{"schema_version":"1.0.0","facility":{"id":"cms-49e075","ccn":"49E075","name":"Skyline Terrace Conv Home","source_name":"SKYLINE TERRACE CONV HOME","facility_types":["nursing_home"],"primary_type":"nursing_home","universe":"cms_certified_nursing_homes","source_type_label":"Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"VA","address":{"line1":"123 Lakeview Road","city":"Woodstock","state":"VA","zip":"22664","county_name":"Shenandoah County","county_fips":"51171","county_method":"name_match","ssa_county_code":"850","urban":false},"location":{"lat":38.8628,"lon":-78.519,"method":"cms_published_coordinates"},"phone":"5404593738","certification":{"authority":"CMS","ccn":"49E075","program":"Medicaid","medicare":false,"medicaid":true,"first_approved":"1974-03-31","certified_beds":70,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/49E075"},"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":70,"avg_residents_per_day":67.2},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name_note":"CMS reports the legal business name as not available.","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":5},"quality_measures":{"value":4},"long_stay_qm":{"value":4},"short_stay_qm":{"footnote":"2"},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.34616,"lpn_hprd":0.98204,"rn_hprd":0.35576,"licensed_hprd":1.33779,"total_nurse_hprd":3.68395,"weekend_total_nurse_hprd":3.10375,"weekend_rn_hprd":0.28352,"pt_hprd":0.00939,"nursing_turnover_footnote":"26","rn_turnover_footnote":"26","administrators_left":1,"case_mix_index":1.32875,"case_mix_index_ratio":0.9422,"case_mix_total_nurse_hprd":3.6754,"adjusted_total_nurse_hprd":3.87925,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-10-15","cycle1_deficiencies":2,"cycle1_score":8,"cycle2_date":"2023-01-31","cycle23_deficiencies":1,"cycle23_score":4,"total_weighted_score":7},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"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/49E075","provenance":[{"source_id":"cms_provider_info","source_record_id":"49E075","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=49E075&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":"49E075","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=49E075&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."}],"ownership_not_available":true,"inspection_summary":{"count":6,"health_count":3,"fire_count":3,"complaint_count":0,"latest_date":"2025-10-15","latest_standard_health":"2025-10-15","earliest_date":"2021-07-22","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":18,"health_count":9,"fire_count":9,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":0,"by_severity":{"potential":15,"minimal":3},"by_scope_severity":{"D":13,"F":1,"C":3,"E":1},"by_concept":{"environment_life_safety":6,"resident_rights":2,"clinical_care":5,"emergency_preparedness":3,"medication":1,"food_nutrition":1},"type_ids":["cms-k0271","cms-k0293","cms-k0761","cms-f0583","cms-f0695","cms-k0324","cms-e0022","cms-e0023","cms-e0031","cms-f0623","cms-k0222","cms-k0341","cms-f0641","cms-f0657","cms-f0658","cms-f0758","cms-f0812","cms-f0842"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":0,"organizations":0,"individuals":0,"not_available":true}},"row":{"id":"cms-49e075","ccn":"49E075","name":"Skyline Terrace Conv Home","types":["nursing_home"],"status":"active","state":"VA","city":"Woodstock","zip":"22664","county_fips":"51171","county_name":"Shenandoah County","address":"123 Lakeview Road","beds":70,"residents":67.2,"ownership":"for_profit","lat":38.8628,"lon":-78.519,"overall":5,"health_rating":5,"staffing_rating":2,"qm_rating":4,"nurse_hprd":3.68,"inspections":6,"last_inspection":"2025-10-15","deficiencies":18,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0271","cms-k0293","cms-k0761","cms-f0583","cms-f0695","cms-k0324","cms-e0022","cms-e0023","cms-e0031","cms-f0623","cms-k0222","cms-k0341","cms-f0641","cms-f0657","cms-f0658","cms-f0758","cms-f0812","cms-f0842"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"ownership":[],"inspections":[{"id":"cms-49e075-20251015-fire","ccn":"49E075","date":"2025-10-15","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-k0271","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-01","std":1,"tv":"New"},{"t":"cms-k0293","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-01","std":1,"tv":"New"},{"t":"cms-k0761","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-01","std":1,"tv":"New"}]},{"id":"cms-49e075-20251015-health","ccn":"49E075","date":"2025-10-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health 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-f0583","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","std":1}]},{"id":"cms-49e075-20230131-fire","ccn":"49E075","date":"2023-01-31","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2023-09-26","std":1,"tv":"New"},{"t":"cms-e0022","ss":"C","sl":1,"cs":"corrected","cd":"2023-02-24","std":1,"tv":"New"},{"t":"cms-e0023","ss":"C","sl":1,"cs":"corrected","cd":"2023-02-24","std":1,"tv":"New"},{"t":"cms-e0031","ss":"C","sl":1,"cs":"corrected","cd":"2023-02-24","std":1,"tv":"New"}]},{"id":"cms-49e075-20230131-health","ccn":"49E075","date":"2023-01-31","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2023-02-24","std":1}]},{"id":"cms-49e075-20210722-fire","ccn":"49E075","date":"2021-07-22","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"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-k0222","ss":"D","sl":2,"cs":"corrected","cd":"2021-08-31","std":1,"tv":"New"},{"t":"cms-k0341","ss":"D","sl":2,"cs":"corrected","cd":"2021-08-31","std":1,"tv":"New"}]},{"id":"cms-49e075-20210722-health","ccn":"49E075","date":"2021-07-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0641","ss":"E","sl":2,"cs":"corrected","cd":"2021-09-03","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2021-09-03","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2021-09-01","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2021-09-03","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2021-09-03","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2021-09-03","std":1}]}],"deficiency_types":{"cms-k0271":{"code":"K-0271","title":"Have exits that are accessible at all times.","category":"Egress 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-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-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-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-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0022":{"code":"E-0022","title":"Establish policies and procedures for sheltering.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0023":{"code":"E-0023","title":"Establish policies and procedures for medical documentation.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0031":{"code":"E-0031","title":"Provide emergency officials' contact information.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-k0341":{"code":"K-0341","title":"Install a fire alarm system that can be heard throughout the facility.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-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-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-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"}},"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=49E075&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=49E075&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=49E075&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=49E075&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=49E075&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=49E075&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":"51171","name":"Shenandoah County"},"zip":"22664","city":"Woodstock"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-495315","ccn":"495315","name":"Woodstock Valley Health and Rehabilitation","address":"803 South Main St","city":"Woodstock","state":"VA","zip":"22664","beds":88,"overall":1,"inspections":8,"last_inspection":"2025-09-26","deficiencies":120,"serious":5,"ij":3,"open":0,"fines_total":144587,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1}]}}