.8,"avg_qm_rating":4.1}},"ownership":[{"owner_id":"org-virginia-beach-holdings-i-llc","owner_type":"organization","owner_name":"Virginia Beach Holdings I LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2021-05-28"},{"owner_id":"org-charles-1994-family-grantor-trust","owner_type":"organization","owner_name":"Charles 1994 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-chesapeake-east-llc","owner_type":"organization","owner_name":"Chesapeake East LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-edward-1998-family-grantor-trust","owner_type":"organization","owner_name":"Edward 1998 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-ek-2005-family-trust","owner_type":"organization","owner_name":"Ek 2005 Family Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-fay-2014-family-grantor-trust","owner_type":"organization","owner_name":"Fay 2014 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-fay-2014-llc","owner_type":"organization","owner_name":"Fay 2014 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-ll-2013-family-trust","owner_type":"organization","owner_name":"Ll 2013 Family Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-mms-2008-family-trust","owner_type":"organization","owner_name":"Mms 2008 Family Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-mzr-east-llc","owner_type":"organization","owner_name":"Mzr East LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-rylbss-east-manager-llc","owner_type":"organization","owner_name":"Rylbss East Manager LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-saul-2012-family-grantor-trust","owner_type":"organization","owner_name":"Saul 2012 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-silverstone-east-llc","owner_type":"organization","owner_name":"Silverstone East LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-sol-2000-family-grantor-trust","owner_type":"organization","owner_name":"Sol 2000 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-sol-2000-llc","owner_type":"organization","owner_name":"Sol 2000 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-stevens-3920-and-family-llc","owner_type":"organization","owner_name":"Stevens 3920 & Family LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-stevens-3920-family-grantor-trust","owner_type":"organization","owner_name":"Stevens 3920 Family Grantor Trust","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_id":"org-stevens-3920-llc","owner_type":"organization","owner_name":"Stevens 3920 LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2021-05-28"},{"owner_type":"individual","owner_name":"Adam Sherring","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-24","owner_name_raw":"SHERRING, ADAM"},{"owner_type":"individual","owner_name":"Adam Sherring","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-24","owner_name_raw":"SHERRING, ADAM"}],"inspections":[{"id":"cms-495237-20260507-health","ccn":"495237","date":"2026-05-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":7,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"J","sl":4,"cs":"corrected","cd":"2026-06-17","cmp":1},{"t":"cms-f0607","ss":"J","sl":4,"cs":"corrected","cd":"2026-06-17","cmp":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-17","cmp":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-17","cmp":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-17","cmp":1},{"t":"cms-f0687","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-17","cmp":1},{"t":"cms-f0809","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-17","cmp":1}]},{"id":"cms-495237-20251222-health","ccn":"495237","date":"2025-12-22","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-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-21","cmp":1}]},{"id":"cms-495237-20250123-health","ccn":"495237","date":"2025-01-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"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-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-06","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-06","cmp":1}]},{"id":"cms-495237-20241011-fire","ccn":"495237","date":"2024-10-11","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-13","std":1,"tv":"New"},{"t":"cms-k0918","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-13","std":1,"tv":"New"},{"t":"cms-k0932","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-13","std":1,"tv":"New"}]},{"id":"cms-495237-20241011-health","ccn":"495237","date":"2024-10-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":43,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"G","sl":3,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0697","ss":"G","sl":3,"cs":"corrected","cd":"2025-01-15","cmp":1},{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0565","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1},{"t":"cms-f0584","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0600","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0607","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0609","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-06","cmp":1,"std":1},{"t":"cms-f0610","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-15","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0660","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-15","std":1},{"t":"cms-f0661","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-06","cmp":1},{"t":"cms-f0691","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-15","cmp":1,"std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0725","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1},{"t":"cms-f0727","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-15","cmp":1,"std":1},{"t":"cms-f0740","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0742","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-15","cmp":1,"std":1},{"t":"cms-f0745","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0760","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-15","cmp":1,"std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0804","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-15","std":1},{"t":"cms-f0835","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0838","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-15","cmp":1,"std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0908","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0921","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0925","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","cmp":1,"std":1},{"t":"cms-f0940","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0942","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0944","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-15","std":1},{"t":"cms-f0946","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0947","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-19","std":1},{"t":"cms-f0949","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-15","std":1}]},{"id":"cms-495237-20240529-health","ccn":"495237","date":"2024-05-29","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0553","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0690","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0692","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1},{"t":"cms-f0809","ss":"E","sl":2,"cs":"corrected","cd":"2024-07-17","cmp":1}]},{"id":"cms-495237-20240222-health","ccn":"495237","date":"2024-02-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"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-f0580","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-26","cmp":1},{"t":"cms-f0635","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-26","cmp":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-26","cmp":1}]},{"id":"cms-495237-20211230-fire","ccn":"495237","date":"2021-12-30","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0915","ss":"D","sl":2,"cs":"corrected","cd":"2022-03-01","std":1,"tv":"New"}]},{"id":"cms-495237-20211230-health","ccn":"495237","date":"2021-12-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":17,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0578","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0660","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0806","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0842","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-07","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-07","std":1}]},{"id":"cms-495237-20190314-fire","ccn":"495237","date":"2019-03-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"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-k0221","ss":"D","sl":2,"cs":"corrected","cd":"2020-04-17","std":1,"tv":"New"},{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2020-04-17","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2020-04-17","std":1,"tv":"New"},{"t":"cms-k0361","ss":"F","sl":2,"cs":"waiver_granted","cd":"2020-04-17","std":1,"tv":"New"},{"t":"cms-k0711","ss":"D","sl":2,"cs":"waiver_granted","cd":"2020-04-17","std":1,"tv":"New"},{"t":"cms-k0753","ss":"F","sl":2,"cs":"corrected","cd":"2020-04-17","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"waiver_granted","cd":"2020-04-17","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2020-04-17","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"waiver_granted","cd":"2020-04-17","std":1,"tv":"New"}]},{"id":"cms-495237-20190314-health","ccn":"495237","date":"2019-03-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"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-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0583","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0849","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1},{"t":"cms-f0921","ss":"D","sl":2,"cs":"corrected","cd":"2019-04-26","std":1}]}],"deficiency_types":{"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-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-f0809":{"code":"F-0809","title":"Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests.  Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.","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-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-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0687":{"code":"F-0687","title":"Provide appropriate foot care.","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-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-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-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke 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-k0932":{"code":"K-0932","title":"Meet other general requirements.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-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-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-f0838":{"code":"F-0838","title":"Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.","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-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental 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-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0740":{"code":"F-0740","title":"Ensure each resident must receive and the facility must provide necessary behavioral health care and services.","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-f0925":{"code":"F-0925","title":"Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0940":{"code":"F-0940","title":"Develop, implement, and/or maintain an effective training program for all new and existing staff members.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0942":{"code":"F-0942","title":"Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0944":{"code":"F-0944","title":"Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0946":{"code":"F-0946","title":"Provide training in compliance and ethics.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-f0949":{"code":"F-0949","title":"Provide behavior health training consistent with the requirements and as determined by a facility assessment.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-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-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-f0660":{"code":"F-0660","title":"Plan the resident's discharge to meet the resident's goals and needs.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0691":{"code":"F-0691","title":"Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.","category":"Quality of Life and Care 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-f0727":{"code":"F-0727","title":"Have a registered nurse on duty 8 hours a day; and  select a registered nurse to be the director of nurses on a full time basis.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0742":{"code":"F-0742","title":"Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0745":{"code":"F-0745","title":"Provide medically-related social services to help each resident achieve the highest possible quality of life.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-f0661":{"code":"F-0661","title":"Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.","category":"Resident Assessment and Care Planning 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-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-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-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-f0553":{"code":"F-0553","title":"Allow resident to participate in the development and implementation of his or her person-centered plan of care.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0635":{"code":"F-0635","title":"Provide doctor's orders for the resident's immediate care at the time the resident was admitted.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0915":{"code":"K-0915","title":"Have proper power supply for life support equipment.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-f0679":{"code":"F-0679","title":"Provide activities to meet all resident's needs.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-f0688":{"code":"F-0688","title":"Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0806":{"code":"F-0806","title":"Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0361":{"code":"K-0361","title":"Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0753":{"code":"K-0753","title":"Have restrictions on the use of highly flammable decorations.","category":"Miscellaneous 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-k0221":{"code":"K-0221","title":"Provide rooms that can be unlocked from inside without a key.","category":"Egress 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-k0711":{"code":"K-0711","title":"Provide a written emergency evacuation plan.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems 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-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-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-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-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-f0849":{"code":"F-0849","title":"Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"}},"penalties":[{"id":"cms-495237-pen-f141034","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-05-07","amount":67939,"fine_id":"141034","evidence_class":"VERIFIED","source_record_id":"495237|Fine|141034"},{"id":"cms-495237-pen-f8270","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-10-11","amount":131313,"fine_id":"8270","evidence_class":"VERIFIED","source_record_id":"495237|Fine|8270"}],"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=495237&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=495237&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=495237&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=495237&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=495237&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=495237&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":"VA","overall_rating":3.1,"health_inspection_rating":2.8,"qm_rating":4,"staffing_rating":2.5,"avg_residents_per_day":98.5,"cycle1_health_deficiencies":14,"cycle1_fire_deficiencies":2.8,"nurse_aide_hprd":2.14,"lpn_hprd":1.03,"rn_hprd":0.70763,"licensed_hprd":1.74,"total_nurse_hprd":3.87523,"weekend_total_nurse_hprd":3.353,"weekend_rn_hprd":0.48,"pt_hprd":0.09,"nursing_turnover_pct":47.5,"rn_turnover_pct":46.5,"administrators_left":0.6,"case_mix_index":1.461,"fines":0.5,"fine_amount":23455,"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":"VA","name":"Virginia"},"county":{"fips":"51810","name":"Virginia Beach city"},"zip":"23454","city":"Virginia Beach"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-495087","ccn":"495087","name":"Salem Health & Rehabilitation","address":"1945 Roanoke Blvd","city":"Salem","state":"VA","zip":"24153","beds":240,"overall":3,"inspections":9,"last_inspection":"2026-05-06","deficiencies":57,"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-495093","ccn":"495093","name":"Harrisonburg Hlth & Rehab Cntr","address":"1225 Reservoir Street","city":"Harrisonburg","state":"VA","zip":"22801","beds":180,"overall":1,"inspections":14,"last_inspection":"2026-07-15","deficiencies":89,"serious":5,"ij":3,"open":2,"fines_total":192533,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495097","ccn":"495097","name":"Parham Health Care & Rehab Center","address":"2400 E Parham Road","city":"Richmond","state":"VA","zip":"23228","beds":180,"overall":1,"inspections":12,"last_inspection":"2026-03-19","deficiencies":139,"serious":10,"ij":4,"open":0,"fines_total":194276,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495099","ccn":"495099","name":"Fairfax Rehabilitation and Nursing Center","address":"10701 Main Street","city":"Fairfax","state":"VA","zip":"22030","beds":200,"overall":3,"inspections":12,"last_inspection":"2026-02-04","deficiencies":79,"serious":1,"ij":0,"open":0,"fines_total":23112,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495105","ccn":"495105","name":"Lynchburg Health & Rehabilitation Center","address":"5615 Seminole Avenue","city":"Lynchburg","state":"VA","zip":"24502","beds":180,"overall":1,"inspections":10,"last_inspection":"2026-07-14","deficiencies":71,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495107","ccn":"495107","name":"Piney Forest Health and Rehabilitation Center","address":"450 Piney Forest Rd","city":"Danville","state":"VA","zip":"24540","beds":120,"overall":3,"inspections":6,"last_inspection":"2025-01-30","deficiencies":41,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495108","ccn":"495108","name":"Chesapeake Health and Rehabilitation Center","address":"688 Kingsborough Square","city":"Chesapeake","state":"VA","zip":"23320","beds":180,"overall":1,"inspections":10,"last_inspection":"2026-08-20","deficiencies":82,"serious":5,"ij":1,"open":2,"fines_total":77303,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-495115","ccn":"495115","name":"Colonial Heights Rehabilitation and Nursing Center","address":"831 Ellerslie Ave","city":"Colonial Heights","state":"VA","zip":"23834","beds":196,"overall":1,"inspections":11,"last_inspection":"2026-08-06","deficiencies":109,"serious":4,"ij":0,"open":0,"fines_total":127514,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":63,"same_site_review":[],"nearby":[{"id":"cms-495392","ccn":"495392","name":"Colonial Health & Rehab Center, LLC","address":"1604 Old Donation Pkwy","city":"Virginia Beach","state":"VA","zip":"23454","beds":90,"overall":1,"inspections":6,"last_inspection":"2024-09-18","deficiencies":65,"serious":4,"ij":0,"open":0,"fines_total":78455,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.2},{"id":"cms-495086","ccn":"495086","name":"Bay Pointe Rehabilitation and Nursing","address":"1148 First Colonial Rd","city":"Virginia Beach","state":"VA","zip":"23454","beds":112,"overall":2,"inspections":6,"last_inspection":"2023-08-24","deficiencies":59,"serious":1,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.3},{"id":"cms-495127","ccn":"495127","name":"Westminster-Canterbury on Chesapeake Bay","address":"3100 Shore Drive","city":"Virginia Beach","state":"VA","zip":"23451","beds":108,"overall":5,"inspections":6,"last_inspection":"2023-03-09","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"],"distance_km":6.6},{"id":"cms-495270","ccn":"495270","name":"Rosemont Health & Rehab Center, LLC","address":"3750 Sentara Way","city":"Virginia Beach","state":"VA","zip":"23452","beds":116,"overall":2,"inspections":7,"last_inspection":"2024-03-29","deficiencies":51,"serious":2,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.5},{"id":"cms-495150","ccn":"495150","name":"Birchwood Park Rehabilitation","address":"340 Lynn Shores Drive","city":"Virginia Beach","state":"VA","zip":"23452","beds":150,"overall":1,"inspections":9,"last_inspection":"2025-04-04","deficiencies":137,"serious":7,"ij":2,"open":0,"fines_total":131178,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.9},{"id":"cms-495241","ccn":"495241","name":"Thalia Gardens Rehabilitation and Nursing","address":"4142 Bonney Road","city":"Virginia Beach","state":"VA","zip":"23452","beds":138,"overall":1,"inspections":6,"last_inspection":"2026-04-28","deficiencies":90,"serious":2,"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":8.8},{"id":"cms-495213","ccn":"495213","name":"Bayside Health & Rehabilitation Center","address":"1004 Independence Blvd","city":"Virginia Beach","state":"VA","zip":"23455","beds":60,"overall":1,"inspections":7,"last_inspection":"2025-03-06","deficiencies":68,"serious":2,"ij":0,"open":0,"fines_total":113068,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":9.5},{"id":"cms-495324","ccn":"495324","name":"Seaside Hhc @ Atlantic Shore","address":"1200 Atlantic Shores Drive","city":"Virginia Beach","state":"VA","zip":"23454","beds":50,"overall":5,"inspections":6,"last_inspection":"2025-11-25","deficiencies":22,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":9.8}]}}