{"zip":"32901","city":"MELBOURNE","name":"LIFE CARE CENTER OF MELBOURNE","county":"BREVARD","address":"606 E SHERIDAN RD","coverage":{"rules":"Provider-specific reference links are provided. Effective-date rule evaluation and staffing compliance remain unqualified.","quality":"CMS ratings are shown below; these are not CRP ratings. Underlying measure periods are not established by this import.","branches":"Branch and parent/site relationships have not been independently established. A directory address or served ZIP does not establish a branch.","identity":"CMS and AHCA identity records linked with retained evidence. Historical periods before an observed link are not inferred.","staffing":"CMS-published reported staffing is shown below with source context. No staffing compliance determination is made.","financial":"See source-qualified reported fines and payment adjustments below. Actual payments, revenue losses and current restrictions are not established.","ownership":"CMS ownership records are retained as reported. A current release is not a complete ownership or change-of-ownership history.","inspections":"Qualified CMS citation releases only; state findings and inspector narratives are not yet integrated."},"findings":[{"tag":"F0554","dataset_id":"r5ix-sfxw","release_id":"54631ecd-e95e-4ff5-8cf1-c2ace324a00f","source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/600f5d1861dd2e0280b2e961e8396245_1786724148/NH_HealthCitations_Aug2026.csv","citation_id":"00fdf42a-f837-4836-a3e4-35de2922eefc","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","survey_date":"2025-09-25","survey_type":"Health","surveyed_by":null,"published_at":"2026-08-26","citation_level":null,"dispute_status":{"IDR":"N","IIDR":"N"},"scope_severity":"D","correction_date":"2025-10-27","survey_event_id":null,"cited_regulation":null,"coverage_through":null,"correction_status":"Deficient, Provider has date of correction","first_observed_at":"2026-09-18T18:30:25.772Z","source_record_key":"8b88607f4011219de92d0a513974f9e9c999116a7bd4bbd124d3b6b9e619e3fd","source_row_sha256":"8b88607f4011219de92d0a513974f9e9c999116a7bd4bbd124d3b6b9e619e3fd","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Allow residents to self-administer drugs if determined clinically appropriate."},{"tag":"F0867","dataset_id":"r5ix-sfxw","release_id":"54631ecd-e95e-4ff5-8cf1-c2ace324a00f","source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/600f5d1861dd2e0280b2e961e8396245_1786724148/NH_HealthCitations_Aug2026.csv","citation_id":"6e0858a4-d37a-43b8-8ff8-54a3930e7e58","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","survey_date":"2025-09-25","survey_type":"Health","surveyed_by":null,"published_at":"2026-08-26","citation_level":null,"dispute_status":{"IDR":"N","IIDR":"N"},"scope_severity":"D","correction_date":"2025-10-27","survey_event_id":null,"cited_regulation":null,"coverage_through":null,"correction_status":"Deficient, Provider has date of correction","first_observed_at":"2026-09-18T18:30:25.772Z","source_record_key":"1c672ee61ff7e0ebbf3d964e14223b5269e09b17ee0ee84a2208a080002bc030","source_row_sha256":"1c672ee61ff7e0ebbf3d964e14223b5269e09b17ee0ee84a2208a080002bc030","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Set up an ongoing quality assessment and assurance group to review quality deficiencies  and develop corrective plans of action."}],"sourceUrl":"https://quality.healthfinder.fl.gov/Facility-Provider/Nursing-Home?type=1","providerId":"1715f7f4-81ad-41ed-bd18-b442f00180ff","identifiers":[{"scheme":"FILE","valid_to":null,"authority":"AHCA","source_url":"https://quality.healthfinder.fl.gov/Facility-Provider/Nursing-Home?type=1","valid_from":"2026-09-18","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","identifier_value":"70504"},{"scheme":"CCN","valid_to":null,"authority":"CMS","source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","valid_from":"1976-03-01","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","identifier_value":"105291"}],"ruleSources":{"note":"Provider-specific reference routing is qualified. Effective-date rule versions, exceptions, service applicability and automated compliance judgments are not qualified by these links.","status":"REFERENCE_ROUTING_ONLY","checkedAt":"2026-09-18","references":[{"url":"https://www.cms.gov/regulations-and-guidance/guidance/manuals/internet-only-manuals-ioms-items/cms1201984","label":"CMS State Operations Manual — nursing-facility survey and enforcement process"}]},"sourceFacts":[{"fact":{"role":"W-2 MANAGING EMPLOYEE","ownerName":"DELENA, DANA","ownerType":"Individual","associationDateReported":"since 07/25/2018","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"920eac60-3ae4-4ad7-a840-126330f55d57","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":29290,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"46f093471037d070f1ed8c2d8fdeff847e21db97d20fbe4f75b2c89e172ecca0"},{"fact":{"role":"CORPORATE OFFICER","ownerName":"CROSS, CINDY","ownerType":"Individual","associationDateReported":"since 10/12/2000","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"ce29e7c2-3a0d-453f-9f28-9c771df43506","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":29291,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"79def83d17eb2aae2c904908e5b29073b4115935932b5f7d05d9923f687e433a"},{"fact":{"role":"CORPORATE OFFICER","ownerName":"THURMOND, JOAN","ownerType":"Individual","associationDateReported":"since 10/12/2000","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"a58fc128-255b-460d-9e28-35f8e7e2ad3a","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":29292,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"7f60c0b3746f78fb024e555e17a165b4637f50710e06dbfaf599dd076848e979"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"LIFE CARE CENTERS OF AMERICA, INC.","ownerType":"Organization","associationDateReported":"since 11/29/2000","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"246e0462-26c4-4886-adfc-88223c9587e1","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":29293,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"f5cc0e6fae849a81fa9e685761da9acb8e57d3c0509c524467ea91f7b6d053fd"},{"fact":{"note":"CMS program multiplier; no dollar loss calculated. Measure periods and footnotes remain in source column labels. Archive identity observation is not the original publication date or proof of ownership throughout the payment year.","fiscalYear":2025,"identityDateBasis":"OFFICIAL_ARCHIVE_OBSERVATION","paymentMultiplier":0.9805434989,"reportedPerformance":{"State":"FL","ZIP Code":"32901","City/Town":"MELBOURNE","_sourceRow":1382,"Provider Name":"LIFE CARE CENTER OF MELBOURNE","Provider Address":"606 E SHERIDAN RD","Achievement Score":"0.00000","Improvement Score":"7.58529","Performance Score":"7.58529","SNF VBP Program Ranking":"6781","Incentive Payment Multiplier":"0.9805434989","Footnote -- Achievement Score":"","Footnote -- Improvement Score":"","Footnote -- Performance Score":"","CMS Certification Number (CCN)":"105291","Footnote -- SNF VBP Program Ranking":"","Footnote -- Incentive Payment Multiplier":"","Baseline Period: FY 2019 Risk-Standardized Readmission Rate":"0.22364","Performance Period: FY 2023 Risk-Standardized Readmission Rate":"0.21700","Footnote -- Baseline Period: FY 2019 Risk-Standardized Readmission Rate":"","Footnote -- Performance Period: FY 2023 Risk-Standardized Readmission Rate":""}},"domain":"SNF_VBP","fact_id":"13738ba0-fd17-4bce-ad46-dd86755a3886","release_id":"3bf7d456-12b5-4966-8630-423665447452","source_row":1382,"source_url":"https://data.cms.gov/provider-data/sites/default/files/dataset-archives/theme/nursing-homes/nursing-homes_2025-09-24.zip","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":null,"artifact_sha256":"bcc8c0dce70d6fc9202e9026b1529d18f881f8a8c29ea9ab6e6ab5e1c1661e9f","coverage_through":"2025-09-30","source_record_key":"4ba612de232ea150d01925243622872aaf358656440aa58151a8133fc3840f9c"},{"fact":{"note":"CMS program multiplier; no dollar loss calculated. Measure periods and footnotes remain in source column labels. Archive identity observation is not the original publication date or proof of ownership throughout the payment year.","fiscalYear":2024,"identityDateBasis":"OFFICIAL_ARCHIVE_OBSERVATION","paymentMultiplier":1.0176785153,"reportedPerformance":{"State":"FL","ZIP Code":"32901","City/Town":"MELBOURNE","_sourceRow":1385,"Provider Name":"LIFE CARE CENTER OF MELBOURNE","Provider Address":"606 E SHERIDAN RD","Achievement Score":"100.00000","Improvement Score":"90.00000","Performance Score":"100.00000","SNF VBP Program Ranking":"1","Incentive Payment Multiplier":"1.0176785153","Footnote -- Achievement Score":"","Footnote -- Improvement Score":"","Footnote -- Performance Score":"","CMS Certification Number (CCN)":"105291","Footnote -- SNF VBP Program Ranking":"","Footnote -- Incentive Payment Multiplier":"","Baseline Period: FY 2019 Risk-Standardized Readmission Rate":"0.22291","Performance Period: FY 2022 Risk-Standardized Readmission Rate":"0.16613","Footnote -- Baseline Period: FY 2019 Risk-Standardized Readmission Rate":"","Footnote -- Performance Period: FY 2022 Risk-Standardized Readmission Rate":""}},"domain":"SNF_VBP","fact_id":"70d77b97-7565-4e56-8aa6-b6f419c9a5a3","release_id":"19e5508e-d868-455c-b048-45861377564a","source_row":1385,"source_url":"https://data.cms.gov/provider-data/sites/default/files/dataset-archives/theme/nursing-homes/nursing-homes_2024-09-26.zip","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":null,"artifact_sha256":"ef8df94b92175c4bf3087c25692e76694866b3b32c3cab939296c741ccf2ff5b","coverage_through":"2024-09-30","source_record_key":"a6a11de2cdb87f8ac96ccbdb8138e513dc034de3f8eef7dd719f7bf173c3b9ee"},{"fact":{"note":"CMS program multiplier; no dollar loss calculated. Measure periods and footnotes remain in source column labels.","fiscalYear":2026,"paymentMultiplier":0.9940592942,"reportedPerformance":{"State":"FL","ZIP Code":"32901","City/Town":"MELBOURNE","_sourceRow":1710,"Provider Name":"LIFE CARE CENTER OF MELBOURNE","Provider Address":"606 E SHERIDAN RD","Performance Score":"41.15279","SNFRM Measure Score":"3.83589","SNF HAI Measure Score":"2.69561","SNF VBP Program Ranking":"4136","SNFRM Achievement Score":"3.83589","SNFRM Improvement Score":"0.00000","SNF HAI Achievement Score":"2.69561","SNF HAI Improvement Score":"0.00000","Incentive Payment Multiplier":"0.9940592942","CMS Certification Number (CCN)":"105291","Footnote -- SNFRM Measure Score":"---","Footnote -- SNF HAI Measure Score":"---","Total Nurse Staffing Measure Score":"2.08898","Footnote -- SNFRM Achievement Score":"---","Footnote -- SNFRM Improvement Score":"---","Footnote -- SNF HAI Achievement Score":"---","Footnote -- SNF HAI Improvement Score":"---","Total Nurse Staffing Achievement Score":"2.08898","Total Nurse Staffing Improvement Score":"0.00000","Total Nursing Staff Turnover Measure Score":"7.84064","Footnote -- Total Nurse Staffing Measure Score":"---","Total Nursing Staff Turnover Achievement Score":"7.84064","Total Nursing Staff Turnover Improvement Score":"5.07773","Footnote -- Total Nurse Staffing Achievement Score":"---","Footnote -- Total Nurse Staffing Improvement Score":"---","Footnote -- Total Nursing Staff Turnover Measure Score":"---","Baseline Period: FY 2022 Total Nursing Staff Turnover Rate":"0.40187","Footnote -- Total Nursing Staff Turnover Achievement Score":"---","Footnote -- Total Nursing Staff Turnover Improvement Score":"---","Baseline Period: FY 2022 Risk-Standardized Readmission Rate":"0.16611","Performance Period: FY 2024 Total Nursing Staff Turnover Rate":"0.31633","Performance Period: FY 2024 Risk-Standardized Readmission Rate":"0.19654","Footnote -- Baseline Period: FY 2022 Total Nursing Staff Turnover Rate":"---","Footnote -- Baseline Period: FY 2022 Risk-Standardized Readmission Rate":"---","Footnote -- Performance Period: FY 2024 Total Nursing Staff Turnover Rate":"---","Footnote -- Performance Period: FY 2024 Risk-Standardized Readmission Rate":"---","Baseline Period: FY 2022 Adjusted Total Nursing Staff Hours per Resident Day":"4.06942","Baseline Period: FY 2022 Risk-Standardized Healthcare-Associated Infection Rate":"0.05100","Performance Period: FY 2024 Adjusted Total Nursing Staff Hours per Resident Day":"3.67203","Performance Period: FY 2024 Risk-Standardized Healthcare-Associated Infection Rate":"0.07029","Footnote -- Baseline Period: FY 2022 Adjusted Total Nursing Staff Hours per Resident Day":"---","Footnote -- Baseline Period: FY 2022 Risk-Standardized Healthcare-Associated Infection Rate":"---","Footnote -- Performance Period: FY 2024 Adjusted Total Nursing Staff Hours per Resident Day":"---","Footnote -- Performance Period: FY 2024 Risk-Standardized Healthcare-Associated Infection Rate":"---"}},"domain":"SNF_VBP","fact_id":"50441ffe-1f65-4f35-9901-8d8ffdf52c47","release_id":"980e699d-aec7-48ea-908c-dbb0c6b3bdd1","source_row":1710,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/24625f7ba546a31aafbd5057da94a0e2_1767384370/FY_2026_SNF_VBP_Facility_Performance.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2025-12-10","artifact_sha256":"94e2b138d5710662e6b19efc795bd3ec49b5a3cf6627e1acdde27fd0c184a10c","coverage_through":null,"source_record_key":"c4ceb13932cc3f417e1f8a0db5a25f7d110210f46ce306505542036625f1183d"}],"metadataAsOf":"2026-10-07","observations":[{"code":"Overall Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"5","domain":"CMS_RATING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"OTHER","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"Health Inspection Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"4","domain":"CMS_RATING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"OTHER","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"QM Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"5","domain":"CMS_RATING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"OTHER","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"Long-Stay QM Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"5","domain":"CMS_RATING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"OTHER","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"Short-Stay QM Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"5","domain":"CMS_RATING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"OTHER","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"Staffing Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"4","domain":"CMS_RATING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"OTHER","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"Reported Nurse Aide Staffing Hours per Resident per Day","unit":"hours per resident day","basis":"CMS-published reported staffing; not independently observed staffing or a legal minimum test","value":"2.10845","domain":"STAFFING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"PROVIDER_REPORTED","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"Reported LPN Staffing Hours per Resident per Day","unit":"hours per resident day","basis":"CMS-published reported staffing; not independently observed staffing or a legal minimum test","value":"0.86413","domain":"STAFFING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"PROVIDER_REPORTED","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"Reported RN Staffing Hours per Resident per Day","unit":"hours per resident day","basis":"CMS-published reported staffing; not independently observed staffing or a legal minimum test","value":"0.61633","domain":"STAFFING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"PROVIDER_REPORTED","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"Reported Total Nurse Staffing Hours per Resident per Day","unit":"hours per resident day","basis":"CMS-published reported staffing; not independently observed staffing or a legal minimum test","value":"3.58891","domain":"STAFFING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"PROVIDER_REPORTED","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"Number of Certified Beds","unit":"certified beds","basis":"CMS-certified beds, not state licensed capacity","value":"120","domain":"CERTIFIED_CAPACITY","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"REGULATOR","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"}],"providerType":"NH","sourceSha256":"ab2235ff876dbd0189a5051f132f02cd065bf37830be25d34afacf421fdf9eb2","adverseEvidence":{"note":"Separate source-supported adverse signals; no composite risk score, duplicate penalty sum, current danger determination or inferred dollar loss.","summary":{"citedRows":2,"actualHarmRows":0,"reportedFineRows":0,"rateReductionYears":[2025,2026],"verifiedDollarsLost":null,"immediateJeopardyRows":0,"reportedPaymentDenialRows":0},"version":"CRP_ADVERSE_EVIDENCE_V1","financial":[{"note":"The published multiplier already includes the withhold and incentive adjustment. Do not subtract another 2%. This is a rate effect, not measured lost revenue or a survey penalty.","domain":"SNF_VBP","status":"REPORTED_RATE_REDUCTION","adverse":true,"ruleUrl":"https://www.cms.gov/files/document/fy-2025-snf-vbp-program-performance-score-report-user-guide-pdf.pdf","provenance":{"factId":"13738ba0-fd17-4bce-ad46-dd86755a3886","releaseId":"3bf7d456-12b5-4966-8630-423665447452","sourceRow":1382,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/dataset-archives/theme/nursing-homes/nursing-homes_2025-09-24.zip","publishedAt":null,"coverageThrough":"2025-09-30","sourceRecordKey":"4ba612de232ea150d01925243622872aaf358656440aa58151a8133fc3840f9c","sourceRowSha256":null,"sourceFileSha256":"bcc8c0dce70d6fc9202e9026b1529d18f881f8a8c29ea9ab6e6ab5e1c1661e9f"},"ruleSource":{"url":"https://www.cms.gov/files/document/fy-2025-snf-vbp-program-performance-score-report-user-guide-pdf.pdf","pages":[4,14,15],"sha256":"0288409677cff5479f33dddf4f90a20711a23f39a4e602408bc268d94233974b"},"dollarsLost":null,"paymentYear":2025,"periodBasis":"PAYMENT_FISCAL_YEAR_OVERLAPS_WINDOW","appealStatus":"NOT_ESTABLISHED_FROM_THIS_SOURCE","paymentBasis":"Applicable Medicare FFS Part A SNF PPS adjusted federal per diem rate","currentAtAsOf":false,"ruleVersionId":"b3e493a4ed429ee55175d11daee7f91724a790f5be5f4cb74199939ab38ae40c","paymentPeriodEnd":"2025-09-30","paymentMultiplier":0.9805434989,"rateChangePercent":-1.94565011,"paymentPeriodStart":"2024-10-01","actualPaymentEffect":"NOT_VERIFIED"},{"note":"The published multiplier already includes the withhold and incentive adjustment. Do not subtract another 2%. This is a rate effect, not measured lost revenue or a survey penalty.","domain":"SNF_VBP","status":"REPORTED_RATE_REDUCTION","adverse":true,"ruleUrl":"https://www.cms.gov/files/document/snf-vbp-fy2026-ipm-infographic.pdf","provenance":{"factId":"50441ffe-1f65-4f35-9901-8d8ffdf52c47","releaseId":"980e699d-aec7-48ea-908c-dbb0c6b3bdd1","sourceRow":1710,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/24625f7ba546a31aafbd5057da94a0e2_1767384370/FY_2026_SNF_VBP_Facility_Performance.csv","publishedAt":"2025-12-10","coverageThrough":null,"sourceRecordKey":"c4ceb13932cc3f417e1f8a0db5a25f7d110210f46ce306505542036625f1183d","sourceRowSha256":null,"sourceFileSha256":"94e2b138d5710662e6b19efc795bd3ec49b5a3cf6627e1acdde27fd0c184a10c"},"ruleSource":{"url":"https://www.cms.gov/files/document/snf-vbp-fy2026-ipm-infographic.pdf","pages":[1,2,3],"sha256":"a2ddcad96c6cc56a0e4505fa3bd6b2cff6772d61981c4823f68ce023663868d0"},"dollarsLost":null,"paymentYear":2026,"periodBasis":"PAYMENT_FISCAL_YEAR_OVERLAPS_WINDOW","appealStatus":"NOT_ESTABLISHED_FROM_THIS_SOURCE","paymentBasis":"Applicable Medicare FFS Part A SNF PPS adjusted federal per diem rate","currentAtAsOf":false,"ruleVersionId":"9566cf55b252a7fb2ec08e8ad270c1ee1c66dc7f30afbc53eb1dadc9470f109e","paymentPeriodEnd":"2026-09-30","paymentMultiplier":0.9940592942,"rateChangePercent":-0.59407058,"paymentPeriodStart":"2025-10-01","actualPaymentEffect":"NOT_VERIFIED"}],"compliance":[{"tag":"F0554","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"00fdf42a-f837-4836-a3e4-35de2922eefc","releaseId":"54631ecd-e95e-4ff5-8cf1-c2ace324a00f","sourceRow":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/600f5d1861dd2e0280b2e961e8396245_1786724148/NH_HealthCitations_Aug2026.csv","publishedAt":"2026-08-26","coverageThrough":null,"sourceRecordKey":"8b88607f4011219de92d0a513974f9e9c999116a7bd4bbd124d3b6b9e619e3fd","sourceRowSha256":"8b88607f4011219de92d0a513974f9e9c999116a7bd4bbd124d3b6b9e619e3fd","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-09-25","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2025-10-27","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0867","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"6e0858a4-d37a-43b8-8ff8-54a3930e7e58","releaseId":"54631ecd-e95e-4ff5-8cf1-c2ace324a00f","sourceRow":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/600f5d1861dd2e0280b2e961e8396245_1786724148/NH_HealthCitations_Aug2026.csv","publishedAt":"2026-08-26","coverageThrough":null,"sourceRecordKey":"1c672ee61ff7e0ebbf3d964e14223b5269e09b17ee0ee84a2208a080002bc030","sourceRowSha256":"1c672ee61ff7e0ebbf3d964e14223b5269e09b17ee0ee84a2208a080002bc030","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-09-25","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2025-10-27","correctionStatusReported":"Deficient, Provider has date of correction"}],"reportingWindow":{"months":24,"policy":"ALF_CALENDAR_MONTHS_24_INCLUSIVE_V1","asOfDate":"2026-10-07","window_end":"2026-10-07","inclusiveEnd":true,"window_start":"2024-10-07","eventDateBasis":"survey_date; AHCA document visit_date; staffing work_date","freshnessBasis":"Source coverage dates remain independent of the reporting cutoff.","inclusiveStart":true,"rawArchiveRetention":"PRESERVE"},"qualityReportingDetermination":{"note":"No inference from deficient surveys, low quality scores, suppressed data or absent public rows.","status":"PUBLIC_LIST_STATUS_AVAILABLE_BY_FISCAL_YEAR","program":"SNF_QRP","ruleVersions":[{"sourceUrl":"https://www.cms.gov/newsroom/fact-sheets/fiscal-year-2025-skilled-nursing-facility-prospective-payment-system-final-rule-cms-1802-f","fiscalYear":2025,"effectBasis":"PERCENTAGE_POINT_REDUCTION_TO_ANNUAL_UPDATE","sourceSha256":"a7532748be0168edb58d91ed2298038542d11ca20383f27c9e34a3b6141a5215","ruleVersionId":"95ac1186e75368845a27fcaa512f34050de0ef48c8a6ec69ae4e2a6b7b972463","actualDollarsLost":null,"providerApplicability":"REQUIRES_PROGRAM_ENROLLMENT_AND_YEAR_SPECIFIC_DETERMINATION","providerDetermination":"UNKNOWN","reductionPercentagePoints":2},{"sourceUrl":"https://www.cms.gov/newsroom/fact-sheets/fy-2026-skilled-nursing-facility-snf-prospective-payment-system-final-rule-cms-1827-f","fiscalYear":2026,"effectBasis":"PERCENTAGE_POINT_REDUCTION_TO_ANNUAL_UPDATE","sourceSha256":"b22321593cc55e54b0d9ce69c9a750c22bf8141d9085f4acb0deb3e610100a62","ruleVersionId":"cb7cfbffc17b78c05deed1ddef52c5f0dc1d50353af3454b3d05ff884601ba9e","actualDollarsLost":null,"providerApplicability":"REQUIRES_PROGRAM_ENROLLMENT_AND_YEAR_SPECIFIC_DETERMINATION","providerDetermination":"UNKNOWN","reductionPercentagePoints":2}],"publishedDeterminations":[{"ccn":"105291","note":"Explicit CMS fiscal-year list membership. Exclusion is not current closure. Stand Alone is not independent ownership. No paid reduction or appeal outcome is established.","source":{"url":"https://www.cms.gov/files/document/pac-snf-fy2025-compliant-apu-1.pdf","page":122,"sha256":"d6cb3cfd070270fb61451a29878001fed600d44558e6fb208e26596fd773d140","reportedFacilityName":"LIFE CARE CENTER OF MELBOURNE"},"batchId":"34bb6ccf1824de35db183bcc524027bca88a63697b7583add103f1b5cd57dd60","program":"SNF_QRP","fiscalYear":2025,"identifierId":"04c2e272-ce0c-488a-8669-4850c0514fcd","appealOutcome":"NOT_ESTABLISHED","ruleVersionId":"95ac1186e75368845a27fcaa512f34050de0ef48c8a6ec69ae4e2a6b7b972463","exclusionFlags":null,"reportedStatus":"COMPLIANT","paymentPeriodEnd":"2025-09-30","actualDollarsLost":null,"identityEvidenceId":"b85874e2-00b6-437b-b63f-72466de79880","ownershipInference":false,"paymentPeriodStart":"2024-10-01","currentLicenseStatusInference":false},{"ccn":"105291","note":"Explicit CMS fiscal-year list membership. Exclusion is not current closure. Stand Alone is not independent ownership. No paid reduction or appeal outcome is established.","source":{"url":"https://www.cms.gov/files/document/pac-snf-fy2026-apu-compliant.pdf","page":37,"sha256":"8e3f312cbc56da6d75c7a5c22ebf1955b407493d65e8dbdf7bd4c9466b3d401e","reportedFacilityName":"LIFE CARE CENTER OF MELBOURNE"},"batchId":"c3e97159d51ca901d144cac5f20ee9aabe79717c115063ca5a72cc6f1bf26f11","program":"SNF_QRP","fiscalYear":2026,"identifierId":"04c2e272-ce0c-488a-8669-4850c0514fcd","appealOutcome":"NOT_ESTABLISHED","ruleVersionId":"cb7cfbffc17b78c05deed1ddef52c5f0dc1d50353af3454b3d05ff884601ba9e","exclusionFlags":null,"reportedStatus":"COMPLIANT","paymentPeriodEnd":"2026-09-30","actualDollarsLost":null,"identityEvidenceId":"b85874e2-00b6-437b-b63f-72466de79880","ownershipInference":false,"paymentPeriodStart":"2025-10-01","currentLicenseStatusInference":false}]}},"reportDocuments":[{"id":"9475d4db039b08a8feef57cd457a3f74e144f36f4ee23485d3dd711ac1a07ace:070604eb65266ad69c4f316db6b314b91de7bf2c9553933886384b9c0f879089","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15075838.pdf","pdfRetained":true,"reportedDate":"2025-03-06","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null}],"reportingWindow":{"months":24,"policy":"ALF_CALENDAR_MONTHS_24_INCLUSIVE_V1","asOfDate":"2026-10-07","window_end":"2026-10-07","inclusiveEnd":true,"window_start":"2024-10-07","eventDateBasis":"survey_date; AHCA document visit_date; staffing work_date","freshnessBasis":"Source coverage dates remain independent of the reporting cutoff.","inclusiveStart":true,"rawArchiveRetention":"PRESERVE"},"findingAccounting":{"basis":"SOURCE_REPORTED_CITATION_ROWS","interpretation":"Source rows may describe different findings under the same survey tag. Event/tag units cover only rows with explicit source event identifiers; neither measure is a facility count. Missing coverage is not zero deficiencies.","repeatedEventTagGroups":0,"eventIdentifiedSourceRows":0,"surveyTagUnitsWithEventId":null,"completeInspectionUniverse":false,"sourceReportedCitationRows":2,"rowsWithoutCompleteEventKey":2,"repeatedTagRowsAreNotAutomaticallyDuplicates":true},"stateLicenseStatus":"LICENSED","metadataRetrievedAt":"2026-10-07T15:13:44.817Z","dailyStaffingCoverage":[{"last_day":"2024-12-31","first_day":"2024-10-07","release_id":"7cbfe4d2-0e33-4ab0-9aea-318c3b8ef895","source_url":"https://data.cms.gov/sites/default/files/2025-04/d7c8d025-eebb-4fcf-8620-339e7cd15bae/PBJ_dailyNonnurseStaffing_CY2024Q4.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2025-04-30","reported_days":86,"staffing_kind":"NON_NURSE","artifact_sha256":"de3dff93c7a002a053e28df95ce8a548ef3b69f45010ada8f29ba0aaabeef2b6","coverage_through":"2024-12-31"},{"last_day":"2024-12-31","first_day":"2024-10-07","release_id":"ee6a58c8-d38d-4ad3-83a2-6a73a3977ec8","source_url":"https://data.cms.gov/sites/default/files/2025-04/4f8bee34-7c03-4bda-9ed9-756db4200310/PBJ_dailynursestaffing_CY2024Q4.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2025-04-30","reported_days":86,"staffing_kind":"NURSE","artifact_sha256":"1a2245928d0e71602cb4720970e76610635b48312ccb827a3bc19e649f507a65","coverage_through":"2024-12-31"},{"last_day":"2025-03-31","first_day":"2025-01-01","release_id":"2087664e-cab4-4d11-bf47-831a39c13978","source_url":"https://data.cms.gov/sites/default/files/2025-07/52c0aaa9-bbc7-4eb4-bbc1-3f1b898a8820/PBJ_dailyNonnurseStaffing_CY2025Q1.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2025-09-11","reported_days":90,"staffing_kind":"NON_NURSE","artifact_sha256":"c7059e57c6da1f9a49b5aad4b71780e8789f88facec379db220ff7723700f908","coverage_through":"2025-03-31"},{"last_day":"2025-03-31","first_day":"2025-01-01","release_id":"980abd2d-de55-4f50-8302-9232cb17ee28","source_url":"https://data.cms.gov/sites/default/files/2025-07/e8e9efa9-9498-4286-a31c-ed4e5548a30c/PBJ_dailynursestaffing_CY2025Q1.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2025-09-11","reported_days":90,"staffing_kind":"NURSE","artifact_sha256":"2c3df765aeb672de1db178a2594dd79f0d0297e8268eaebfaff8c4f519c4bf96","coverage_through":"2025-03-31"},{"last_day":"2025-06-30","first_day":"2025-04-01","release_id":"9ac920cd-af16-44b8-9dec-42bbcfc4cd2d","source_url":"https://data.cms.gov/sites/default/files/2025-10/bf94ac3d-5960-406a-bb62-91cdfda15348/PBJ_dailyNonnurseStaffing_CY2025Q2.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2025-11-20","reported_days":91,"staffing_kind":"NON_NURSE","artifact_sha256":"b9029408fc4fb17faba50d76850a1f009a2f71c88c2f366be1cd815b2d572267","coverage_through":"2025-06-30"},{"last_day":"2025-06-30","first_day":"2025-04-01","release_id":"d69305db-5393-4835-9785-b8d2849f7e45","source_url":"https://data.cms.gov/sites/default/files/2025-10/0fd38f13-e99e-4b2f-8162-50603c89966d/PBJ_dailynursestaffing_CY2025Q2.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2025-11-20","reported_days":91,"staffing_kind":"NURSE","artifact_sha256":"5c1965fc3136a30f9472bc443a30a59c237e8dd143f11e9af7eddec398d1cdf5","coverage_through":"2025-06-30"},{"last_day":"2025-09-30","first_day":"2025-07-01","release_id":"60f8ef70-ff20-413e-9f10-060c260326f8","source_url":"https://data.cms.gov/sites/default/files/2026-01/60dc7727-15d5-4425-b269-c0b4297560fd/PBJ_dailyNonnurseStaffing_CY2025Q3.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2026-02-05","reported_days":92,"staffing_kind":"NON_NURSE","artifact_sha256":"bc278a44c0fe3a1d46d080496e9f874bcb356d277b72d994c50ead8a002c62d2","coverage_through":"2025-09-30"},{"last_day":"2025-09-30","first_day":"2025-07-01","release_id":"03af6d0f-5d0f-4867-b13c-b0b9fd17dd75","source_url":"https://data.cms.gov/sites/default/files/2026-01/13db0b58-0df6-4288-8567-fc2a4f6ba415/PBJ_dailynursestaffing_CY2025Q3.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2026-02-05","reported_days":92,"staffing_kind":"NURSE","artifact_sha256":"9cc063f19283f110e6184cb2fee124fa76a2b89f646c4d90db4976139c28f3c8","coverage_through":"2025-09-30"},{"last_day":"2025-12-31","first_day":"2025-10-01","release_id":"bfbfaa27-0976-403d-bc9d-dc15d77dcb64","source_url":"https://data.cms.gov/sites/default/files/2026-04/2d661ddb-459f-48bd-b459-0a3930f66a0a/PBJ_dailyNonnurseStaffing_CY2025Q4.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2026-04-29","reported_days":92,"staffing_kind":"NON_NURSE","artifact_sha256":"761429a7bcbd9118f770ff70419da18de95be7a1ba06395d2589e4dc1c0f0d6d","coverage_through":"2025-12-31"},{"last_day":"2025-12-31","first_day":"2025-10-01","release_id":"df860084-c52d-4e39-844d-4402482334e5","source_url":"https://data.cms.gov/sites/default/files/2026-04/8f85c7d4-a1f6-4b36-ad20-17abc8aa57d2/PBJ_dailynursestaffing_CY2025Q4.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2026-04-29","reported_days":92,"staffing_kind":"NURSE","artifact_sha256":"d0423869d1e07227270d323c26e2b29fecec50a1c55f2291d0325f00c2e18571","coverage_through":"2025-12-31"},{"last_day":"2026-03-31","first_day":"2026-01-01","release_id":"5715b097-4b4c-48de-93d1-bada218b71c8","source_url":"https://data.cms.gov/sites/default/files/2026-06/461a86ca-7644-461c-b876-2f1854b3a6ce/PBJ_dailyNonnurseStaffing_CY2026Q1.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2026-07-29","reported_days":90,"staffing_kind":"NON_NURSE","artifact_sha256":"a0bf0b4dcdbed9e0b777e76ecc2b1900bcc938c5330d6b4da46783d3b743aee4","coverage_through":"2026-03-31"},{"last_day":"2026-03-31","first_day":"2026-01-01","release_id":"0a51b216-fb07-4f3f-b657-2c746738403b","source_url":"https://data.cms.gov/sites/default/files/2026-06/5c2f045b-7246-457a-9fac-c7fb92f7c352/PBJ_dailynursestaffing_CY2026Q1.csv","provider_id":"1715f7f4-81ad-41ed-bd18-b442f00180ff","published_at":"2026-07-29","reported_days":90,"staffing_kind":"NURSE","artifact_sha256":"32873501edc3383edc2177f4ada29e5f055b0d1459bea4cd0c0190e581236e1e","coverage_through":"2026-03-31"}],"cmsCertificationStatus":"Certified","enrollmentRelationships":[]}