{"zip":"33030","city":"HOMESTEAD","name":"HOMESTEAD MANOR A PALACE COMMUNITY","county":"MIAMI-DADE","address":"1330 NW 1ST AVE","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":[],"sourceUrl":"https://quality.healthfinder.fl.gov/Facility-Provider/Nursing-Home?type=1","providerId":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","identifier_value":"111319"},{"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":"1986-11-01","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","identifier_value":"105541"}],"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":"5% OR GREATER DIRECT OWNERSHIP INTEREST","ownerName":"SHAHAM, JACOB","ownerType":"Individual","associationDateReported":"since 11/01/2011","ownershipPercentageReported":"50%"},"domain":"OWNERSHIP","fact_id":"ff3398ad-4173-4aa8-8aaf-c268ef0df71f","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31829,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"bf056bd7a8a9e3c3e029d8270783f92cbbd1cd3848ab4acccbea4e38e68b24a9"},{"fact":{"role":"DIRECT OWNERSHIP INTEREST","ownerName":"SHAHAM, HELEN","ownerType":"Individual","associationDateReported":"since 11/01/2011","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"1d409e57-b29b-4b62-9e76-13ba46d56558","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31830,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"e549ea2f96f78fddcd12983e2f32738197c1ace481b75bc1b2bb091f4600819f"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"PROFESSIONAL CARE I, INC.","ownerType":"Organization","associationDateReported":"since 11/01/2011","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"85308031-cccb-4b7f-8a5b-510a596b1a29","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31831,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"86c1424770aab08a4bb74190b6d31de30bdfd894be52ce6955e25fa0083de365"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"JAEGER, ROBERT","ownerType":"Individual","associationDateReported":"since 11/01/2011","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"4d871bfa-6176-4230-8e65-4e5b1b1fc91c","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31832,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"0eb457ea33111dae6a601c62eef92d0618ba16d70ca0012260ccc4c548df1789"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"RUIZ, OSCAR","ownerType":"Individual","associationDateReported":"since 11/01/2011","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"8350a1d4-4e4c-421b-955e-7a4677f00199","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31833,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"74b413a82898941d2f99226835903a52192558b82e98cc9931da4f19216da192"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"SALEH, OSAMA","ownerType":"Individual","associationDateReported":"since 12/15/2017","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"23fea0cf-a0e0-4fee-929d-ab97db72b2ad","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31834,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"d8e4f8c35e3e240b59c684adf361d1a12a73b8891ae9d01211829b99c9f924d8"},{"fact":{"role":"ADP OF THE SNF","ownerName":"PROFESSIONAL CARE I, INC.","ownerType":"Organization","associationDateReported":"since 09/08/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"83182c7e-894f-4171-a0f1-2e24cdcbe4d8","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31835,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"f3d1cbc263f7049615c6c3bac83e421ff418d7910dcda0325d4365c86dc33b3c"},{"fact":{"role":"ADP OF THE SNF","ownerName":"JAEGER, ROBERT","ownerType":"Individual","associationDateReported":"since 11/01/2011","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"d23d61a8-10d1-44ce-b918-af54272a6f27","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31836,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"8d586948e87ef5680ed38ada9e459786aefd099508622e171b91cf46b3ee1b2e"},{"fact":{"role":"ADP OF THE SNF","ownerName":"RUIZ, OSCAR","ownerType":"Individual","associationDateReported":"since 11/01/2011","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"56801a88-3cb5-4355-a534-164af8d1e956","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31837,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"1507970989c6c2ce4ede39f5ee96762e5fbe145fcc6c81c9420eddcec911f3cd"},{"fact":{"role":"ADP OF THE SNF","ownerName":"SALEH, OSAMA","ownerType":"Individual","associationDateReported":"since 12/15/2017","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"3ec9adaa-6977-402f-a2e7-cacc582fd65c","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31838,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"53f2f4a07a5f4f22528a428f40e39ad2094e0338f3f5cf75b5f0bbbc8c49614a"},{"fact":{"role":"ADP OF THE SNF","ownerName":"SHAHAM, HELEN","ownerType":"Individual","associationDateReported":"since 11/01/2011","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"0a77b8c6-2519-4e78-ab6d-cf343a0149f3","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31839,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"aca43137b5dd93fd122bcd1715d9c30f8db3bb5d56cdbbfec6966103f81ae456"},{"fact":{"role":"ADP OF THE SNF","ownerName":"SHAHAM, JACOB","ownerType":"Individual","associationDateReported":"since 11/01/2011","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"eef6a407-6185-4931-bf30-40118422d3f2","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31840,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"c3f898d48d6b5a3c14cc59ba97ec45bd92141b2677e1c65093d49a7bd5b67a9b"},{"fact":{"note":"CMS program multiplier; no dollar loss calculated. Measure periods and footnotes remain in source column labels.","fiscalYear":2026,"paymentMultiplier":0.9911745341,"reportedPerformance":{"State":"FL","ZIP Code":"33030","City/Town":"HOMESTEAD","_sourceRow":1893,"Provider Name":"HOMESTEAD MANOR A PALACE COMMUNITY","Provider Address":"1330 NW 1ST AVE","Performance Score":"38.04324","SNFRM Measure Score":"---","SNF HAI Measure Score":"---","SNF VBP Program Ranking":"4937","SNFRM Achievement Score":"---","SNFRM Improvement Score":"---","SNF HAI Achievement Score":"---","SNF HAI Improvement Score":"---","Incentive Payment Multiplier":"0.9911745341","CMS Certification Number (CCN)":"105541","Footnote -- SNFRM Measure Score":"This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.","Footnote -- SNF HAI Measure Score":"This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.","Total Nurse Staffing Measure Score":"2.00822","Footnote -- SNFRM Achievement Score":"This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.","Footnote -- SNFRM Improvement Score":"This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.","Footnote -- SNF HAI Achievement Score":"This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.","Footnote -- SNF HAI Improvement Score":"This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.","Total Nurse Staffing Achievement Score":"2.00822","Total Nurse Staffing Improvement Score":"0.00000","Total Nursing Staff Turnover Measure Score":"5.60042","Footnote -- Total Nurse Staffing Measure Score":"---","Total Nursing Staff Turnover Achievement Score":"5.60042","Total Nursing Staff Turnover Improvement Score":"0.00000","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":"0.40594","Footnote -- Total Nursing Staff Turnover Achievement Score":"---","Footnote -- Total Nursing Staff Turnover Improvement Score":"---","Baseline Period: FY 2022 Risk-Standardized Readmission Rate":"---","Performance Period: FY 2024 Total Nursing Staff Turnover Rate":"0.40789","Performance Period: FY 2024 Risk-Standardized Readmission Rate":"---","Footnote -- Baseline Period: FY 2022 Total Nursing Staff Turnover Rate":"---","Footnote -- Baseline Period: FY 2022 Risk-Standardized Readmission Rate":"This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.","Footnote -- Performance Period: FY 2024 Total Nursing Staff Turnover Rate":"---","Footnote -- Performance Period: FY 2024 Risk-Standardized Readmission Rate":"This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.","Baseline Period: FY 2022 Adjusted Total Nursing Staff Hours per Resident Day":"4.14013","Baseline Period: FY 2022 Risk-Standardized Healthcare-Associated Infection Rate":"---","Performance Period: FY 2024 Adjusted Total Nursing Staff Hours per Resident Day":"3.64905","Performance Period: FY 2024 Risk-Standardized Healthcare-Associated Infection Rate":"---","Footnote -- Baseline Period: FY 2022 Adjusted Total Nursing Staff Hours per Resident Day":"---","Footnote -- Baseline Period: FY 2022 Risk-Standardized Healthcare-Associated Infection Rate":"This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.","Footnote -- Performance Period: FY 2024 Adjusted Total Nursing Staff Hours per Resident Day":"---","Footnote -- Performance Period: FY 2024 Risk-Standardized Healthcare-Associated Infection Rate":"This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported."}},"domain":"SNF_VBP","fact_id":"d26d26b5-6927-453c-ae55-8d1b90cd0394","release_id":"980e699d-aec7-48ea-908c-dbb0c6b3bdd1","source_row":1893,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/24625f7ba546a31aafbd5057da94a0e2_1767384370/FY_2026_SNF_VBP_Facility_Performance.csv","provider_id":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2025-12-10","artifact_sha256":"94e2b138d5710662e6b19efc795bd3ec49b5a3cf6627e1acdde27fd0c184a10c","coverage_through":null,"source_record_key":"c4e29f0c52d186083d00b5e900a75ec0a2255d169ba0004291ffb36e4328ff65"}],"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":"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":"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":null,"domain":"CMS_RATING","missing":"Not supplied in source","footnote":"2","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":"2.50837","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":"0.53299","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":"0.78398","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":"3.82535","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":"88","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":0,"actualHarmRows":0,"reportedFineRows":0,"rateReductionYears":[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/snf-vbp-fy2026-ipm-infographic.pdf","provenance":{"factId":"d26d26b5-6927-453c-ae55-8d1b90cd0394","releaseId":"980e699d-aec7-48ea-908c-dbb0c6b3bdd1","sourceRow":1893,"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":"c4e29f0c52d186083d00b5e900a75ec0a2255d169ba0004291ffb36e4328ff65","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":0.9911745341,"rateChangePercent":-0.88254659,"paymentPeriodStart":"2025-10-01","actualPaymentEffect":"NOT_VERIFIED"}],"compliance":[],"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":"105541","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":119,"sha256":"d6cb3cfd070270fb61451a29878001fed600d44558e6fb208e26596fd773d140","reportedFacilityName":"HOMESTEAD MANOR A PALACE COMMUNITY"},"batchId":"34bb6ccf1824de35db183bcc524027bca88a63697b7583add103f1b5cd57dd60","program":"SNF_QRP","fiscalYear":2025,"identifierId":"4f8e05f0-0608-4ecc-b2a1-f24f779d16f5","appealOutcome":"NOT_ESTABLISHED","ruleVersionId":"95ac1186e75368845a27fcaa512f34050de0ef48c8a6ec69ae4e2a6b7b972463","exclusionFlags":null,"reportedStatus":"COMPLIANT","paymentPeriodEnd":"2025-09-30","actualDollarsLost":null,"identityEvidenceId":"ce51bf91-ca18-43bf-968e-92cf59305f51","ownershipInference":false,"paymentPeriodStart":"2024-10-01","currentLicenseStatusInference":false},{"ccn":"105541","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":36,"sha256":"8e3f312cbc56da6d75c7a5c22ebf1955b407493d65e8dbdf7bd4c9466b3d401e","reportedFacilityName":"HOMESTEAD MANOR A PALACE COMMUNITY"},"batchId":"c3e97159d51ca901d144cac5f20ee9aabe79717c115063ca5a72cc6f1bf26f11","program":"SNF_QRP","fiscalYear":2026,"identifierId":"4f8e05f0-0608-4ecc-b2a1-f24f779d16f5","appealOutcome":"NOT_ESTABLISHED","ruleVersionId":"cb7cfbffc17b78c05deed1ddef52c5f0dc1d50353af3454b3d05ff884601ba9e","exclusionFlags":null,"reportedStatus":"COMPLIANT","paymentPeriodEnd":"2026-09-30","actualDollarsLost":null,"identityEvidenceId":"ce51bf91-ca18-43bf-968e-92cf59305f51","ownershipInference":false,"paymentPeriodStart":"2025-10-01","currentLicenseStatusInference":false}]}},"reportDocuments":[{"id":"2c1b3f1204cb1559092ccfede29f05e7a452e181e58281628dfe32f3be40e14c:acccef643aca8a329c2c3033f865448115da16cda9958d49c4b2b1271a78ea3f","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15856148.pdf","pdfRetained":true,"reportedDate":"2026-01-15","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"b45ca1fa8294830eac9f58f00aedfcbebd4c30addbaa6c6e19c1f2cb7830b847:fb8bc8785f89c5fac9db8803f4f1b81ef75ad1021ec4c7d35fd63b3cfa704d99","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15856278.pdf","pdfRetained":true,"reportedDate":"2026-01-15","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"be7e3298ad99333abf22738334ad4296cdf1a480f3a19ac5b76b13cee57bf3d8:84d2e8dc4ecc2273dc79bc0afb3afb015736ffc82dc297b0468005d327680e43","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/14837938.pdf","pdfRetained":true,"reportedDate":"2025-02-05","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"15f758e66203b7cac61cf15ebe0a3625bf92d8a2053e76eec040189210b9b08c:f4984d44dad81d6de1cddf33422313af6ac343b5ca376a72aba40476b0da4357","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/14703568.pdf","pdfRetained":true,"reportedDate":"2024-12-04","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":0,"rowsWithoutCompleteEventKey":0,"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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","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":"4420dd1d-bf5b-404c-a204-f1ae4fd578c7","published_at":"2026-07-29","reported_days":90,"staffing_kind":"NURSE","artifact_sha256":"32873501edc3383edc2177f4ada29e5f055b0d1459bea4cd0c0190e581236e1e","coverage_through":"2026-03-31"}],"cmsCertificationStatus":"Certified","enrollmentRelationships":[]}