{"zip":"34639","city":"LAND O LAKES","name":"BALDOMERO LOPEZ MEMORIAL VETERANS NURSING HOME","county":"PASCO","address":"6919 PARKWAY BLVD","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":"F0610","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":"349ee047-5424-4ad5-b9fb-7007d9615b68","provider_id":"bf031727-eb0d-4453-a005-c17fc2c87352","survey_date":"2026-04-09","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":"2026-05-08","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":"96de25bfbafbd6ceb2279fe1e8f94e1c8cd2cee0693e6e1a9fa23db9922c58bf","source_row_sha256":"96de25bfbafbd6ceb2279fe1e8f94e1c8cd2cee0693e6e1a9fa23db9922c58bf","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Respond appropriately to all alleged violations."},{"tag":"F0656","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":"f108ee43-e1a3-49c8-b19c-15ee4fe51e37","provider_id":"bf031727-eb0d-4453-a005-c17fc2c87352","survey_date":"2026-04-09","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":"2026-05-08","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":"3dfd7ef3851c4c847316b4cc118def0b57e7f2591b701a52383f7fe02d230c6a","source_row_sha256":"3dfd7ef3851c4c847316b4cc118def0b57e7f2591b701a52383f7fe02d230c6a","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."},{"tag":"F0689","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":"8ea37eb3-9cfb-473f-99e5-ef9d9653e25a","provider_id":"bf031727-eb0d-4453-a005-c17fc2c87352","survey_date":"2026-04-09","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":"2026-05-08","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":"e6dbbc84660f09c8b370ec2a3c9462343af200ea0585a93e33ea4c0b9232f2ca","source_row_sha256":"e6dbbc84660f09c8b370ec2a3c9462343af200ea0585a93e33ea4c0b9232f2ca","immediate_jeopardy":null,"source_file_sha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741","survey_visit_number":null,"regulatory_namespace":"CMS:NH:F","requirement_description":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."}],"sourceUrl":"https://quality.healthfinder.fl.gov/Facility-Provider/Nursing-Home?type=1","providerId":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","identifier_value":"35960936"},{"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":"1999-05-07","provider_id":"bf031727-eb0d-4453-a005-c17fc2c87352","identifier_value":"106006"}],"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":"CORPORATE DIRECTOR","ownerName":"CARTER, ALFRED","ownerType":"Individual","associationDateReported":"since 01/01/1999","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"b4c978f7-e4a7-43e7-a317-86665f26d56e","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":36492,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"bf031727-eb0d-4453-a005-c17fc2c87352","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"26fd4c96427ed861f9a00c1dc9451f15ded469f21c13cdef34bd040b60499185"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"FIREBAUGH, JOSHUA","ownerType":"Individual","associationDateReported":"since 06/02/2024","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"ec5916a6-3a43-43ac-bf9e-b9925d36ef33","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":36493,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"bf031727-eb0d-4453-a005-c17fc2c87352","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"ea3fda2473a3a09847b1795e10af27a4e2298ad6e4349460c4aac708ec98b1df"},{"fact":{"role":"OPERATIONAL/MANAGERIAL CONTROL","ownerName":"SARRETT, MARLIES","ownerType":"Individual","associationDateReported":"since 01/01/2014","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"e9c2256d-5f38-41cf-b8ad-1755dbc87e32","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":36494,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"bf031727-eb0d-4453-a005-c17fc2c87352","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"51b017448d9d8f51c286767e15094219b90f661b54e95dd0df404b8cf0b2cdea"},{"fact":{"role":"ADP OF THE SNF","ownerName":"DILELLA, VINCENT","ownerType":"Individual","associationDateReported":"since 01/28/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"ff4ff2ce-8efd-48f7-bcb5-34bf1cb17a3a","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":36495,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"bf031727-eb0d-4453-a005-c17fc2c87352","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"529f692f5367b34e9b5067d551e8ab7a74c0d9a9e710ad2e204a09f500620fe8"},{"fact":{"role":"ADP OF THE SNF","ownerName":"SARRETT, MARLIES","ownerType":"Individual","associationDateReported":"since 01/28/2025","ownershipPercentageReported":"NOT APPLICABLE"},"domain":"OWNERSHIP","fact_id":"97ccdb60-76ce-40fa-973a-285143c33866","release_id":"e3769dbb-0e34-42fb-8112-a8859b4a003c","source_row":36496,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/cc4bedc83a7b3752efb24f7817a856ce_1786724150/NH_Ownership_Aug2026.csv","provider_id":"bf031727-eb0d-4453-a005-c17fc2c87352","published_at":"2026-08-26","artifact_sha256":"550ef28dc3a2c5ac544760023b5cb494e5fbd77567848dca36324211dd83aa68","coverage_through":null,"source_record_key":"1215c43fd25ca0448b7a3f18f76c0ca3c2766783b05c8a9cb8932e2d25d80b6c"},{"fact":{"note":"CMS program multiplier; no dollar loss calculated. Measure periods and footnotes remain in source column labels.","fiscalYear":2026,"paymentMultiplier":1.0200744641,"reportedPerformance":{"State":"FL","ZIP Code":"34639","City/Town":"LAND O LAKES","_sourceRow":2183,"Provider Name":"BALDOMERO LOPEZ MEMORIAL VETERANS NURSING HOME","Provider Address":"6919 PARKWAY BLVD","Performance Score":"66.06215","SNFRM Measure Score":"---","SNF HAI Measure Score":"---","SNF VBP Program Ranking":"644","SNFRM Achievement Score":"---","SNFRM Improvement Score":"---","SNF HAI Achievement Score":"---","SNF HAI Improvement Score":"---","Incentive Payment Multiplier":"1.0200744641","CMS Certification Number (CCN)":"106006","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":"10.00000","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":"10.00000","Total Nurse Staffing Improvement Score":"9.00000","Total Nursing Staff Turnover Measure Score":"3.21243","Footnote -- Total Nurse Staffing Measure Score":"---","Total Nursing Staff Turnover Achievement Score":"3.21243","Total Nursing Staff Turnover Improvement Score":"3.01257","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":"0.64463","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":"0.50549","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":"5.22931","Baseline Period: FY 2022 Risk-Standardized Healthcare-Associated Infection Rate":"---","Performance Period: FY 2024 Adjusted Total Nursing Staff Hours per Resident Day":"5.85728","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":"4ec5f1f0-af7f-486d-a41d-318a20b32465","release_id":"980e699d-aec7-48ea-908c-dbb0c6b3bdd1","source_row":2183,"source_url":"https://data.cms.gov/provider-data/sites/default/files/resources/24625f7ba546a31aafbd5057da94a0e2_1767384370/FY_2026_SNF_VBP_Facility_Performance.csv","provider_id":"bf031727-eb0d-4453-a005-c17fc2c87352","published_at":"2025-12-10","artifact_sha256":"94e2b138d5710662e6b19efc795bd3ec49b5a3cf6627e1acdde27fd0c184a10c","coverage_through":null,"source_record_key":"297f5b868682bda3400738a6fb2caef5f536e42d3b110cbf551c9107c121a633"}],"metadataAsOf":"2026-10-07","observations":[{"code":"Overall Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"5","domain":"CMS_RATING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"OTHER","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"Health Inspection Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"4","domain":"CMS_RATING","missing":null,"footnote":null,"sourceUrl":"https://data.cms.gov/provider-data/sites/default/files/resources/328596835e6db31b2564cd733c3795f4_1786724150/NH_ProviderInfo_Aug2026.csv","publishedAt":"2026-08-26","evidenceOrigin":"OTHER","processingDate":"2026-08-01","measurementPeriod":"Not established by this column importer; publication/processing dates are not measurement periods"},{"code":"QM Rating","unit":"stars (1–5)","basis":"CMS-calculated rating; not a CRP compliance determination","value":"3","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":"3","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":"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":"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":"3.00886","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":"0.89563","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":"0.85293","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":"4.75742","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":3,"actualHarmRows":0,"reportedFineRows":0,"rateReductionYears":[],"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/snf-vbp-fy2026-ipm-infographic.pdf","provenance":{"factId":"4ec5f1f0-af7f-486d-a41d-318a20b32465","releaseId":"980e699d-aec7-48ea-908c-dbb0c6b3bdd1","sourceRow":2183,"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":"297f5b868682bda3400738a6fb2caef5f536e42d3b110cbf551c9107c121a633","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":1.0200744641,"rateChangePercent":2.00744641,"paymentPeriodStart":"2025-10-01","actualPaymentEffect":"NOT_VERIFIED"}],"compliance":[{"tag":"F0610","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"349ee047-5424-4ad5-b9fb-7007d9615b68","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":"96de25bfbafbd6ceb2279fe1e8f94e1c8cd2cee0693e6e1a9fa23db9922c58bf","sourceRowSha256":"96de25bfbafbd6ceb2279fe1e8f94e1c8cd2cee0693e6e1a9fa23db9922c58bf","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2026-04-09","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"D","correctionDateReported":"2026-05-08","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0656","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"f108ee43-e1a3-49c8-b19c-15ee4fe51e37","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":"3dfd7ef3851c4c847316b4cc118def0b57e7f2591b701a52383f7fe02d230c6a","sourceRowSha256":"3dfd7ef3851c4c847316b4cc118def0b57e7f2591b701a52383f7fe02d230c6a","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2026-04-09","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"E","correctionDateReported":"2026-05-08","correctionStatusReported":"Deficient, Provider has date of correction"},{"tag":"F0689","status":"CITED_NONCOMPLIANCE","adverse":true,"ruleUrl":"https://www.cms.gov/medicare/health-safety-standards/enforcement/nursing-home-enforcement","provenance":{"factId":"8ea37eb3-9cfb-473f-99e5-ef9d9653e25a","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":"e6dbbc84660f09c8b370ec2a3c9462343af200ea0585a93e33ea4c0b9232f2ca","sourceRowSha256":"e6dbbc84660f09c8b370ec2a3c9462343af200ea0585a93e33ea4c0b9232f2ca","sourceFileSha256":"54d6e3e7c4c183da210601f2a1b59abff6f23a0aff49d5a9f097105e6fd97741"},"surveyDate":"2026-04-09","dollarsLost":null,"harmCategory":"POTENTIAL_MORE_THAN_MINIMAL_HARM","regulatoryNamespace":"CMS:NH:F","currentNoncompliance":"NOT_INFERRED","disputeStatusReported":{"IDR":"N","IIDR":"N"},"scopeSeverityReported":"E","correctionDateReported":"2026-05-08","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":"106006","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":110,"sha256":"d6cb3cfd070270fb61451a29878001fed600d44558e6fb208e26596fd773d140","reportedFacilityName":"BALDOMERO LOPEZ MEMORIAL VETERANS NURSING HOME"},"batchId":"34bb6ccf1824de35db183bcc524027bca88a63697b7583add103f1b5cd57dd60","program":"SNF_QRP","fiscalYear":2025,"identifierId":"e3a503c0-c03a-4d5d-a987-4374a887053c","appealOutcome":"NOT_ESTABLISHED","ruleVersionId":"95ac1186e75368845a27fcaa512f34050de0ef48c8a6ec69ae4e2a6b7b972463","exclusionFlags":null,"reportedStatus":"COMPLIANT","paymentPeriodEnd":"2025-09-30","actualDollarsLost":null,"identityEvidenceId":"1e8c1bef-a2fc-4858-a5e1-8c92deb8bf76","ownershipInference":false,"paymentPeriodStart":"2024-10-01","currentLicenseStatusInference":false},{"ccn":"106006","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":"BALDOMERO LOPEZ MEMORIAL VETERANS NURSING HOME"},"batchId":"c3e97159d51ca901d144cac5f20ee9aabe79717c115063ca5a72cc6f1bf26f11","program":"SNF_QRP","fiscalYear":2026,"identifierId":"e3a503c0-c03a-4d5d-a987-4374a887053c","appealOutcome":"NOT_ESTABLISHED","ruleVersionId":"cb7cfbffc17b78c05deed1ddef52c5f0dc1d50353af3454b3d05ff884601ba9e","exclusionFlags":null,"reportedStatus":"NON_COMPLIANT","paymentPeriodEnd":"2026-09-30","actualDollarsLost":null,"identityEvidenceId":"1e8c1bef-a2fc-4858-a5e1-8c92deb8bf76","ownershipInference":false,"paymentPeriodStart":"2025-10-01","currentLicenseStatusInference":false}]}},"reportDocuments":[{"id":"4e8c350135e33e0b2ab8adc94723addc3b64b241160ffafcb61ad10c93bf06d6:0e591e7d2b937b8cce166a90a9e63b6b91dac9c9a8e5ff535464ba37693f31b1","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16561028.pdf","pdfRetained":true,"reportedDate":"2026-08-26","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"639ac066383e25595395eb34210a98c9a7af27930e8cf4d6ca2f583983ab3d43:97c99d450827010f6b0d940c1ab982bdea32078827f1929544702c6bfdb88da3","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16398732.pdf","pdfRetained":true,"reportedDate":"2026-06-25","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"edfee11178b2c7fed33543e132890f93dbbc6b6d609aa32be2d12085a32f7392:1e472723d82e44c5698b9efa49aa5f71260f9f490f3a9efec99eb51b85c94f76","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16398739.pdf","pdfRetained":true,"reportedDate":"2026-06-23","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"3af215f1ca10d755fa42442cf80ed1980fde15842a9838953ade7f75731900fb:128e7987b3d0e600f99c9de51ec4b6c8dbdeaac89c71ba0fe8e83403327dd634","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16260806.pdf","pdfRetained":true,"reportedDate":"2026-05-27","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"7ac197eec58a5a32d318cda3cfe80360ba341097d8ffaeaacc78ed2871203367:823030a94453b91f9475f799846bead22ea834c2b863fc2f5256e431ebb25413","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16160452.pdf","pdfRetained":true,"reportedDate":"2026-04-16","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"a9172008407946419e4d0eb96d1d8e831a2bf6cce24a365e0f91ea933c8beb65:7b1b4f3c3868398c2aea4df55c01ce9c582a044bda594c49ac80719818420845","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/16056739.pdf","pdfRetained":true,"reportedDate":"2026-03-12","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"5d79d8c8774d888758a5e91a8bde626bd3ea0744bf88465668f7aa3ba34f4d12:00e069cfbb99734daa659286eaba932442d1db64ea3504107c92524b0a9e2633","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/15320067.pdf","pdfRetained":true,"reportedDate":"2025-07-17","sourceStatus":"RAW_PDF_ARCHIVED","interpretation":"SOURCE_DOCUMENT_ONLY","unextractedValue":null},{"id":"45e7696684edccec7672aa4058d3eb9a2a6a900606a80cec615c94a810379d13:f3753b053fc2d870720250534329bf90601384a3a7ad6fd0df6db1e07bf3878d","kind":"INSPECTION_REPORT","title":"Statement of Deficiencies","dateLabel":"Listed visit date","sourceUrl":"https://apps.ahca.myflorida.com/dm_web/DMWeb_Docs/14808998.pdf","pdfRetained":true,"reportedDate":"2025-01-21","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":3,"rowsWithoutCompleteEventKey":3,"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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","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":"bf031727-eb0d-4453-a005-c17fc2c87352","published_at":"2026-07-29","reported_days":90,"staffing_kind":"NURSE","artifact_sha256":"32873501edc3383edc2177f4ada29e5f055b0d1459bea4cd0c0190e581236e1e","coverage_through":"2026-03-31"}],"cmsCertificationStatus":"Certified","enrollmentRelationships":[]}