{"zip":"32110","city":"BUNNELL","name":"FLAGLER HEALTH AND REHABILITATION CENTER","county":"FLAGLER","address":"300 DR CARTER BOULEVARD","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":"E0042","dataset_id":"ifjz-ge4w","release_id":"26a7688c-e2d2-4f49-8418-9808beb656cc","source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/3d8cda3e909d835f20cecf639d7e21ad_1786724148/NH_FireSafetyCitations_Aug2026.csv","citation_id":"761c1315-6315-428b-99fc-1d71234e2a00","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","survey_type":"Fire Safety","surveyed_by":null,"published_at":"2026-08-26","citation_level":null,"dispute_status":{"IDR":"N","IIDR":"N"},"scope_severity":"D","correction_date":"2026-01-02","survey_event_id":null,"cited_regulation":null,"coverage_through":null,"correction_status":"Deficient, Provider has date of correction","first_observed_at":"2026-09-18T22:05:12.518Z","source_record_key":"0d1f2c8851c8ba9dd336392da89a562ea67443feec89b354f9863364fac22fa3","source_row_sha256":"0d1f2c8851c8ba9dd336392da89a562ea67443feec89b354f9863364fac22fa3","immediate_jeopardy":null,"source_file_sha256":"2ad5bba98f77c3d6c982f4367823a328cc2da441e9ac4954fbaad50e89926cb4","survey_visit_number":null,"regulatory_namespace":"CMS:NH:E","requirement_description":"Meet the requirements of an integrated health system."},{"tag":"F0677","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":"c75ec182-0d66-42ae-85a5-9f66546c6bf6","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","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":"2026-01-02","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":"d1311c34d6db0f295cf1f097d5af9ce5c9ed14c3edfa5a579f380faf8f9c28d0","source_row_sha256":"d1311c34d6db0f295cf1f097d5af9ce5c9ed14c3edfa5a579f380faf8f9c28d0","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Provide care and assistance to perform activities of daily living for any resident who is unable."},{"tag":"F0684","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":"10381111-959b-48f0-94b6-b48bb0545c11","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","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":"2026-01-02","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":"c31b1375767a7e442a17807fd34bbca429cb55ce4eb3f2f5289c0dc3327a8624","source_row_sha256":"c31b1375767a7e442a17807fd34bbca429cb55ce4eb3f2f5289c0dc3327a8624","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Provide appropriate treatment and care according to orders, resident’s preferences and goals."},{"tag":"F0695","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":"458631cc-4042-4072-bd2c-4ca55e42b0b4","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","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":"2026-01-02","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":"3d1e9b22288b97e170ff6c0d03bdb9e00c214fb8b669f98db202bc0cd744ff86","source_row_sha256":"3d1e9b22288b97e170ff6c0d03bdb9e00c214fb8b669f98db202bc0cd744ff86","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Provide safe and appropriate respiratory care for a resident when needed."},{"tag":"F0727","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":"de427751-0a1e-4131-a30f-bff94c5b910c","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","survey_type":"Health","surveyed_by":null,"published_at":"2026-08-26","citation_level":null,"dispute_status":{"IDR":"N","IIDR":"N"},"scope_severity":"F","correction_date":"2026-01-02","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":"64b639b86e481b2db81f92a396eabbabe5c0d359cedb2da67ef90e386bf7a020","source_row_sha256":"64b639b86e481b2db81f92a396eabbabe5c0d359cedb2da67ef90e386bf7a020","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Have a registered nurse on duty 8 hours a day; and  select a registered nurse to be the director of nurses on a full time basis."},{"tag":"F0755","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":"bbe3fb50-32da-4bae-a450-f48ec963ffda","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","survey_type":"Health","surveyed_by":null,"published_at":"2026-08-26","citation_level":null,"dispute_status":{"IDR":"N","IIDR":"N"},"scope_severity":"E","correction_date":"2026-01-02","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":"281b0e39dc9972a97eae00385ee8d9d4a924dba138e0c6163e03f6a259c3ede5","source_row_sha256":"281b0e39dc9972a97eae00385ee8d9d4a924dba138e0c6163e03f6a259c3ede5","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."},{"tag":"F0757","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":"bf84dacd-1eba-44fe-b059-57bb425cb27e","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","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":"2026-01-02","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":"db6c03b94e7f3ae6ca7e7a1b3e885abc5d948a2688e8141f436c7ba028c806fe","source_row_sha256":"db6c03b94e7f3ae6ca7e7a1b3e885abc5d948a2688e8141f436c7ba028c806fe","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Ensure each resident’s drug regimen must be free from unnecessary drugs."},{"tag":"F0812","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":"65d52b57-445d-4d1d-af82-94ce7013742e","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","survey_type":"Health","surveyed_by":null,"published_at":"2026-08-26","citation_level":null,"dispute_status":{"IDR":"N","IIDR":"N"},"scope_severity":"F","correction_date":"2026-01-02","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":"149295a01261165e2a421a10fc0105d8c239af2990171a78087667450527feeb","source_row_sha256":"149295a01261165e2a421a10fc0105d8c239af2990171a78087667450527feeb","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."},{"tag":"F0814","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":"91b0ea3a-20ee-4fae-9ef8-2cca3a8c49c8","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","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":"2026-01-02","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":"1a6650464a33e1ca20a1823ef82b9bf253897fd5124e7806cc797a85f6fdf857","source_row_sha256":"1a6650464a33e1ca20a1823ef82b9bf253897fd5124e7806cc797a85f6fdf857","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Dispose of garbage and refuse properly."},{"tag":"F0880","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":"a3d9524c-4eec-4ce2-a74d-08edd3c9143c","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","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":"2026-01-02","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":"0f3666f70430810b183854b2e88805c20d89980faa1ee54511a1f6f6623bf12f","source_row_sha256":"0f3666f70430810b183854b2e88805c20d89980faa1ee54511a1f6f6623bf12f","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Provide and implement an infection prevention and control program."},{"tag":"K0363","dataset_id":"ifjz-ge4w","release_id":"26a7688c-e2d2-4f49-8418-9808beb656cc","source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/3d8cda3e909d835f20cecf639d7e21ad_1786724148/NH_FireSafetyCitations_Aug2026.csv","citation_id":"8a30e4ea-b8db-4021-b7c2-de6dd5c326d5","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","survey_type":"Fire Safety","surveyed_by":null,"published_at":"2026-08-26","citation_level":null,"dispute_status":{"IDR":"N","IIDR":"N"},"scope_severity":"D","correction_date":"2026-01-02","survey_event_id":null,"cited_regulation":null,"coverage_through":null,"correction_status":"Deficient, Provider has date of correction","first_observed_at":"2026-09-18T22:05:12.518Z","source_record_key":"37ef8f52399ce0ae3edb00ecc86af427310306ecd8f358aff7fd5a5d122a6a88","source_row_sha256":"37ef8f52399ce0ae3edb00ecc86af427310306ecd8f358aff7fd5a5d122a6a88","immediate_jeopardy":null,"source_file_sha256":"2ad5bba98f77c3d6c982f4367823a328cc2da441e9ac4954fbaad50e89926cb4","survey_visit_number":null,"regulatory_namespace":"CMS:NH:K","requirement_description":"Install corridor and hallway doors that block smoke."},{"tag":"K0918","dataset_id":"ifjz-ge4w","release_id":"26a7688c-e2d2-4f49-8418-9808beb656cc","source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/3d8cda3e909d835f20cecf639d7e21ad_1786724148/NH_FireSafetyCitations_Aug2026.csv","citation_id":"4d89d999-7e73-4b26-ad39-d5f73e7fcdec","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","survey_date":"2025-12-04","survey_type":"Fire Safety","surveyed_by":null,"published_at":"2026-08-26","citation_level":null,"dispute_status":{"IDR":"N","IIDR":"N"},"scope_severity":"D","correction_date":"2026-01-02","survey_event_id":null,"cited_regulation":null,"coverage_through":null,"correction_status":"Deficient, Provider has date of correction","first_observed_at":"2026-09-18T22:05:12.518Z","source_record_key":"10dc04ba5f46c992d71aeb4cfa780a563a696f1f57431334f3d17d9046e52fd0","source_row_sha256":"10dc04ba5f46c992d71aeb4cfa780a563a696f1f57431334f3d17d9046e52fd0","immediate_jeopardy":null,"source_file_sha256":"2ad5bba98f77c3d6c982f4367823a328cc2da441e9ac4954fbaad50e89926cb4","survey_visit_number":null,"regulatory_namespace":"CMS:NH:K","requirement_description":"Have generator or other power source capable of supplying service within 10 seconds."}],"sourceUrl":"https://quality.healthfinder.fl.gov/Facility-Provider/Nursing-Home?type=1","providerId":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","identifier_value":"41801"},{"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":"1986-05-01","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","identifier_value":"105547"}],"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":"FLAGLER PINES OPERATIONS HOLDINGS LLC","ownerType":"Organization","associationDateReported":"since 08/13/2020","ownershipPercentageReported":"100%"},"domain":"OWNERSHIP","fact_id":"be307d17-85b4-4dfa-8245-125ccc31b476","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31874,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"1d6538ddff78e4132aa560c0c0ecb1b70914deea92acb7d453455684abfec3c1"},{"fact":{"role":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","ownerName":"BLUE SPRING HEALTHCARE PARTNERS LLC","ownerType":"Organization","associationDateReported":"since 08/13/2020","ownershipPercentageReported":"100%"},"domain":"OWNERSHIP","fact_id":"4d8d4d0d-dbc7-4d24-a75e-51ea950e4db2","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31875,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"d556d1c6191ef111b61e9086c4ea1073de4ccb5ff124bbcb0a9a8a31564ad28a"},{"fact":{"role":"INDIRECT OWNERSHIP INTEREST","ownerName":"FRIEDMAN, LEOPOLD","ownerType":"Individual","associationDateReported":"since 01/01/2026","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"4b36de3f-2484-4928-9324-2ef97588b757","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31876,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"eecffe3917ec0dd0934c5218aa46bbe45d007fac41d6061a3d4d01718ec6629b"},{"fact":{"role":"INDIRECT OWNERSHIP INTEREST","ownerName":"GUTMAN, SAMUEL","ownerType":"Individual","associationDateReported":"since 08/13/2020","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"8643a22d-cbaf-40ec-8b99-1bb9924d7ab2","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31877,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"e90b9a7ec638e0a13b6fd6696d1c6a2de0660a16c82a062e62739c2813eb6e0b"},{"fact":{"role":"CORPORATE OFFICER","ownerName":"WILDES, DONNA","ownerType":"Individual","associationDateReported":"since 08/28/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"b5f94d43-4bef-4de6-87a3-9cf2a8a4f4c1","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31878,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"f4abda5ac7bc5d0aa8d9132a51a94b7cd9abf378f1042737d1f9e898479a01ba"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"CANIDATE, DELANA","ownerType":"Individual","associationDateReported":"since 06/09/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"53b8ae66-ed76-4fe2-87f1-d1e4517c2894","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31879,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"0dbef7919466128a53a2a8ff7b60d97135cabd9d5efa1cb01c99230afe153d12"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"JARDINE, TAMMY","ownerType":"Individual","associationDateReported":"since 11/03/2020","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"471ce1f4-e39e-4758-a77f-36bbcc153f02","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31880,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"0950b4cc82ec93a67243dbced77aae2b0f94dbaf4da3cfceae8a7d8135158eed"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"MARTINEZ IRIZARRY, AXEL","ownerType":"Individual","associationDateReported":"since 04/01/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"bef82e25-9c83-44d2-a669-dcd11910aff3","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31881,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"626c05996548c68e2314318e4caded6bb1283e235ecd08656d5ab1ce0d7fef55"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"WILDES, DONNA","ownerType":"Individual","associationDateReported":"since 08/28/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"c864df6e-5ff2-4eb8-9edd-f220bf596419","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31882,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"98f97f9488b32aaaa96417d56a2316ca733ae15c83903d3cb32c91c0aa81b9ba"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"WOTHERS, EILEEN","ownerType":"Individual","associationDateReported":"since 04/29/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"1d4f5df5-63ad-4728-b195-36a4d991f497","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31883,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"350db54c06425087de853e5a85f6f3434515b0658440fbd4785a38cc48d214e4"},{"fact":{"role":"ADP OF THE SNF","ownerName":"ASTON HEALTHCARE LLC","ownerType":"Organization","associationDateReported":"since 01/01/2022","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"2a102b83-9cab-4527-908f-b96e0928a0de","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31884,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"9c431d47176e31731682df4a7a79347c8badb35801b8c13abaf3903ad1ee3e49"},{"fact":{"role":"ADP OF THE SNF","ownerName":"CANIDATE, DELANA","ownerType":"Individual","associationDateReported":"since 10/08/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"dc924d17-82ae-464f-aebd-4d3d2f122167","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31885,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"92dc1650cd5bb1f89a045c6f2dba4f38d61222ec964656e8a943ba3f470faa64"},{"fact":{"role":"ADP OF THE SNF","ownerName":"MARTINEZ IRIZARRY, AXEL","ownerType":"Individual","associationDateReported":"since 10/08/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"efd75d5d-1a4d-4fc7-b233-6581c8dc1ec7","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31886,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"414801db8dfed464b8fe2f806f149d725ec8af8f25e82dbdb958c63fc322de03"},{"fact":{"role":"ADP OF THE SNF","ownerName":"WILDES, DONNA","ownerType":"Individual","associationDateReported":"since 08/28/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"9ffae7bb-4e30-4d53-9dc9-92b9f747223f","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":31887,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"6d5171a36005b5a3539a0072b0dbcabca2775d4e249fc366909842bc946c1696"},{"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":1.0126239285,"reportedPerformance":{"State":"FL","ZIP Code":"32110","City/Town":"BUNNELL","_sourceRow":1558,"Provider Name":"FLAGLER HEALTH AND REHABILITATION CENTER","Provider Address":"300 DR CARTER BOULEVARD","Achievement Score":"67.44898","Improvement Score":"0.00000","Performance Score":"67.44898","SNF VBP Program Ranking":"1549","Incentive Payment Multiplier":"1.0126239285","Footnote -- Achievement Score":"","Footnote -- Improvement Score":"","Footnote -- Performance Score":"","CMS Certification Number (CCN)":"105547","Footnote -- SNF VBP Program Ranking":"","Footnote -- Incentive Payment Multiplier":"","Baseline Period: FY 2019 Risk-Standardized Readmission Rate":"0.17465","Performance Period: FY 2023 Risk-Standardized Readmission Rate":"0.18243","Footnote -- Baseline Period: FY 2019 Risk-Standardized Readmission Rate":"","Footnote -- Performance Period: FY 2023 Risk-Standardized Readmission Rate":""}},"domain":"SNF_VBP","fact_id":"62e495fb-c994-4c9f-ba96-626c43869f01","release_id":"3bf7d456-12b5-4966-8630-423665447452","source_row":1558,"source_url":"https://data.cms.gov/provider-data/sites/default/files/dataset-archives/theme/nursing-homes/nursing-homes_2025-09-24.zip","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":null,"artifact_sha256":"bcc8c0dce70d6fc9202e9026b1529d18f881f8a8c29ea9ab6e6ab5e1c1661e9f","coverage_through":"2025-09-30","source_record_key":"71f716fe6908051e9e814a0b8e773e4340848ed173b4c3b91c1d7883030fd48b"},{"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":1.0014474458,"reportedPerformance":{"State":"FL","ZIP Code":"32110","City/Town":"BUNNELL","_sourceRow":1564,"Provider Name":"FLAGLER HEALTH AND REHABILITATION CENTER","Provider Address":"300 DR CARTER BOULEVARD","Achievement Score":"52.63158","Improvement Score":"0.00000","Performance Score":"52.63158","SNF VBP Program Ranking":"2933","Incentive Payment Multiplier":"1.0014474458","Footnote -- Achievement Score":"","Footnote -- Improvement Score":"","Footnote -- Performance Score":"","CMS Certification Number (CCN)":"105547","Footnote -- SNF VBP Program Ranking":"","Footnote -- Incentive Payment Multiplier":"","Baseline Period: FY 2019 Risk-Standardized Readmission Rate":"0.17389","Performance Period: FY 2022 Risk-Standardized Readmission Rate":"0.18738","Footnote -- Baseline Period: FY 2019 Risk-Standardized Readmission Rate":"","Footnote -- Performance Period: FY 2022 Risk-Standardized Readmission Rate":""}},"domain":"SNF_VBP","fact_id":"01aebba1-beef-4a7a-a759-357962046270","release_id":"19e5508e-d868-455c-b048-45861377564a","source_row":1564,"source_url":"https://data.cms.gov/provider-data/sites/default/files/dataset-archives/theme/nursing-homes/nursing-homes_2024-09-26.zip","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":null,"artifact_sha256":"ef8df94b92175c4bf3087c25692e76694866b3b32c3cab939296c741ccf2ff5b","coverage_through":"2024-09-30","source_record_key":"587a51d5bab7ec97881d7810ba123934193f8c74b8719f16d9c2e18dfd975eea"},{"fact":{"note":"CMS program multiplier; no dollar loss calculated. Measure periods and footnotes remain in source column labels.","fiscalYear":2026,"paymentMultiplier":0.9839863848,"reportedPerformance":{"State":"FL","ZIP Code":"32110","City/Town":"BUNNELL","_sourceRow":1897,"Provider Name":"FLAGLER HEALTH AND REHABILITATION CENTER","Provider Address":"300 DR CARTER BOULEVARD","Performance Score":"25.95771","SNFRM Measure Score":"6.78770","SNF HAI Measure Score":"2.21700","SNF VBP Program Ranking":"8692","SNFRM Achievement Score":"6.78770","SNFRM Improvement Score":"2.14052","SNF HAI Achievement Score":"2.21700","SNF HAI Improvement Score":"0.00000","Incentive Payment Multiplier":"0.9839863848","CMS Certification Number (CCN)":"105547","Footnote -- SNFRM Measure Score":"---","Footnote -- SNF HAI Measure Score":"---","Total Nurse Staffing Measure Score":"1.37839","Footnote -- SNFRM Achievement Score":"---","Footnote -- SNFRM Improvement Score":"---","Footnote -- SNF HAI Achievement Score":"---","Footnote -- SNF HAI Improvement Score":"---","Total Nurse Staffing Achievement Score":"1.37839","Total Nurse Staffing Improvement Score":"0.00000","Total Nursing Staff Turnover Measure Score":"0.00000","Footnote -- Total Nurse Staffing Measure Score":"---","Total Nursing Staff Turnover Achievement Score":"0.00000","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":"0.64078","Footnote -- Total Nursing Staff Turnover Achievement Score":"---","Footnote -- Total Nursing Staff Turnover Improvement Score":"---","Baseline Period: FY 2022 Risk-Standardized Readmission Rate":"0.18737","Performance Period: FY 2024 Total Nursing Staff Turnover Rate":"0.72656","Performance Period: FY 2024 Risk-Standardized Readmission Rate":"0.18286","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":"3.83140","Baseline Period: FY 2022 Risk-Standardized Healthcare-Associated Infection Rate":"0.07152","Performance Period: FY 2024 Adjusted Total Nursing Staff Hours per Resident Day":"3.46982","Performance Period: FY 2024 Risk-Standardized Healthcare-Associated Infection Rate":"0.07172","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":"9139fcca-b7f1-4bc1-8cf2-e08a4ba7f6f2","release_id":"980e699d-aec7-48ea-908c-dbb0c6b3bdd1","source_row":1897,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/24625f7ba546a31aafbd5057da94a0e2_1767384370/FY_2026_SNF_VBP_Facility_Performance.csv","provider_id":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2025-12-10","artifact_sha256":"94e2b138d5710662e6b19efc795bd3ec49b5a3cf6627e1acdde27fd0c184a10c","coverage_through":null,"source_record_key":"eb4b5b3e7d92f0dd3396076bab4e376ab5d62301097633f6fd0f2591691f2173"}],"metadataAsOf":"2026-10-07","observations":[{"code":"Overall Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"2","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":"2","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":"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":"Staffing Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"1","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":"2.07398","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":"0.78556","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":"0.49009","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":"3.34963","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":12,"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_INCREASE","adverse":false,"ruleUrl":"https://www.cms.gov/files/document/fy-2025-snf-vbp-program-performance-score-report-user-guide-pdf.pdf","provenance":{"factId":"62e495fb-c994-4c9f-ba96-626c43869f01","releaseId":"3bf7d456-12b5-4966-8630-423665447452","sourceRow":1558,"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":"71f716fe6908051e9e814a0b8e773e4340848ed173b4c3b91c1d7883030fd48b","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":1.0126239285,"rateChangePercent":1.26239285,"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":"9139fcca-b7f1-4bc1-8cf2-e08a4ba7f6f2","releaseId":"980e699d-aec7-48ea-908c-dbb0c6b3bdd1","sourceRow":1897,"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":"eb4b5b3e7d92f0dd3396076bab4e376ab5d62301097633f6fd0f2591691f2173","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":0.9839863848,"rateChangePercent":-1.60136152,"paymentPeriodStart":"2025-10-01","actualPaymentEffect":"NOT_VERIFIED"}],"compliance":[{"tag":"E0042","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"761c1315-6315-428b-99fc-1d71234e2a00","releaseId":"26a7688c-e2d2-4f49-8418-9808beb656cc","sourceRow":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/3d8cda3e909d835f20cecf639d7e21ad_1786724148/NH_FireSafetyCitations_Aug2026.csv","publishedAt":"2026-08-26","coverageThrough":null,"sourceRecordKey":"0d1f2c8851c8ba9dd336392da89a562ea67443feec89b354f9863364fac22fa3","sourceRowSha256":"0d1f2c8851c8ba9dd336392da89a562ea67443feec89b354f9863364fac22fa3","sourceFileSha256":"2ad5bba98f77c3d6c982f4367823a328cc2da441e9ac4954fbaad50e89926cb4"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:E","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0677","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"c75ec182-0d66-42ae-85a5-9f66546c6bf6","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":"d1311c34d6db0f295cf1f097d5af9ce5c9ed14c3edfa5a579f380faf8f9c28d0","sourceRowSha256":"d1311c34d6db0f295cf1f097d5af9ce5c9ed14c3edfa5a579f380faf8f9c28d0","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0684","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"10381111-959b-48f0-94b6-b48bb0545c11","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":"c31b1375767a7e442a17807fd34bbca429cb55ce4eb3f2f5289c0dc3327a8624","sourceRowSha256":"c31b1375767a7e442a17807fd34bbca429cb55ce4eb3f2f5289c0dc3327a8624","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0695","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"458631cc-4042-4072-bd2c-4ca55e42b0b4","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":"3d1e9b22288b97e170ff6c0d03bdb9e00c214fb8b669f98db202bc0cd744ff86","sourceRowSha256":"3d1e9b22288b97e170ff6c0d03bdb9e00c214fb8b669f98db202bc0cd744ff86","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0727","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"de427751-0a1e-4131-a30f-bff94c5b910c","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":"64b639b86e481b2db81f92a396eabbabe5c0d359cedb2da67ef90e386bf7a020","sourceRowSha256":"64b639b86e481b2db81f92a396eabbabe5c0d359cedb2da67ef90e386bf7a020","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"F","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0755","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"bbe3fb50-32da-4bae-a450-f48ec963ffda","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":"281b0e39dc9972a97eae00385ee8d9d4a924dba138e0c6163e03f6a259c3ede5","sourceRowSha256":"281b0e39dc9972a97eae00385ee8d9d4a924dba138e0c6163e03f6a259c3ede5","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"E","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0757","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"bf84dacd-1eba-44fe-b059-57bb425cb27e","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":"db6c03b94e7f3ae6ca7e7a1b3e885abc5d948a2688e8141f436c7ba028c806fe","sourceRowSha256":"db6c03b94e7f3ae6ca7e7a1b3e885abc5d948a2688e8141f436c7ba028c806fe","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0812","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"65d52b57-445d-4d1d-af82-94ce7013742e","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":"149295a01261165e2a421a10fc0105d8c239af2990171a78087667450527feeb","sourceRowSha256":"149295a01261165e2a421a10fc0105d8c239af2990171a78087667450527feeb","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"F","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0814","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"91b0ea3a-20ee-4fae-9ef8-2cca3a8c49c8","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":"1a6650464a33e1ca20a1823ef82b9bf253897fd5124e7806cc797a85f6fdf857","sourceRowSha256":"1a6650464a33e1ca20a1823ef82b9bf253897fd5124e7806cc797a85f6fdf857","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0880","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"a3d9524c-4eec-4ce2-a74d-08edd3c9143c","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":"0f3666f70430810b183854b2e88805c20d89980faa1ee54511a1f6f6623bf12f","sourceRowSha256":"0f3666f70430810b183854b2e88805c20d89980faa1ee54511a1f6f6623bf12f","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"K0363","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"8a30e4ea-b8db-4021-b7c2-de6dd5c326d5","releaseId":"26a7688c-e2d2-4f49-8418-9808beb656cc","sourceRow":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/3d8cda3e909d835f20cecf639d7e21ad_1786724148/NH_FireSafetyCitations_Aug2026.csv","publishedAt":"2026-08-26","coverageThrough":null,"sourceRecordKey":"37ef8f52399ce0ae3edb00ecc86af427310306ecd8f358aff7fd5a5d122a6a88","sourceRowSha256":"37ef8f52399ce0ae3edb00ecc86af427310306ecd8f358aff7fd5a5d122a6a88","sourceFileSha256":"2ad5bba98f77c3d6c982f4367823a328cc2da441e9ac4954fbaad50e89926cb4"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:K","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2026-01-02","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"K0918","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"4d89d999-7e73-4b26-ad39-d5f73e7fcdec","releaseId":"26a7688c-e2d2-4f49-8418-9808beb656cc","sourceRow":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/3d8cda3e909d835f20cecf639d7e21ad_1786724148/NH_FireSafetyCitations_Aug2026.csv","publishedAt":"2026-08-26","coverageThrough":null,"sourceRecordKey":"10dc04ba5f46c992d71aeb4cfa780a563a696f1f57431334f3d17d9046e52fd0","sourceRowSha256":"10dc04ba5f46c992d71aeb4cfa780a563a696f1f57431334f3d17d9046e52fd0","sourceFileSha256":"2ad5bba98f77c3d6c982f4367823a328cc2da441e9ac4954fbaad50e89926cb4"},"surveyDate":"2025-12-04","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:K","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2026-01-02","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":"105547","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":116,"sha256":"d6cb3cfd070270fb61451a29878001fed600d44558e6fb208e26596fd773d140","reportedFacilityName":"FLAGLER HEALTH AND REHABILITATION CENTER"},"batchId":"34bb6ccf1824de35db183bcc524027bca88a63697b7583add103f1b5cd57dd60","program":"SNF_QRP","fiscalYear":2025,"identifierId":"5b19aef1-ead0-4d64-b92a-e528cc98f993","appealOutcome":"NOT_ESTABLISHED","ruleVersionId":"95ac1186e75368845a27fcaa512f34050de0ef48c8a6ec69ae4e2a6b7b972463","exclusionFlags":null,"reportedStatus":"COMPLIANT","paymentPeriodEnd":"2025-09-30","actualDollarsLost":null,"identityEvidenceId":"6ff3cd50-0272-4851-b68b-ba2f6323685e","ownershipInference":false,"paymentPeriodStart":"2024-10-01","currentLicenseStatusInference":false},{"ccn":"105547","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-non-compliant.pdf","page":5,"sha256":"7fc673d10c888e79c16c2ccb7b5c7768e8971a0d3cc99f9dca7e62e39e73668a","reportedFacilityName":"FLAGLER HEALTH AND REHABILITATION CENTER"},"batchId":"c3e97159d51ca901d144cac5f20ee9aabe79717c115063ca5a72cc6f1bf26f11","program":"SNF_QRP","fiscalYear":2026,"identifierId":"5b19aef1-ead0-4d64-b92a-e528cc98f993","appealOutcome":"NOT_ESTABLISHED","ruleVersionId":"cb7cfbffc17b78c05deed1ddef52c5f0dc1d50353af3454b3d05ff884601ba9e","exclusionFlags":null,"reportedStatus":"NON_COMPLIANT","paymentPeriodEnd":"2026-09-30","actualDollarsLost":null,"identityEvidenceId":"6ff3cd50-0272-4851-b68b-ba2f6323685e","ownershipInference":false,"paymentPeriodStart":"2025-10-01","currentLicenseStatusInference":false}]}},"reportDocuments":[{"id":"617e48ba393b0f58e1e0295fbaf28dd5727a0e4a2ee8ba4a866d76cc12c58a2d:f16e40ec745a31ea073cbba75f9a4d9ac7ad39a9ff990262c8c481a222a448f4","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16538213.pdf","pdfRetained":true,"reportedDate":"2026-08-31","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"db2dd5676d5623a227de3e0d3a6589a9cfec81225279aaccb17b8121c9ebe82c:f8f6325d63f37baa18478630579c4eabb41e0d268eb1bf67e864380973bbb8b1","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16538215.pdf","pdfRetained":true,"reportedDate":"2026-08-31","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"96db75bca5a5e7501efc89041406ed3d84dca8450681d57448b4273380c8f404:ff5428dbc57e0f814243ee0558ebd33b289b0b1d19aabdd034b02b4dd0c31dcb","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16462998.pdf","pdfRetained":true,"reportedDate":"2026-08-06","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"f2462c4f6e38a4c847f7d3d55fec5ebeb38aefc13d7d624642d44c568bc86748:79bf48151ad851d23f200d438d025de618ad7ccf73350c5cbe4a5ee274e62e65","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16463001.pdf","pdfRetained":true,"reportedDate":"2026-08-06","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"039d0c46106077cce836df37affdbe6fe74e58312a3a0e9b9988d085b86f2390:ce9cb49e28f92216b7cbb2161f4058aa266ef0a56380d253c18faad50d26bd55","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16109079.pdf","pdfRetained":true,"reportedDate":"2026-04-07","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"ca4686815c2703d9a29e90a0a39380a3f0456389752837a4e9b647a88359591e:c688d09ad09d1956b524cd22ef7cbf9fc779f01ccfca9d3c435898b9439dce50","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16109081.pdf","pdfRetained":true,"reportedDate":"2026-04-07","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"a29416415a5f63c18da6947909cf89a72fff4af81175d7b42e919dd6a03ba5b9:cf969c5a95aee8d8f57eb071b6312a20a77d92854b4637ee133cf4b8fe900c60","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16028425.pdf","pdfRetained":true,"reportedDate":"2026-03-10","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"db077aa96d2136b30685f407ac93392f68c1b02cb6266c2a626bb32b45c8ee72:10bf548b6bd5ac0c68366fa28e4d5915e5879c420e1c5474f8a064bb364c02ea","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16028422.pdf","pdfRetained":true,"reportedDate":"2026-03-10","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"4c5acb3395ac2bff094eebd387dc26de3a2d191b60d7919341db8f2219f9643f:52bd8945a00d5cfed8ae54ea1bbe8847636dc1e4b9e7a8ef467924ee4db9452d","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16032902.pdf","pdfRetained":true,"reportedDate":"2026-01-29","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"9766f532e59ab78e3fe2844dc647dd3291053576f359d0163400e849e6d2c4b2:47ec6f8d2523a13c5e0d1a7d3659b7ecc27c30d4df034fd2a5195a7a4f6e78bc","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16027035.pdf","pdfRetained":true,"reportedDate":"2026-01-29","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"bc1ad7de691ad5df0d5a2244bc82f911636b32600bd4f16c857ff322f1ff7841:d4dcc5250a3ee5c700de7bafb619371d2dfb4a929c36813dc7da2de3496ab13b","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16032901.pdf","pdfRetained":true,"reportedDate":"2026-01-29","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"fa3d3d02215f58d8109acb0e8aa3cc8e1e17c68e86a85ddc20697f228f335790:484e5356f9dd6a86bd706e99d7d9dd684f9e0a1e8bfebd98b5c9b408ef43e4ee","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16027017.pdf","pdfRetained":true,"reportedDate":"2026-01-29","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"2ac3c51432867d8a1034c8bcfcc6aa831fb14337de694037036511c139485517:10b22d930d5516827714122e11839974e10d4fc34de0dd8c1a1ad3892d72b06a","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16026944.pdf","pdfRetained":true,"reportedDate":"2025-12-04","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"5a74ea6f25bd2caeb5a96d2169aa610437fbd48f9c916ff5f1a7f5fe98034064:9792bbca59f346842a4fb29d2e70d1bd7defb5a5a0d1c134de41966eb5bab9a5","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16027051.pdf","pdfRetained":true,"reportedDate":"2025-12-04","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"5b552aabf591e8cc60504a4ee778c4fd8e01fc5c09a5f5459c62ee461808687d:f5a7435a4ec17756369d04cbd49c3497983f08e8929af5e639b078b26dc53618","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16026939.pdf","pdfRetained":true,"reportedDate":"2025-12-04","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"9082aa994007318dcee8911d2d6649aa7fd5e0a39cf76107947bad1c89894920:b2e66516ce4bb297aba641a673b7e95818b5a5c384c0fcb5dc8cb1b5ae97db1f","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16027052.pdf","pdfRetained":true,"reportedDate":"2025-12-04","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"d2015d78102849ac5f5219f3ff196f7962353ce3cd51ba1a0e7b72295017beca:f6ccce552663f08e3c36a8a09d8435612a3b1d69a1e8012187084e4bccbdb7f6","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15635610.pdf","pdfRetained":true,"reportedDate":"2025-11-04","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"d2af41e19d36ceba280b3e1534c8608643e3af975c44b7e57ae597b5c2eb7f45:8b9061bcb550593ddd73a5a59010f12c300f900eb4a5ac0ec2977b19fc0eddcc","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15635613.pdf","pdfRetained":true,"reportedDate":"2025-11-04","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"0a6ee63240bc16a51cb4e551b23a21389c16ef026df90cf8d7c054a120f86302:e936c582b858e416df54b9b21ea572e6be0d42b113c32e5edb2f0af3457e23a0","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15385840.pdf","pdfRetained":true,"reportedDate":"2025-08-21","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"6aed2c75fe66df095e9e61e59e0244fcda3a4e01e90e65a4f127990401740ba8:6e548ba33de260df2368b7cff8bdf9b129da183712c9063284c1e436a00c1126","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15385842.pdf","pdfRetained":true,"reportedDate":"2025-08-21","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"25d7c6b31901788b7af7b96247e3077668fe7f23017ee05ad25aa0052a98314f:98c48648bc980aa88d36fef20437d6e5fae0fffa5eb28b70a0b2ee1b3139cb3f","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15305365.pdf","pdfRetained":true,"reportedDate":"2025-07-22","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"e34614c886936ba7fb8f923d136f8201c21359b483db7dafe1d8090f8d00b17d:2196600a2073d15d75c18e04369c190c11b0ec8694190bbaf00d5cd43680a787","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15305367.pdf","pdfRetained":true,"reportedDate":"2025-07-22","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"1f6eaeb0a34236e7636152ca2e153d599f23cdc8efd99e09c72d942e7ab7f981:8255aa65500ece27de710f2d5441880ba704fd0a7eb6ce4c0813654516cb7e20","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15140298.pdf","pdfRetained":true,"reportedDate":"2025-05-27","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"32fa5c557890e16283c752fb83bb11c215ca6993606de87433cf09294751025f:1d451a14df29557b49cc8a05791ffcbd6747937963d6ea8670e99882c28a9036","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15140300.pdf","pdfRetained":true,"reportedDate":"2025-05-27","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"b7be73c6212c088032a19f6a3d5dcf6628aa26da14013e56907245c754a77b13:48e20ae3c02b2e2beafd92004ebb10121ca4241087056e205dd3ea3ae4905bb3","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15150437.pdf","pdfRetained":true,"reportedDate":"2025-04-17","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"f7bda005e118e266c6b2756b217ea6277739d1380badaa71b6e23cd83f670692:2ab10b097826047aa4fec301d4bdafda7d057055ba67f25d54286e3e1c037dd1","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15150440.pdf","pdfRetained":true,"reportedDate":"2025-04-17","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"57f9c3aaf2e53469349c05a214133040b20bde86fa4de61395f3050a403061f0:f66b204943750b22116d7cb0b3f81bed4e280dcc525931b8cb3a7745612527ee","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/14977208.pdf","pdfRetained":true,"reportedDate":"2025-04-01","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"912cf26a13d65dd807d57b40f8374fcc703042f0d5f8c64cfe19f8eab844d4ed:6880da4249f07b4d0623100ffccbaa41491a350d3c3893749cfece36a2009cd5","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/14977222.pdf","pdfRetained":true,"reportedDate":"2025-04-01","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"8af93421cb9a98f5cc3fd3226455187de98684a9adf43eb750d69d3c6de7dd16:3b035c8ecf7d8555030a03a559357c0942d90b92545bfbffb0d540e83d55422d","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/14781612.pdf","pdfRetained":true,"reportedDate":"2025-01-15","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"a828010b86bfbf3207033b05ed16da9b5e898e7145a08b042bdcf2dda4402205:6ee592aa8975bcf98471179a6d31106bc6bc479487bd81e405f52cfabef850fb","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/14781605.pdf","pdfRetained":true,"reportedDate":"2025-01-15","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"8fc793f9fe21093db1e2118d5e4fbf653f788afac29f4b2ae369f90b63ea9540:3d5a5de1e3aa458b9a574682a8532180f8a7efb27ae95870821f64612ca3f094","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/14605894.pdf","pdfRetained":true,"reportedDate":"2024-10-24","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"e460e82aea75848179123208bcc3073f462367e97dde5fdb8101ed3dd702721b:bb4f6f814ac254f49f93b2673a2cb2faba4d4100eea411fa9f3024ad1303cc84","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/14605895.pdf","pdfRetained":true,"reportedDate":"2024-10-24","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":12,"rowsWithoutCompleteEventKey":12,"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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","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":"7f2e762f-50cb-44a1-a4c9-cda6637d14a3","published_at":"2026-07-29","reported_days":90,"staffing_kind":"NURSE","artifact_sha256":"32873501edc3383edc2177f4ada29e5f055b0d1459bea4cd0c0190e581236e1e","coverage_through":"2026-03-31"}],"cmsCertificationStatus":"Certified","enrollmentRelationships":[]}