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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E10 | F37 |
| Minimal | A· | B· | C2 |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 14, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| May 14, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Jul 31, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jul 31, 2024 | Health | Health Complaint, Health Standard | 14 | Actual harm | — | Open → |
| Oct 24, 2022 | Fire safety | Fire Safety Standard | 31 | Potential harm | — | Open → |
| Oct 24, 2022 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E10 | F37 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 14, 2026 | K-0222 | 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 14, 2026 | |
| May 14, 2026 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 14, 2026 | |
| May 14, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Greystone Management Services Company LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 21, 2008 |
| Carol Ahlvers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Regan Baron | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Debra Blecha | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| Jeff Bolig | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2021 |
| Karen Eldridge | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Catherine Erkmann | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2017 |
| Larry Fogel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Michelle Friel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Jon Grams | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Brian Haase | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 24, 2018 |
| Mike Hawken | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Dan Jacobson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Daniel Mckean | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Doug Moorman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2017 |
| Peggy O'toole | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Michael Payne | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| Andrew Schmidt | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Greg Sieve | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Michael Skoch | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Chester Surmaczewicz | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 3, 2009 |
| Leslie Thomas | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Tim Urban | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2017 |
| Radd Way | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Mary Whitaker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| William Wilson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Jane Zaccardi | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2017 |
| Chester Surmaczewicz | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jun 3, 2009 |
| Mark Andrews | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | May 25, 2004 |
| Michael Lanahan | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | May 25, 2004 |
| Paul Steinhoff | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | May 25, 2004 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Delmar Gardens of Overland Park 12100 W 109th Street, Overland Park, KS 66210 CCN 175182 | 2.3 km | 120 | Jun 30, 2026 | 77 | $23k | |
| Stratford Commons Rehab & Health Care Center 12340 Quivira Road, Overland Park, KS 66213 CCN 175549 | 2.6 km | 60 | Nov 18, 2025 | 801 IJ | $16k | |
| Villa St Francis Catholic Care Center Inc 16600 W. 126th St, Olathe, KS 66062 CCN 175115 | 3.4 km | 170 | Sep 16, 2026 | 59 | — | |
| Aberdeen Village 17500 W 119th Street, Olathe, KS 66061 CCN 175448 | 3.8 km | 60 | May 20, 2026 | 261 IJ | $8,021 | |
| Delmar Gardens of Lenexa 9701 Monrovia Street, Lenexa, KS 66215 CCN 175122 | 3.8 km | 222 | Jun 8, 2026 | 68 | — | |
| Nottingham Health and Rehabilitation 14200 W 134th Place, Olathe, KS 66062 CCN 175540 | 3.9 km | 80 | Apr 8, 2026 | 36 | — | |
| Colonial Village 12500 W 137th St, Overland Park, KS 66221 CCN 175560 | 4.4 km | 40 | Oct 31, 2024 | 521 harm | — | |
| Lakeview Village 13840 W 91st Terrace, Lenexa, KS 66215 CCN 175242 | 4.8 km | 158 | Apr 22, 2026 | 492 IJ | $28k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 175503 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 175503 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jul 14, 2026 |
| May 14, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2026 |
| May 14, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2026 |
| May 14, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 14, 2026 |
| May 14, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2026 |
| May 14, 2026 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2026 |
| May 14, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 18, 2026 |
| May 14, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 18, 2026 |
| May 14, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 18, 2026 |
| May 14, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 18, 2026 |
| May 14, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jun 18, 2026 |
| Jul 31, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | K-0222 | 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 21, 2024 |
| Jul 31, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 21, 2024 |
| Jul 31, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 21, 2024 |
| Jul 31, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 21, 2024 |
| Jul 31, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 21, 2024 |
| Jul 31, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 21, 2024 |
| Jul 31, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 21, 2024 |
| Jul 31, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 21, 2024 |
| Jul 31, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 21, 2024 |
| Jul 31, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 21, 2024 |
| Jul 31, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 21, 2024 |
| Jul 31, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0849 | 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. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 31, 2024 | F-0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Aug 23, 2024 | Complaint |
| Oct 24, 2022 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 25, 2023 |
| Oct 24, 2022 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 24, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.48 (case-mix index 1.21).