{"schema_version":"1.0.0","facility":{"id":"cms-495294","ccn":"495294","name":"Pulaski Hlth & Rehab Cntr","source_name":"PULASKI HLTH & REHAB CNTR","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":"2401 Lee Highway","city":"Pulaski","state":"VA","zip":"24301","county_name":"Pulaski County","county_fips":"51155","county_method":"name_match","ssa_county_code":"770","urban":true},"location":{"lat":37.0691,"lon":-80.759,"method":"cms_published_coordinates"},"phone":"5409803111","certification":{"authority":"CMS","ccn":"495294","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1995-01-01","certified_beds":90,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/495294"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":90,"avg_residents_per_day":95.8},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"PULASKI OPERATIONS LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":true,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":4},"health_inspection":{"value":3},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":5},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.16783,"lpn_hprd":0.84043,"rn_hprd":0.80698,"licensed_hprd":1.64741,"total_nurse_hprd":3.81524,"weekend_total_nurse_hprd":3.43101,"weekend_rn_hprd":0.40892,"pt_hprd":0.09783,"nursing_turnover_pct":51.1,"rn_turnover_pct":25,"administrators_left":0,"case_mix_index":1.71921,"case_mix_index_ratio":1.21908,"case_mix_total_nurse_hprd":4.75544,"adjusted_total_nurse_hprd":3.10506,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2024-07-24","cycle1_deficiencies":13,"cycle1_score":56,"cycle2_date":"2023-06-23","cycle23_deficiencies":3,"cycle23_score":16,"total_weighted_score":46},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-768","cms_chain_id":"768","name":"LIFEWORKS REHAB"},"operator_id":"op-pulaski-operations-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/495294","provenance":[{"source_id":"cms_provider_info","source_record_id":"495294","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=495294&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":"495294","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=495294&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":8,"health_count":5,"fire_count":3,"complaint_count":2,"latest_date":"2026-08-25","latest_standard_health":"2024-07-24","earliest_date":"2021-11-19","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":42,"health_count":23,"fire_count":19,"open_count":1,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":3,"by_severity":{"potential":42},"by_scope_severity":{"D":25,"E":8,"F":9},"by_concept":{"resident_rights":5,"clinical_care":10,"environment_life_safety":19,"medication":4,"administration":1,"food_nutrition":2,"infection_prevention":1},"type_ids":["cms-f0580","cms-f0656","cms-f0842","cms-k0291","cms-k0363","cms-f0689","cms-f0582","cms-f0657","cms-f0658","cms-f0692","cms-f0756","cms-f0760","cms-f0761","cms-f0770","cms-f0810","cms-k0353","cms-k0761","cms-k0345","cms-k0511","cms-k0211","cms-k0324","cms-f0812","cms-f0684","cms-k0521","cms-k0914","cms-k0293","cms-k0325","cms-k0918","cms-k0222","cms-f0880","cms-f0578","cms-f0609","cms-f0610","cms-f0655","cms-f0693"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":14,"organizations":13,"individuals":1,"not_available":false}},"row":{"id":"cms-495294","ccn":"495294","name":"Pulaski Hlth & Rehab Cntr","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"VA","city":"Pulaski","zip":"24301","county_fips":"51155","county_name":"Pulaski County","address":"2401 Lee Highway","beds":90,"residents":95.8,"ownership":"for_profit","operator_id":"op-pulaski-operations-llc","operator_name":"Pulaski Operations LLC","chain_id":"cms-chain-768","chain_name":"Lifeworks Rehab","lat":37.0691,"lon":-80.759,"overall":4,"health_rating":3,"staffing_rating":3,"qm_rating":5,"nurse_hprd":3.82,"turnover":51.1,"inspections":8,"last_inspection":"2026-08-25","deficiencies":42,"serious":0,"ij":0,"open":1,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0580","cms-f0656","cms-f0842","cms-k0291","cms-k0363","cms-f0689","cms-f0582","cms-f0657","cms-f0658","cms-f0692","cms-f0756","cms-f0760","cms-f0761","cms-f0770","cms-f0810","cms-k0353","cms-k0761","cms-k0345","cms-k0511","cms-k0211","cms-k0324","cms-f0812","cms-f0684","cms-k0521","cms-k0914","cms-k0293","cms-k0325","cms-k0918","cms-k0222","cms-f0880","cms-f0578","cms-f0609","cms-f0610","cms-f0655","cms-f0693"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-pulaski-operations-llc","name":"Pulaski Operations LLC","legal_name":"PULASKI OPERATIONS 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-pulaski-holdings-i-llc","owner_type":"organization","owner_name":"Pulaski 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-america-west-llc","owner_type":"organization","owner_name":"America West 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-charles-1994-and-family-llc","owner_type":"organization","owner_name":"Charles 1994 & 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-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-charles-1994-llc","owner_type":"organization","owner_name":"Charles 1994 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-edward-1998-llc","owner_type":"organization","owner_name":"Edward 1998 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-kss-2000-family-trust","owner_type":"organization","owner_name":"Kss 2000 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-ml-2000-family-trust","owner_type":"organization","owner_name":"Ml 2000 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-mrv-west-llc","owner_type":"organization","owner_name":"Mrv West 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-redrock-west-llc","owner_type":"organization","owner_name":"Redrock West 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-rczbm-west-manager-llc","owner_type":"organization","owner_name":"Rczbm West Manager LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-05-28"},{"owner_type":"individual","owner_name":"Terressa Turner","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2021-05-28","owner_name_raw":"TURNER, TERRESSA"}],"inspections":[{"id":"cms-495294-20260825-health","ccn":"495294","date":"2026-08-25","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":1,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"plan_of_correction","cd":"2026-09-21","cmp":1}]},{"id":"cms-495294-20251106-health","ccn":"495294","date":"2025-11-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","cmp":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","cmp":1}]},{"id":"cms-495294-20240724-fire","ccn":"495294","date":"2024-07-24","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-k0291","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-18","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-18","std":1,"tv":"New"}]},{"id":"cms-495294-20240724-health","ccn":"495294","date":"2024-07-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-26","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-26","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-26","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-26","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-26","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-26","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-26","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-26","std":1},{"t":"cms-f0770","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-26","std":1},{"t":"cms-f0810","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-26","std":1}]},{"id":"cms-495294-20230623-fire","ccn":"495294","date":"2023-06-23","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0211","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-21","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-21","std":1,"tv":"New"},{"t":"cms-k0345","ss":"E","sl":2,"cs":"waiver_granted","cd":"2024-04-04","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"waiver_granted","cd":"2024-04-04","std":1,"tv":"New"},{"t":"cms-k0511","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-21","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"waiver_granted","cd":"2024-04-04","std":1,"tv":"New"}]},{"id":"cms-495294-20230623-health","ccn":"495294","date":"2023-06-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"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-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-04","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-04","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-04","std":1}]},{"id":"cms-495294-20211119-fire","ccn":"495294","date":"2021-11-19","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"D","sl":2,"cs":"corrected","cd":"2022-06-10","std":1,"tv":"New"},{"t":"cms-k0293","ss":"E","sl":2,"cs":"corrected","cd":"2022-06-10","std":1,"tv":"New"},{"t":"cms-k0325","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-25","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2022-02-25","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2022-06-10","std":1,"tv":"New"},{"t":"cms-k0363","ss":"F","sl":2,"cs":"waiver_granted","cd":"2022-08-16","std":1,"tv":"New"},{"t":"cms-k0511","ss":"F","sl":2,"cs":"corrected","cd":"2022-06-10","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"corrected","cd":"2022-02-25","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"waiver_granted","cd":"2023-01-17","std":1,"tv":"New"},{"t":"cms-k0914","ss":"F","sl":2,"cs":"corrected","cd":"2022-02-25","std":1,"tv":"New"},{"t":"cms-k0918","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-25","std":1,"tv":"New"}]},{"id":"cms-495294-20211119-health","ccn":"495294","date":"2021-11-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-27","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-27","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-27","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-27","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-27","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2021-12-27","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2021-12-27","std":1}]}],"deficiency_types":{"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-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-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-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-f0582":{"code":"F-0582","title":"Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-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-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-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-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-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-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-f0770":{"code":"F-0770","title":"Provide timely, quality laboratory services/tests to meet the needs of residents.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0810":{"code":"F-0810","title":"Provide special eating equipment and utensils for residents who need them and appropriate assistance.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0914":{"code":"K-0914","title":"Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0325":{"code":"K-0325","title":"Have properly installed hallway dispensers for alcohol-based hand rub.","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-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-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-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-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-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-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-f0693":{"code":"F-0693","title":"Ensure that feeding tubes are  not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"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=495294&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=495294&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=495294&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=495294&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=495294&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=495294&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":"51155","name":"Pulaski County"},"zip":"24301","city":"Pulaski"},"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-495333","ccn":"495333","name":"Highland Ridge Rehab Center","address":"5872 Hanks Street","city":"Dublin","state":"VA","zip":"24084","beds":132,"overall":1,"inspections":8,"last_inspection":"2026-02-26","deficiencies":66,"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":8.4},{"id":"cms-495355","ccn":"495355","name":"Radford Health and Rehab Center","address":"700 Randolph Street","city":"Radford","state":"VA","zip":"24141","beds":90,"overall":4,"inspections":6,"last_inspection":"2025-02-06","deficiencies":35,"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":18.1}]}}