{"schema_version":"1.0.0","facility":{"id":"cms-495403","ccn":"495403","name":"Lakewood Manor","source_name":"Lakewood Manor","facility_types":["skilled_nursing_facility"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"VA","address":{"line1":"1900 Lauderdale Drive","city":"Richmond","state":"VA","zip":"23238","county_name":"Goochland County","county_fips":"51075","county_method":"name_match","ssa_county_code":"370","urban":true},"location":{"lat":37.6077,"lon":-77.631,"method":"cms_published_coordinates"},"phone":"8047402900","certification":{"authority":"CMS","ccn":"495403","program":"Medicare","medicare":true,"medicaid":false,"first_approved":"2010-04-20","certified_beds":96,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/495403"},"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":96,"avg_residents_per_day":68.5},"ownership_type":"Non profit - Corporation","ownership_class":"non_profit","legal_business_name":"LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY","flags":{"ccrc":true,"abuse_icon":false,"high_performing":false,"inspection_over_2y":true,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Data Not Available"},"ratings":{"overall":{"value":3},"health_inspection":{"value":3},"quality_measures":{"value":3},"long_stay_qm":{"value":2},"short_stay_qm":{"value":3},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.85024,"lpn_hprd":1.53339,"rn_hprd":0.64559,"licensed_hprd":2.17897,"total_nurse_hprd":5.02921,"weekend_total_nurse_hprd":4.59135,"weekend_rn_hprd":0.30331,"pt_hprd":0.09387,"nursing_turnover_pct":45.5,"rn_turnover_pct":42.9,"administrators_left":0,"case_mix_index":1.30055,"case_mix_index_ratio":0.92221,"case_mix_total_nurse_hprd":3.5974,"adjusted_total_nurse_hprd":5.41065,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2023-06-23","cycle1_deficiencies":3,"cycle1_score":20,"cycle2_date":"2021-04-01","cycle23_deficiencies":15,"cycle23_score":120,"total_weighted_score":45},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"operator_id":"op-lakewood-manor-baptist-retirement-community","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/495403","provenance":[{"source_id":"cms_provider_info","source_record_id":"495403","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=495403&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":"495403","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=495403&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2023-06-23","latest_standard_health":"2023-06-23","earliest_date":"2018-08-16","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":32,"health_count":22,"fire_count":10,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":0,"serious_count":1,"complaint_count":0,"by_severity":{"potential":30,"minimal":1,"actual_harm":1},"by_scope_severity":{"F":1,"D":27,"C":1,"G":1,"E":2},"by_concept":{"food_nutrition":2,"clinical_care":11,"resident_rights":5,"environment_life_safety":10,"medication":2,"infection_prevention":2},"type_ids":["cms-f0812","cms-f0658","cms-f0577","cms-k0211","cms-f0692","cms-f0582","cms-f0607","cms-f0609","cms-f0610","cms-f0641","cms-f0677","cms-f0684","cms-f0686","cms-f0690","cms-f0694","cms-f0695","cms-f0758","cms-f0880","cms-k0374","cms-k0100","cms-k0161","cms-k0321","cms-k0353","cms-k0363","cms-k0920","cms-k0923"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":25,"organizations":1,"individuals":24,"not_available":false}},"row":{"id":"cms-495403","ccn":"495403","name":"Lakewood Manor","types":["skilled_nursing_facility"],"status":"active","state":"VA","city":"Richmond","zip":"23238","county_fips":"51075","county_name":"Goochland County","address":"1900 Lauderdale Drive","beds":96,"residents":68.5,"ownership":"non_profit","operator_id":"op-lakewood-manor-baptist-retirement-community","operator_name":"Lakewood Manor Baptist Retirement Community","lat":37.6077,"lon":-77.631,"overall":3,"health_rating":3,"staffing_rating":4,"qm_rating":3,"nurse_hprd":5.03,"turnover":45.5,"ccrc":true,"inspections":6,"last_inspection":"2023-06-23","deficiencies":32,"serious":1,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0812","cms-f0658","cms-f0577","cms-k0211","cms-f0692","cms-f0582","cms-f0607","cms-f0609","cms-f0610","cms-f0641","cms-f0677","cms-f0684","cms-f0686","cms-f0690","cms-f0694","cms-f0695","cms-f0758","cms-f0880","cms-k0374","cms-k0100","cms-k0161","cms-k0321","cms-k0353","cms-k0363","cms-k0920","cms-k0923"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-lakewood-manor-baptist-retirement-community","name":"Lakewood Manor Baptist Retirement Community","legal_name":"LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY","facility_count":1,"states":["VA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-virginia-baptist-homes-inc","owner_type":"organization","owner_name":"Virginia Baptist Homes Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2009-04-01"},{"owner_type":"individual","owner_name":"James Bales","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2019-01-01","owner_name_raw":"BALES, JAMES"},{"owner_type":"individual","owner_name":"Sharon Brooks","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-01-01","owner_name_raw":"BROOKS, SHARON"},{"owner_type":"individual","owner_name":"Herbert Browning","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-02-01","owner_name_raw":"BROWNING, HERBERT"},{"owner_type":"individual","owner_name":"Valerie Carter","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-02-01","owner_name_raw":"CARTER, VALERIE"},{"owner_type":"individual","owner_name":"R Cave","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-12-31","owner_name_raw":"CAVE, R"},{"owner_type":"individual","owner_name":"Tiffany Franks","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-01","owner_name_raw":"FRANKS, TIFFANY"},{"owner_type":"individual","owner_name":"Charles Harris","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-02-01","owner_name_raw":"HARRIS, CHARLES"},{"owner_type":"individual","owner_name":"John Jung","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-01-01","owner_name_raw":"JUNG, JOHN"},{"owner_type":"individual","owner_name":"Michael Keck","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2009-04-01","owner_name_raw":"KECK, MICHAEL"},{"owner_type":"individual","owner_name":"Sallie Marchello","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-01-01","owner_name_raw":"MARCHELLO, SALLIE"},{"owner_type":"individual","owner_name":"Samuel Oakey","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-02-01","owner_name_raw":"OAKEY, SAMUEL"},{"owner_type":"individual","owner_name":"Arne Owens","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-01","owner_name_raw":"OWENS, ARNE"},{"owner_type":"individual","owner_name":"Jim Poats","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"POATS, JIM"},{"owner_type":"individual","owner_name":"John Poma","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2021-01-01","owner_name_raw":"POMA, JOHN"},{"owner_type":"individual","owner_name":"Matthew Scott","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2018-02-01","owner_name_raw":"SCOTT, MATTHEW"},{"owner_type":"individual","owner_name":"Gary Thomson","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-01","owner_name_raw":"THOMSON, GARY"},{"owner_type":"individual","owner_name":"Tracey Albritton","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2021-12-01","owner_name_raw":"ALBRITTON, TRACEY"},{"owner_type":"individual","owner_name":"Daniel Carlton","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2021-12-31","owner_name_raw":"CARLTON, DANIEL"},{"owner_type":"individual","owner_name":"Jonathan Cook","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2016-05-01","owner_name_raw":"COOK, JONATHAN"},{"owner_type":"individual","owner_name":"Lisa Hawthorne","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2021-06-14","owner_name_raw":"HAWTHORNE, LISA"},{"owner_type":"individual","owner_name":"Christopher Markwith","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2018-01-31","owner_name_raw":"MARKWITH, CHRISTOPHER"},{"owner_type":"individual","owner_name":"Christine Moran","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2021-03-31","owner_name_raw":"MORAN, CHRISTINE"},{"owner_type":"individual","owner_name":"John Robinson","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2016-05-01","owner_name_raw":"ROBINSON, JOHN"},{"owner_type":"individual","owner_name":"Heather Rusnak","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2021-03-08","owner_name_raw":"RUSNAK, HEATHER"}],"inspections":[{"id":"cms-495403-20230623-fire","ccn":"495403","date":"2023-06-23","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-495403-20230623-health","ccn":"495403","date":"2023-06-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2023-07-20","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-07-20","std":1},{"t":"cms-f0577","ss":"C","sl":1,"cs":"corrected","cd":"2023-07-20","std":1}]},{"id":"cms-495403-20210401-fire","ccn":"495403","date":"2021-04-01","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-k0211","ss":"D","sl":2,"cs":"corrected","cd":"2021-05-07","std":1,"tv":"New"}]},{"id":"cms-495403-20210401-health","ccn":"495403","date":"2021-04-01","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":15,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0692","ss":"G","sl":3,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0607","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0694","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2021-07-30","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2021-06-16","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2021-06-16","std":1}]},{"id":"cms-495403-20180816-fire","ccn":"495403","date":"2018-08-16","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-k0100","ss":"D","sl":2,"cs":"corrected","cd":"2018-11-09","std":1,"tv":"New"},{"t":"cms-k0161","ss":"D","sl":2,"cs":"corrected","cd":"2018-11-09","std":1,"tv":"New"},{"t":"cms-k0211","ss":"D","sl":2,"cs":"corrected","cd":"2018-11-09","std":1,"tv":"New"},{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2018-11-09","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2018-11-09","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2018-11-09","std":1,"tv":"New"},{"t":"cms-k0374","ss":"E","sl":2,"cs":"corrected","cd":"2018-11-09","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2018-11-09","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2018-11-09","std":1,"tv":"New"}]},{"id":"cms-495403-20180816-health","ccn":"495403","date":"2018-08-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"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-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2018-09-28","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2018-09-28","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2018-09-28","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2018-09-28","std":1}]}],"deficiency_types":{"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-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-f0577":{"code":"F-0577","title":"Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-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-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-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-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-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-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-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-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-f0694":{"code":"F-0694","title":"Provide for the safe, appropriate administration of IV fluids for a resident when needed.","category":"Quality of Life and Care 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-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-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-k0374":{"code":"K-0374","title":"Install smoke barrier doors that can resist smoke for at least 20 minutes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0100":{"code":"K-0100","title":"Meet other general requirements.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-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-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-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-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"}},"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=495403&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=495403&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=495403&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=495403&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=495403&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=495403&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":"51075","name":"Goochland County"},"zip":"23238","city":"Richmond"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-495272","ccn":"495272","name":"Canterbury Rehabilitation and Healthcare Center","address":"1776 Cambridge Drive","city":"Richmond","state":"VA","zip":"23238","beds":183,"overall":1,"inspections":16,"last_inspection":"2026-07-02","deficiencies":142,"serious":6,"ij":4,"open":0,"fines_total":436524,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.9},{"id":"cms-495291","ccn":"495291","name":"Shalom Gardens Health & Rehabilitation","address":"1600 John Rolfe Parkway","city":"Richmond","state":"VA","zip":"23233","beds":101,"overall":2,"inspections":8,"last_inspection":"2026-05-06","deficiencies":84,"serious":3,"ij":2,"open":3,"fines_total":39555,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.6},{"id":"cms-495434","ccn":"495434","name":"Cedarfield Pinnacle Living","address":"2300 Cedarfield Parkway","city":"Richmond","state":"VA","zip":"23233","beds":20,"overall":5,"inspections":4,"last_inspection":"2026-07-22","deficiencies":6,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":4.9},{"id":"cms-495311","ccn":"495311","name":"Our Lady of Hope Health Center","address":"13700 North Gayton Road","city":"Richmond","state":"VA","zip":"23233","beds":75,"overall":3,"inspections":8,"last_inspection":"2026-06-10","deficiencies":35,"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":5.1},{"id":"cms-495109","ccn":"495109","name":"The Laurels of University Park","address":"2420 Pemberton Rd","city":"Richmond","state":"VA","zip":"23233","beds":145,"overall":3,"inspections":7,"last_inspection":"2025-10-28","deficiencies":84,"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":5.9},{"id":"cms-495428","ccn":"495428","name":"August Healthcare at Richmond","address":"1503 Michael Road","city":"Richmond","state":"VA","zip":"23229","beds":32,"overall":3,"inspections":7,"last_inspection":"2026-02-19","deficiencies":35,"serious":5,"ij":1,"open":0,"fines_total":26178,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.2},{"id":"cms-495227","ccn":"495227","name":"Westport Rehabilitation and Nursing Center","address":"7300 Forest Ave","city":"Richmond","state":"VA","zip":"23226","beds":225,"overall":1,"inspections":14,"last_inspection":"2026-02-05","deficiencies":137,"serious":2,"ij":0,"open":0,"fines_total":64127,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":8.5},{"id":"cms-495257","ccn":"495257","name":"The Laurels of Willow Creek","address":"11611 Robious Road","city":"Midlothian","state":"VA","zip":"23113","beds":120,"overall":3,"inspections":6,"last_inspection":"2023-09-13","deficiencies":71,"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":9.5}]}}