Array
(
    [dev] => 
    [date] => DateTime Object
        (
            [date] => 2024-10-01 00:00:00.000000
            [timezone_type] => 3
            [timezone] => UTC
        )

    [title] => Healthcare information based on data provided by U.S. Centers for Medicare & Medicaid Services (CMS).
    [request] => https://www.nursinghomedatabase.com/analysis/geographic-analysis/MO/richland
    [report] => geographic-analysis
    [other] => MO
    [other2] => richland
    [other3] => 
    [results] => Array
        (
            [population] => App\Models\Database\DBCities Object
                (
                    [table:protected] => Miscellaneous.cities
                    [connection:protected] => mysql
                    [primaryKey:protected] => IDcities
                    [keyType:protected] => int
                    [incrementing] => 1
                    [with:protected] => Array
                        (
                        )

                    [withCount:protected] => Array
                        (
                        )

                    [perPage:protected] => 15
                    [exists] => 1
                    [wasRecentlyCreated] => 
                    [attributes:protected] => Array
                        (
                            [IDcities] => 27261
                            [City] => Richland
                            [State] => MO
                            [Country] => USA
                            [Latitude] => 37.86100
                            [Longitude] => -92.39930
                            [created_at] => 2021-02-05 22:04:00
                            [updated_at] => 2021-02-05 22:47:53
                            [IDsimplemaps] => 1840009865
                            [County] => Pulaski
                            [Population] => 1795
                            [max_latitude] => 38.58466
                            [min_latitude] => 37.13734
                            [max_longitude] => -91.48270
                            [min_longitude] => -93.31590
                        )

                    [original:protected] => Array
                        (
                            [IDcities] => 27261
                            [City] => Richland
                            [State] => MO
                            [Country] => USA
                            [Latitude] => 37.86100
                            [Longitude] => -92.39930
                            [created_at] => 2021-02-05 22:04:00
                            [updated_at] => 2021-02-05 22:47:53
                            [IDsimplemaps] => 1840009865
                            [County] => Pulaski
                            [Population] => 1795
                            [max_latitude] => 38.58466
                            [min_latitude] => 37.13734
                            [max_longitude] => -91.48270
                            [min_longitude] => -93.31590
                        )

                    [changes:protected] => Array
                        (
                        )

                    [casts:protected] => Array
                        (
                        )

                    [dates:protected] => Array
                        (
                        )

                    [dateFormat:protected] => 
                    [appends:protected] => Array
                        (
                        )

                    [dispatchesEvents:protected] => Array
                        (
                        )

                    [observables:protected] => Array
                        (
                        )

                    [relations:protected] => Array
                        (
                        )

                    [touches:protected] => Array
                        (
                        )

                    [timestamps] => 1
                    [hidden:protected] => Array
                        (
                        )

                    [visible:protected] => Array
                        (
                        )

                    [fillable:protected] => Array
                        (
                        )

                    [guarded:protected] => Array
                        (
                            [0] => *
                        )

                )

            [staffingAverages] => Array
                (
                    [city] => Array
                        (
                            [rnhrd] => 0.70884384615385
                            [aidhrd] => 2.2532269230769
                            [vochrd] => 0.85004153846154
                            [tothrd] => 3.8121115384615
                        )

                    [state] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [aidhrd] => 2.23
                                    [vochrd] => 0.68
                                    [rnhrd] => 0.43696
                                    [tothrd] => 3.34786
                                )

                        )

                    [nation] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [aidhrd] => 2.29
                                    [vochrd] => 0.88
                                    [rnhrd] => 0.66807
                                    [tothrd] => 3.83737
                                )

                        )

                )

            [best] => Array
                (
                    [0] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a750522
                                        )

                                    [provnum] => 265429
                                    [provname] => Lake Regional Health Systems
                                    [web] => lake-regional-health-systems
                                    [address] => 54 HOSPITAL DRIVE
                                    [city] => OSAGE BEACH
                                    [state] => MO
                                    [zip] => 65065
                                    [phone] => 5733488275
                                    [county_ssa] => 140
                                    [county_name] => Camden
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 16
                                    [restot] => 7.1
                                    [restot_fn] => 
                                    [certification] => Medicare
                                    [inhosp] => Y
                                    [lbn] => LAKE REGIONAL HEALTH SYSTEM
                                    [participation_date] => 1990-05-16
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => None
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 5
                                    [overall_rating_fn] => 
                                    [survey_rating] => 5
                                    [survey_rating_fn] => 
                                    [quality_rating] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 
                                    [ls_quality_rating_fn] => 2
                                    [ss_quality_rating] => 3
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 5
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.03505
                                    [vochrd] => 3.02064
                                    [rnhrd] => 4.5331
                                    [totlichrd] => 7.55374
                                    [tothrd] => 9.58879
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 7.65301
                                    [registerednursehoursperresidentperdayontheweekend] => 1.88115
                                    [pthrd] => 0.34813
                                    [totalnursingstaffturnover] => 46.7
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 50
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.55188
                                    [nursingcase-mixindexratio] => 1.14438
                                    [cm_aide] => 2.62315
                                    [cm_lpn] => 1.00374
                                    [cm_rn] => 0.76453
                                    [cm_total] => 4.39142
                                    [nursingcase-mix-weekend] => 3.83729
                                    [adj_aide] => 1.7684
                                    [adj_lpn] => 2.62485
                                    [adj_rn] => 3.93914
                                    [adj_total] => 8.33238
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 6.65025
                                    [cycle_1_survey_date] => 2024-01-18
                                    [cycle_1_defs] => 3
                                    [cycle_1_nfromdefs] => 3
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 16
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 16
                                    [cycle_2_survey_date] => 2022-08-23
                                    [cycle_2_defs] => 4
                                    [cycle_2_nfromdefs] => 4
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 24
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 24
                                    [cycle_3_survey_date] => 2019-11-14
                                    [cycle_3_defs] => 1
                                    [cycle_3_nfromdefs] => 1
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 8
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 8
                                    [weighted_all_cycles_score] => 17.333
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 54 HOSPITAL DRIVE,OSAGE BEACH,MO,65065
                                    [latitude] => 38.1197
                                    [longitude] => -92.684
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -2
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 21
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.264431595348
                                                                    [min_latitude] => 37.974968404652
                                                                    [max_longitude] => -92.500032290342
                                                                    [min_longitude] => -92.867967709658
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.48152898837
                                                                    [min_latitude] => 37.75787101163
                                                                    [max_longitude] => -92.224080725854
                                                                    [min_longitude] => -93.143919274146
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 5
                                    [website] => https://www.lakeregional.com/
                                    [count10] => 6
                                    [count25] => 14
                                    [rank10] => 1
                                    [rank25] => 2
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [1] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a75060d
                                        )

                                    [provnum] => 265779
                                    [provname] => Stonebridge Lake Ozark
                                    [web] => stonebridge-lake-ozark
                                    [address] => 872 COLLEGE BOULEVARD
                                    [city] => OSAGE BEACH
                                    [state] => MO
                                    [zip] => 65065
                                    [phone] => 5733020900
                                    [county_ssa] => 650
                                    [county_name] => Miller
                                    [ownership] => For profit - Individual
                                    [bedcert] => 66
                                    [restot] => 52.6
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => ELDERCARE OF MID-MISSOURI V, INC.
                                    [participation_date] => 2004-01-30
                                    [affiliatedentityname] => STONEBRIDGE SENIOR LIVING
                                    [affiliatedentityid] => 494
                                    [ccrc_facil] => Y
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 5
                                    [overall_rating_fn] => 
                                    [survey_rating] => 5
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 4
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 3
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 3.34012
                                    [vochrd] => 0.8417
                                    [rnhrd] => 0.43975
                                    [totlichrd] => 1.28145
                                    [tothrd] => 4.62157
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.96798
                                    [registerednursehoursperresidentperdayontheweekend] => 0.31335
                                    [pthrd] => 0.0432
                                    [totalnursingstaffturnover] => 69.7
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 88.9
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.17279
                                    [nursingcase-mixindexratio] => 0.86483
                                    [cm_aide] => 1.98237
                                    [cm_lpn] => 0.75855
                                    [cm_rn] => 0.57777
                                    [cm_total] => 3.31868
                                    [nursingcase-mix-weekend] => 2.89991
                                    [adj_aide] => 3.84067
                                    [adj_lpn] => 0.96784
                                    [adj_rn] => 0.50565
                                    [adj_total] => 5.31416
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 4.56262
                                    [cycle_1_survey_date] => 2024-08-02
                                    [cycle_1_defs] => 4
                                    [cycle_1_nfromdefs] => 4
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 16
                                    [cycle_1_numrevis] => 0
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 16
                                    [cycle_2_survey_date] => 2023-07-14
                                    [cycle_2_defs] => 4
                                    [cycle_2_nfromdefs] => 4
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 36
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 36
                                    [cycle_3_survey_date] => 2022-05-05
                                    [cycle_3_defs] => 5
                                    [cycle_3_nfromdefs] => 5
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 20
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 20
                                    [weighted_all_cycles_score] => 23.333
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 0
                                    [fine_cnt] => 2
                                    [fine_tot] => 1644.5
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 2
                                    [location] => 872 COLLEGE BOULEVARD,OSAGE BEACH,MO,65065
                                    [latitude] => 38.1592
                                    [longitude] => -92.599
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 1
                                    [change_survey_rating] => 1
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 1
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.303931595348
                                                                    [min_latitude] => 38.014468404652
                                                                    [max_longitude] => -92.41493267622
                                                                    [min_longitude] => -92.78306732378
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.52102898837
                                                                    [min_latitude] => 37.79737101163
                                                                    [max_longitude] => -92.138831690549
                                                                    [min_longitude] => -93.059168309451
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 5
                                    [website] => https://stonebridgeseniorliving.com/location/lake-ozark/
                                    [count10] => 6
                                    [count25] => 14
                                    [rank10] => 2
                                    [rank25] => 3
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [2] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7505d5
                                        )

                                    [provnum] => 265713
                                    [provname] => Miller County Care and Rehabilitation Center
                                    [web] => miller-county-care-and-rehabilitation-center
                                    [address] => 1157 HIGHWAY 17
                                    [city] => TUSCUMBIA
                                    [state] => MO
                                    [zip] => 65082
                                    [phone] => 5733692318
                                    [county_ssa] => 650
                                    [county_name] => Miller
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 86
                                    [restot] => 63.3
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => MILLER COUNTY NURSING HOME DISTRICT
                                    [participation_date] => 2000-12-20
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 4
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 5
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.67617
                                    [vochrd] => 0.68998
                                    [rnhrd] => 0.20969
                                    [totlichrd] => 0.89967
                                    [tothrd] => 2.57585
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.35644
                                    [registerednursehoursperresidentperdayontheweekend] => 0.15179
                                    [pthrd] => 0.00515
                                    [totalnursingstaffturnover] => 33.3
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 40
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.06704
                                    [nursingcase-mixindexratio] => 0.78686
                                    [cm_aide] => 1.80363
                                    [cm_lpn] => 0.69015
                                    [cm_rn] => 0.52567
                                    [cm_total] => 3.01946
                                    [nursingcase-mix-weekend] => 2.63844
                                    [adj_aide] => 2.11837
                                    [adj_lpn] => 0.87201
                                    [adj_rn] => 0.26501
                                    [adj_total] => 3.25539
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.9781
                                    [cycle_1_survey_date] => 2024-02-23
                                    [cycle_1_defs] => 3
                                    [cycle_1_nfromdefs] => 3
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 24
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 24
                                    [cycle_2_survey_date] => 2022-11-17
                                    [cycle_2_defs] => 7
                                    [cycle_2_nfromdefs] => 7
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 52
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 52
                                    [cycle_3_survey_date] => 2020-01-10
                                    [cycle_3_defs] => 2
                                    [cycle_3_nfromdefs] => 2
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 16
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 16
                                    [weighted_all_cycles_score] => 32
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 1
                                    [fine_tot] => 17550
                                    [payden_cnt] => 1
                                    [tot_penlty_cnt] => 2
                                    [location] => 1157 HIGHWAY 17,TUSCUMBIA,MO,65082
                                    [latitude] => 38.213
                                    [longitude] => -92.436
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => -1
                                    [durationOverallRating] => 4
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.357731595348
                                                                    [min_latitude] => 38.068268404652
                                                                    [max_longitude] => -92.251796684686
                                                                    [min_longitude] => -92.620203315314
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.57482898837
                                                                    [min_latitude] => 37.85117101163
                                                                    [max_longitude] => -91.975491711714
                                                                    [min_longitude] => -92.896508288286
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => http://millercountycare.com/
                                    [count10] => 4
                                    [count25] => 17
                                    [rank10] => 2
                                    [rank25] => 3
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [3] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7504fd
                                        )

                                    [provnum] => 265373
                                    [provname] => Life Care Center of Waynesville
                                    [web] => life-care-center-of-waynesville
                                    [address] => 700 BIRCH LANE
                                    [city] => WAYNESVILLE
                                    [state] => MO
                                    [zip] => 65583
                                    [phone] => 5737746456
                                    [county_ssa] => 840
                                    [county_name] => Pulaski
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 120
                                    [restot] => 76
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => WAYNESVILLE MEDICAL INVESTORS LLC
                                    [participation_date] => 1989-06-26
                                    [affiliatedentityname] => LIFE CARE CENTERS OF AMERICA
                                    [affiliatedentityid] => 311
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 4
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 4
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 1
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.76745
                                    [vochrd] => 1.24341
                                    [rnhrd] => 0.40154
                                    [totlichrd] => 1.64496
                                    [tothrd] => 3.41241
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.08554
                                    [registerednursehoursperresidentperdayontheweekend] => 0.32727
                                    [pthrd] => 0.04681
                                    [totalnursingstaffturnover] => 49.3
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 80
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.20181
                                    [nursingcase-mixindexratio] => 0.88624
                                    [cm_aide] => 2.03143
                                    [cm_lpn] => 0.77732
                                    [cm_rn] => 0.59207
                                    [cm_total] => 3.40082
                                    [nursingcase-mix-weekend] => 2.97168
                                    [adj_aide] => 1.98324
                                    [adj_lpn] => 1.39522
                                    [adj_rn] => 0.45057
                                    [adj_total] => 3.82903
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.46225
                                    [cycle_1_survey_date] => 2024-02-01
                                    [cycle_1_defs] => 14
                                    [cycle_1_nfromdefs] => 12
                                    [cycle_1_nfromcomp] => 2
                                    [cycle_1_defs_score] => 56
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 56
                                    [cycle_2_survey_date] => 2022-11-14
                                    [cycle_2_defs] => 4
                                    [cycle_2_nfromdefs] => 3
                                    [cycle_2_nfromcomp] => 1
                                    [cycle_2_defs_score] => 28
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 28
                                    [cycle_3_survey_date] => 2019-11-15
                                    [cycle_3_defs] => 6
                                    [cycle_3_nfromdefs] => 5
                                    [cycle_3_nfromcomp] => 1
                                    [cycle_3_defs_score] => 52
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 52
                                    [weighted_all_cycles_score] => 46
                                    [incident_cnt] => 4
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 0
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 700 BIRCH LANE,WAYNESVILLE,MO,65583
                                    [latitude] => 37.8178
                                    [longitude] => -92.226
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 7
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.962531595348
                                                                    [min_latitude] => 37.673068404652
                                                                    [max_longitude] => -92.042787230621
                                                                    [min_longitude] => -92.409212769379
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.17962898837
                                                                    [min_latitude] => 37.45597101163
                                                                    [max_longitude] => -91.767968076551
                                                                    [min_longitude] => -92.684031923449
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://lcca.com/locations/mo/waynesville/
                                    [count10] => 2
                                    [count25] => 13
                                    [rank10] => 2
                                    [rank25] => 6
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [4] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a750661
                                        )

                                    [provnum] => 265876
                                    [provname] => Arrowhead Senior Living Community
                                    [web] => arrowhead-senior-living-community
                                    [address] => 6100 ARROWHEAD DRIVE
                                    [city] => OSAGE BEACH
                                    [state] => MO
                                    [zip] => 65065
                                    [phone] => 5733027111
                                    [county_ssa] => 140
                                    [county_name] => Camden
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 80
                                    [restot] => 41.4
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => ARROWHEAD RETIREMENT OPERATIONS LLC
                                    [participation_date] => 2019-04-12
                                    [affiliatedentityname] => MIDWEST HEALTH
                                    [affiliatedentityid] => 350
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 4
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 1
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 2
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 3
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.8864
                                    [vochrd] => 0.67388
                                    [rnhrd] => 0.39321
                                    [totlichrd] => 1.06709
                                    [tothrd] => 3.95349
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.42444
                                    [registerednursehoursperresidentperdayontheweekend] => 0.24981
                                    [pthrd] => 0
                                    [totalnursingstaffturnover] => 100
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 100
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.14241
                                    [nursingcase-mixindexratio] => 0.84243
                                    [cm_aide] => 1.93102
                                    [cm_lpn] => 0.7389
                                    [cm_rn] => 0.5628
                                    [cm_total] => 3.23273
                                    [nursingcase-mix-weekend] => 2.8248
                                    [adj_aide] => 3.4072
                                    [adj_lpn] => 0.79547
                                    [adj_rn] => 0.46416
                                    [adj_total] => 4.66683
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 4.04233
                                    [cycle_1_survey_date] => 2023-09-26
                                    [cycle_1_defs] => 4
                                    [cycle_1_nfromdefs] => 4
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 16
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 16
                                    [cycle_2_survey_date] => 2022-06-30
                                    [cycle_2_defs] => 8
                                    [cycle_2_nfromdefs] => 8
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 76
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 76
                                    [cycle_3_survey_date] => 2019-04-12
                                    [cycle_3_defs] => 0
                                    [cycle_3_nfromdefs] => 0
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 0
                                    [cycle_3_numrevis] => 0
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 0
                                    [weighted_all_cycles_score] => 33.333
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 6100 ARROWHEAD DRIVE,OSAGE BEACH,MO,65065
                                    [latitude] => 38.1361
                                    [longitude] => -92.671
                                    [geocodingfootnote] => 22
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 10
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.280831595348
                                                                    [min_latitude] => 37.991368404652
                                                                    [max_longitude] => -92.486990955277
                                                                    [min_longitude] => -92.855009044723
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.49792898837
                                                                    [min_latitude] => 37.77427101163
                                                                    [max_longitude] => -92.210977388192
                                                                    [min_longitude] => -93.131022611808
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://www.midwest-health.com/arrowhead/
                                    [count10] => 6
                                    [count25] => 14
                                    [rank10] => 4
                                    [rank25] => 6
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [5] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7505f6
                                        )

                                    [provnum] => 265755
                                    [provname] => Richland Care Center Inc
                                    [web] => richland-care-center-inc
                                    [address] => 400 TRI-COUNTY LANE
                                    [city] => RICHLAND
                                    [state] => MO
                                    [zip] => 65556
                                    [phone] => 5737653243
                                    [county_ssa] => 840
                                    [county_name] => Pulaski
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 86
                                    [restot] => 30.7
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => RICHLAND CARE CENTER, INC.
                                    [participation_date] => 2003-07-01
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 3
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 
                                    [ss_quality_rating_fn] => 2
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 12
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.30073
                                    [vochrd] => 0.87496
                                    [rnhrd] => 0.29592
                                    [totlichrd] => 1.17087
                                    [tothrd] => 3.47161
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.77732
                                    [registerednursehoursperresidentperdayontheweekend] => 0.2434
                                    [pthrd] => 0
                                    [totalnursingstaffturnover] => 60.5
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 
                                    [registerednurseturnoverfootnote] => 6
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.10947
                                    [nursingcase-mixindexratio] => 0.81814
                                    [cm_aide] => 1.87535
                                    [cm_lpn] => 0.7176
                                    [cm_rn] => 0.54658
                                    [cm_total] => 3.13952
                                    [nursingcase-mix-weekend] => 2.74336
                                    [adj_aide] => 2.79649
                                    [adj_lpn] => 1.06349
                                    [adj_rn] => 0.35968
                                    [adj_total] => 4.21967
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.37578
                                    [cycle_1_survey_date] => 2023-05-24
                                    [cycle_1_defs] => 5
                                    [cycle_1_nfromdefs] => 3
                                    [cycle_1_nfromcomp] => 2
                                    [cycle_1_defs_score] => 32
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 32
                                    [cycle_2_survey_date] => 2020-10-08
                                    [cycle_2_defs] => 4
                                    [cycle_2_nfromdefs] => 2
                                    [cycle_2_nfromcomp] => 2
                                    [cycle_2_defs_score] => 40
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 40
                                    [cycle_3_survey_date] => 2019-05-16
                                    [cycle_3_defs] => 6
                                    [cycle_3_nfromdefs] => 5
                                    [cycle_3_nfromcomp] => 1
                                    [cycle_3_defs_score] => 60
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 60
                                    [weighted_all_cycles_score] => 39.333
                                    [incident_cnt] => 2
                                    [cmplnt_cnt] => 1
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 1
                                    [tot_penlty_cnt] => 1
                                    [location] => 400 TRI-COUNTY LANE,RICHLAND,MO,65556
                                    [latitude] => 37.8594
                                    [longitude] => -92.397
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => -1
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => -2
                                    [durationOverallRating] => 1
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.004131595348
                                                                    [min_latitude] => 37.714668404652
                                                                    [max_longitude] => -92.213683874714
                                                                    [min_longitude] => -92.580316125286
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.22122898837
                                                                    [min_latitude] => 37.49757101163
                                                                    [max_longitude] => -91.938709686785
                                                                    [min_longitude] => -92.855290313215
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 3
                                    [website] => https://richlandcarecenter.com/
                                    [count10] => 2
                                    [count25] => 13
                                    [rank10] => 1
                                    [rank25] => 6
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [6] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7504c3
                                        )

                                    [provnum] => 265249
                                    [provname] => Maries Manor
                                    [web] => maries-manor
                                    [address] => 174 BALLPARK ROAD
                                    [city] => VIENNA
                                    [state] => MO
                                    [zip] => 65582
                                    [phone] => 5734223177
                                    [county_ssa] => 620
                                    [county_name] => Maries
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 98
                                    [restot] => 60.3
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => VIENNA NURSING & REHAB LLC
                                    [participation_date] => 1984-09-27
                                    [affiliatedentityname] => JAMES & JUDY LINCOLN
                                    [affiliatedentityid] => 290
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 2
                                    [overall_rating_fn] => 
                                    [survey_rating] => 3
                                    [survey_rating_fn] => 
                                    [quality_rating] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 
                                    [ss_quality_rating_fn] => 2
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.27445
                                    [vochrd] => 0.73232
                                    [rnhrd] => 0.23781
                                    [totlichrd] => 0.97013
                                    [tothrd] => 2.24457
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 1.93787
                                    [registerednursehoursperresidentperdayontheweekend] => 0.1871
                                    [pthrd] => 0.00745
                                    [totalnursingstaffturnover] => 36
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 
                                    [registerednurseturnoverfootnote] => 6
                                    [numberofadministratorswhohaveleftthenursinghome] => 2
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 0.99623
                                    [nursingcase-mixindexratio] => 0.73464
                                    [cm_aide] => 1.68393
                                    [cm_lpn] => 0.64435
                                    [cm_rn] => 0.49079
                                    [cm_total] => 2.81907
                                    [nursingcase-mix-weekend] => 2.46334
                                    [adj_aide] => 1.72515
                                    [adj_lpn] => 0.9913
                                    [adj_rn] => 0.32191
                                    [adj_total] => 3.03836
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.62319
                                    [cycle_1_survey_date] => 2024-05-23
                                    [cycle_1_defs] => 6
                                    [cycle_1_nfromdefs] => 6
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 76
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 76
                                    [cycle_2_survey_date] => 2023-02-24
                                    [cycle_2_defs] => 6
                                    [cycle_2_nfromdefs] => 6
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 44
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 44
                                    [cycle_3_survey_date] => 2020-03-06
                                    [cycle_3_defs] => 3
                                    [cycle_3_nfromdefs] => 2
                                    [cycle_3_nfromcomp] => 1
                                    [cycle_3_defs_score] => 20
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 20
                                    [weighted_all_cycles_score] => 56
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 1
                                    [infection_count] => 
                                    [fine_cnt] => 2
                                    [fine_tot] => 19500
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 2
                                    [location] => 174 BALLPARK ROAD,VIENNA,MO,65582
                                    [latitude] => 38.1893
                                    [longitude] => -91.952
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 3
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.334031595348
                                                                    [min_latitude] => 38.044568404652
                                                                    [max_longitude] => -91.7678566365
                                                                    [min_longitude] => -92.1361433635
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.55112898837
                                                                    [min_latitude] => 37.82747101163
                                                                    [max_longitude] => -91.491641591249
                                                                    [min_longitude] => -92.412358408751
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 2
                                    [website] => https://www.visitmariesmanor.com/
                                    [count10] => 1
                                    [count25] => 12
                                    [rank10] => 1
                                    [rank25] => 5
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [7] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a750521
                                        )

                                    [provnum] => 265428
                                    [provname] => Lebanon South Nursing  and  Rehab
                                    [web] => lebanon-south-nursing-rehab
                                    [address] => 514 WEST FREMONT ROAD
                                    [city] => LEBANON
                                    [state] => MO
                                    [zip] => 65536
                                    [phone] => 4175325351
                                    [county_ssa] => 520
                                    [county_name] => Laclede
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 116
                                    [restot] => 71.5
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => N & R OF LEBANON SOUTH LLC
                                    [participation_date] => 1990-05-09
                                    [affiliatedentityname] => JAMES & JUDY LINCOLN
                                    [affiliatedentityid] => 290
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => None
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 2
                                    [overall_rating_fn] => 
                                    [survey_rating] => 3
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 2
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 2
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.72644
                                    [vochrd] => 0.28433
                                    [rnhrd] => 0.42535
                                    [totlichrd] => 0.70967
                                    [tothrd] => 2.43611
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.0902
                                    [registerednursehoursperresidentperdayontheweekend] => 0.31319
                                    [pthrd] => 0.02155
                                    [totalnursingstaffturnover] => 63.5
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 33.3
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 2
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.19219
                                    [nursingcase-mixindexratio] => 0.87914
                                    [cm_aide] => 2.01516
                                    [cm_lpn] => 0.7711
                                    [cm_rn] => 0.58733
                                    [cm_total] => 3.37358
                                    [nursingcase-mix-weekend] => 2.94788
                                    [adj_aide] => 1.95286
                                    [adj_lpn] => 0.32162
                                    [adj_rn] => 0.48113
                                    [adj_total] => 2.75561
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.36433
                                    [cycle_1_survey_date] => 2023-10-06
                                    [cycle_1_defs] => 11
                                    [cycle_1_nfromdefs] => 11
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 72
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 72
                                    [cycle_2_survey_date] => 2021-04-05
                                    [cycle_2_defs] => 8
                                    [cycle_2_nfromdefs] => 6
                                    [cycle_2_nfromcomp] => 2
                                    [cycle_2_defs_score] => 48
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 48
                                    [cycle_3_survey_date] => 2019-04-08
                                    [cycle_3_defs] => 4
                                    [cycle_3_nfromdefs] => 3
                                    [cycle_3_nfromcomp] => 1
                                    [cycle_3_defs_score] => 28
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 28
                                    [weighted_all_cycles_score] => 56.667
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 3
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 514 WEST FREMONT ROAD,LEBANON,MO,65536
                                    [latitude] => 37.6405
                                    [longitude] => -92.66
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 4
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.785231595348
                                                                    [min_latitude] => 37.495768404652
                                                                    [max_longitude] => -92.477225353233
                                                                    [min_longitude] => -92.842774646767
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.00232898837
                                                                    [min_latitude] => 37.27867101163
                                                                    [max_longitude] => -92.203063383082
                                                                    [min_longitude] => -93.116936616918
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 2
                                    [website] => https://www.lebanonsouthnursingrehab.com/
                                    [count10] => 2
                                    [count25] => 9
                                    [rank10] => 1
                                    [rank25] => 5
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [8] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7505e7
                                        )

                                    [provnum] => 265737
                                    [provname] => Laurie Care Center
                                    [web] => laurie-care-center
                                    [address] => 610 HIGHWAY O
                                    [city] => GRAVOIS MILLS
                                    [state] => MO
                                    [zip] => 65037
                                    [phone] => 5733748263
                                    [county_ssa] => 700
                                    [county_name] => Morgan
                                    [ownership] => Government - County
                                    [bedcert] => 108
                                    [restot] => 47.8
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => LAURIE CARE CENTER
                                    [participation_date] => 2002-03-01
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => Y
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 2
                                    [overall_rating_fn] => 
                                    [survey_rating] => 2
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 4
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 3
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.34032
                                    [vochrd] => 0.40752
                                    [rnhrd] => 0.57983
                                    [totlichrd] => 0.98735
                                    [tothrd] => 3.32766
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.87802
                                    [registerednursehoursperresidentperdayontheweekend] => 0.26932
                                    [pthrd] => 0.10686
                                    [totalnursingstaffturnover] => 50
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 33.3
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.19692
                                    [nursingcase-mixindexratio] => 0.88263
                                    [cm_aide] => 2.02316
                                    [cm_lpn] => 0.77416
                                    [cm_rn] => 0.58966
                                    [cm_total] => 3.38697
                                    [nursingcase-mix-weekend] => 2.95958
                                    [adj_aide] => 2.63678
                                    [adj_lpn] => 0.45915
                                    [adj_rn] => 0.65328
                                    [adj_total] => 3.7492
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.2426
                                    [cycle_1_survey_date] => 2024-05-03
                                    [cycle_1_defs] => 1
                                    [cycle_1_nfromdefs] => 0
                                    [cycle_1_nfromcomp] => 1
                                    [cycle_1_defs_score] => 20
                                    [cycle_1_numrevis] => 0
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 20
                                    [cycle_2_survey_date] => 2023-02-10
                                    [cycle_2_defs] => 3
                                    [cycle_2_nfromdefs] => 3
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 40
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 40
                                    [cycle_3_survey_date] => 2020-02-13
                                    [cycle_3_defs] => 5
                                    [cycle_3_nfromdefs] => 5
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 56
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 56
                                    [weighted_all_cycles_score] => 32.667
                                    [incident_cnt] => 1
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 0
                                    [fine_cnt] => 2
                                    [fine_tot] => 8820.28
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 2
                                    [location] => 610 HIGHWAY O,GRAVOIS MILLS,MO,65037
                                    [latitude] => 38.22
                                    [longitude] => -92.805
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => -1
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => 1
                                    [durationOverallRating] => 1
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.364731595348
                                                                    [min_latitude] => 38.075268404652
                                                                    [max_longitude] => -92.6207789639
                                                                    [min_longitude] => -92.9892210361
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.58182898837
                                                                    [min_latitude] => 37.85817101163
                                                                    [max_longitude] => -92.344447409749
                                                                    [min_longitude] => -93.265552590251
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 2
                                    [website] => https://gsnhd.com/the-laurie-care-center/
                                    [count10] => 5
                                    [count25] => 13
                                    [rank10] => 2
                                    [rank25] => 6
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [9] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7504ad
                                        )

                                    [provnum] => 265178
                                    [provname] => Ozark Rehabilitation  and  Health Care Center
                                    [web] => ozark-rehabilitation-health-care-center
                                    [address] => 1083 OZARK CARE DRIVE,
                                    [city] => OSAGE BEACH
                                    [state] => MO
                                    [zip] => 65065
                                    [phone] => 5733481711
                                    [county_ssa] => 140
                                    [county_name] => Camden
                                    [ownership] => For profit - Limited Liability company
                                    [bedcert] => 60
                                    [restot] => 42.7
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => PETERSEN HEALTH OPERATIONS LLC
                                    [participation_date] => 1982-10-27
                                    [affiliatedentityname] => PETERSEN HEALTH CARE
                                    [affiliatedentityid] => 399
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 1
                                    [overall_rating_fn] => 
                                    [survey_rating] => 1
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 2
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 
                                    [ss_quality_rating_fn] => 2
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 12
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.08532
                                    [vochrd] => 0.56863
                                    [rnhrd] => 0.31195
                                    [totlichrd] => 0.88058
                                    [tothrd] => 2.9659
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.73316
                                    [registerednursehoursperresidentperdayontheweekend] => 0.23465
                                    [pthrd] => 0.01655
                                    [totalnursingstaffturnover] => 52.5
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 
                                    [registerednurseturnoverfootnote] => 6
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.21724
                                    [nursingcase-mixindexratio] => 0.89761
                                    [cm_aide] => 2.0575
                                    [cm_lpn] => 0.7873
                                    [cm_rn] => 0.59967
                                    [cm_total] => 3.44446
                                    [nursingcase-mix-weekend] => 3.00982
                                    [adj_aide] => 2.31026
                                    [adj_lpn] => 0.62997
                                    [adj_rn] => 0.3456
                                    [adj_total] => 3.28583
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.02799
                                    [cycle_1_survey_date] => 2024-02-29
                                    [cycle_1_defs] => 26
                                    [cycle_1_nfromdefs] => 23
                                    [cycle_1_nfromcomp] => 3
                                    [cycle_1_defs_score] => 311
                                    [cycle_1_numrevis] => 2
                                    [cycle_1_revisit_score] => 156
                                    [cycle_1_total_score] => 467
                                    [cycle_2_survey_date] => 2022-11-18
                                    [cycle_2_defs] => 3
                                    [cycle_2_nfromdefs] => 3
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 32
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 32
                                    [cycle_3_survey_date] => 2019-07-18
                                    [cycle_3_defs] => 13
                                    [cycle_3_nfromdefs] => 13
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 72
                                    [cycle_3_numrevis] => 2
                                    [cycle_3_revisit_score] => 36
                                    [cycle_3_total_score] => 108
                                    [weighted_all_cycles_score] => 262.167
                                    [incident_cnt] => 1
                                    [cmplnt_cnt] => 3
                                    [infection_count] => 
                                    [fine_cnt] => 2
                                    [fine_tot] => 26975
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 2
                                    [location] => 1083 OZARK CARE DRIVE,,OSAGE BEACH,MO,65065
                                    [latitude] => 38.1172
                                    [longitude] => -92.685
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -2
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 6
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.261931595348
                                                                    [min_latitude] => 37.972468404652
                                                                    [max_longitude] => -92.501038588464
                                                                    [min_longitude] => -92.868961411536
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.47902898837
                                                                    [min_latitude] => 37.75537101163
                                                                    [max_longitude] => -92.22509647116
                                                                    [min_longitude] => -93.144903528841
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 1
                                    [website] => https://www.petersenhealthcare.net/ozark/
                                    [count10] => 6
                                    [count25] => 14
                                    [rank10] => 6
                                    [rank25] => 14
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                )

            [worst] => Array
                (
                    [0] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7504aa
                                        )

                                    [provnum] => 265171
                                    [provname] => Osage Beach Rehabilitation and Health Care Center
                                    [web] => osage-beach-rehabilitation-and-health-care-center
                                    [address] => 844 PASSOVER ROAD
                                    [city] => OSAGE BEACH
                                    [state] => MO
                                    [zip] => 65065
                                    [phone] => 5733482225
                                    [county_ssa] => 140
                                    [county_name] => Camden
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 94
                                    [restot] => 73
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => NHC HEALTHCARE-OSAGE BEACH LLC
                                    [participation_date] => 1982-07-01
                                    [affiliatedentityname] => NATIONAL HEALTHCARE CORPORATION
                                    [affiliatedentityid] => 364
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 1
                                    [overall_rating_fn] => 
                                    [survey_rating] => 1
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 1
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 3
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.37882
                                    [vochrd] => 0.23811
                                    [rnhrd] => 0.68296
                                    [totlichrd] => 0.92107
                                    [tothrd] => 3.29989
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.8325
                                    [registerednursehoursperresidentperdayontheweekend] => 0.47228
                                    [pthrd] => 0.0642
                                    [totalnursingstaffturnover] => 65.1
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 33.3
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.19297
                                    [nursingcase-mixindexratio] => 0.87971
                                    [cm_aide] => 2.01648
                                    [cm_lpn] => 0.7716
                                    [cm_rn] => 0.58771
                                    [cm_total] => 3.37579
                                    [nursingcase-mix-weekend] => 2.94981
                                    [adj_aide] => 2.68904
                                    [adj_lpn] => 0.26916
                                    [adj_rn] => 0.77202
                                    [adj_total] => 3.73022
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.20188
                                    [cycle_1_survey_date] => 2023-12-14
                                    [cycle_1_defs] => 8
                                    [cycle_1_nfromdefs] => 5
                                    [cycle_1_nfromcomp] => 4
                                    [cycle_1_defs_score] => 164
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 164
                                    [cycle_2_survey_date] => 2022-09-23
                                    [cycle_2_defs] => 16
                                    [cycle_2_nfromdefs] => 14
                                    [cycle_2_nfromcomp] => 2
                                    [cycle_2_defs_score] => 245
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 245
                                    [cycle_3_survey_date] => 2019-10-31
                                    [cycle_3_defs] => 2
                                    [cycle_3_nfromdefs] => 2
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 12
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 12
                                    [weighted_all_cycles_score] => 165.667
                                    [incident_cnt] => 1
                                    [cmplnt_cnt] => 5
                                    [infection_count] => 0
                                    [fine_cnt] => 4
                                    [fine_tot] => 213174.52
                                    [payden_cnt] => 1
                                    [tot_penlty_cnt] => 5
                                    [location] => 844 PASSOVER ROAD,OSAGE BEACH,MO,65065
                                    [latitude] => 38.1336
                                    [longitude] => -92.63
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 10
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.278331595348
                                                                    [min_latitude] => 37.988868404652
                                                                    [max_longitude] => -92.445997258528
                                                                    [min_longitude] => -92.814002741472
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.49542898837
                                                                    [min_latitude] => 37.77177101163
                                                                    [max_longitude] => -92.169993146319
                                                                    [min_longitude] => -93.090006853681
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 1
                                    [website] => https://nhccare.com/locations/osage-beach-rehabilitation/
                                    [count10] => 6
                                    [count25] => 14
                                    [rank10] => 5
                                    [rank25] => 13
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [1] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7504ad
                                        )

                                    [provnum] => 265178
                                    [provname] => Ozark Rehabilitation  and  Health Care Center
                                    [web] => ozark-rehabilitation-health-care-center
                                    [address] => 1083 OZARK CARE DRIVE,
                                    [city] => OSAGE BEACH
                                    [state] => MO
                                    [zip] => 65065
                                    [phone] => 5733481711
                                    [county_ssa] => 140
                                    [county_name] => Camden
                                    [ownership] => For profit - Limited Liability company
                                    [bedcert] => 60
                                    [restot] => 42.7
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => PETERSEN HEALTH OPERATIONS LLC
                                    [participation_date] => 1982-10-27
                                    [affiliatedentityname] => PETERSEN HEALTH CARE
                                    [affiliatedentityid] => 399
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 1
                                    [overall_rating_fn] => 
                                    [survey_rating] => 1
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 2
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 
                                    [ss_quality_rating_fn] => 2
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 12
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.08532
                                    [vochrd] => 0.56863
                                    [rnhrd] => 0.31195
                                    [totlichrd] => 0.88058
                                    [tothrd] => 2.9659
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.73316
                                    [registerednursehoursperresidentperdayontheweekend] => 0.23465
                                    [pthrd] => 0.01655
                                    [totalnursingstaffturnover] => 52.5
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 
                                    [registerednurseturnoverfootnote] => 6
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.21724
                                    [nursingcase-mixindexratio] => 0.89761
                                    [cm_aide] => 2.0575
                                    [cm_lpn] => 0.7873
                                    [cm_rn] => 0.59967
                                    [cm_total] => 3.44446
                                    [nursingcase-mix-weekend] => 3.00982
                                    [adj_aide] => 2.31026
                                    [adj_lpn] => 0.62997
                                    [adj_rn] => 0.3456
                                    [adj_total] => 3.28583
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.02799
                                    [cycle_1_survey_date] => 2024-02-29
                                    [cycle_1_defs] => 26
                                    [cycle_1_nfromdefs] => 23
                                    [cycle_1_nfromcomp] => 3
                                    [cycle_1_defs_score] => 311
                                    [cycle_1_numrevis] => 2
                                    [cycle_1_revisit_score] => 156
                                    [cycle_1_total_score] => 467
                                    [cycle_2_survey_date] => 2022-11-18
                                    [cycle_2_defs] => 3
                                    [cycle_2_nfromdefs] => 3
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 32
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 32
                                    [cycle_3_survey_date] => 2019-07-18
                                    [cycle_3_defs] => 13
                                    [cycle_3_nfromdefs] => 13
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 72
                                    [cycle_3_numrevis] => 2
                                    [cycle_3_revisit_score] => 36
                                    [cycle_3_total_score] => 108
                                    [weighted_all_cycles_score] => 262.167
                                    [incident_cnt] => 1
                                    [cmplnt_cnt] => 3
                                    [infection_count] => 
                                    [fine_cnt] => 2
                                    [fine_tot] => 26975
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 2
                                    [location] => 1083 OZARK CARE DRIVE,,OSAGE BEACH,MO,65065
                                    [latitude] => 38.1172
                                    [longitude] => -92.685
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -2
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 6
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.261931595348
                                                                    [min_latitude] => 37.972468404652
                                                                    [max_longitude] => -92.501038588464
                                                                    [min_longitude] => -92.868961411536
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.47902898837
                                                                    [min_latitude] => 37.75537101163
                                                                    [max_longitude] => -92.22509647116
                                                                    [min_longitude] => -93.144903528841
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 1
                                    [website] => https://www.petersenhealthcare.net/ozark/
                                    [count10] => 6
                                    [count25] => 14
                                    [rank10] => 6
                                    [rank25] => 14
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [2] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a750496
                                        )

                                    [provnum] => 265123
                                    [provname] => Lebanon North Nursing  and  Rehab
                                    [web] => lebanon-north-nursing-rehab
                                    [address] => 596 MORTON ROAD
                                    [city] => LEBANON
                                    [state] => MO
                                    [zip] => 65536
                                    [phone] => 4175329173
                                    [county_ssa] => 520
                                    [county_name] => Laclede
                                    [ownership] => For profit - Individual
                                    [bedcert] => 180
                                    [restot] => 64.9
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => N & R OF LEBANON NORTH LLC
                                    [participation_date] => 1976-01-01
                                    [affiliatedentityname] => JAMES & JUDY LINCOLN
                                    [affiliatedentityid] => 290
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 1
                                    [overall_rating_fn] => 
                                    [survey_rating] => 2
                                    [survey_rating_fn] => 
                                    [quality_rating] => 1
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 1
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 2
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.67549
                                    [vochrd] => 0.76627
                                    [rnhrd] => 0.16869
                                    [totlichrd] => 0.93495
                                    [tothrd] => 3.61044
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.13762
                                    [registerednursehoursperresidentperdayontheweekend] => 0.12446
                                    [pthrd] => 0.01626
                                    [totalnursingstaffturnover] => 46.6
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 
                                    [registerednurseturnoverfootnote] => 6
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.22936
                                    [nursingcase-mixindexratio] => 0.90655
                                    [cm_aide] => 2.07799
                                    [cm_lpn] => 0.79514
                                    [cm_rn] => 0.60564
                                    [cm_total] => 3.47877
                                    [nursingcase-mix-weekend] => 3.0398
                                    [adj_aide] => 2.93487
                                    [adj_lpn] => 0.84055
                                    [adj_rn] => 0.18504
                                    [adj_total] => 3.96046
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.44179
                                    [cycle_1_survey_date] => 2024-05-23
                                    [cycle_1_defs] => 10
                                    [cycle_1_nfromdefs] => 8
                                    [cycle_1_nfromcomp] => 2
                                    [cycle_1_defs_score] => 72
                                    [cycle_1_numrevis] => 2
                                    [cycle_1_revisit_score] => 36
                                    [cycle_1_total_score] => 108
                                    [cycle_2_survey_date] => 2022-08-26
                                    [cycle_2_defs] => 13
                                    [cycle_2_nfromdefs] => 9
                                    [cycle_2_nfromcomp] => 4
                                    [cycle_2_defs_score] => 88
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 88
                                    [cycle_3_survey_date] => 2019-08-12
                                    [cycle_3_defs] => 13
                                    [cycle_3_nfromdefs] => 6
                                    [cycle_3_nfromcomp] => 7
                                    [cycle_3_defs_score] => 143
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 143
                                    [weighted_all_cycles_score] => 107.167
                                    [incident_cnt] => 6
                                    [cmplnt_cnt] => 8
                                    [infection_count] => 2
                                    [fine_cnt] => 2
                                    [fine_tot] => 32454.5
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 2
                                    [location] => 596 MORTON ROAD,LEBANON,MO,65536
                                    [latitude] => 37.6695
                                    [longitude] => -92.658
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 7
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.814231595348
                                                                    [min_latitude] => 37.524768404652
                                                                    [max_longitude] => -92.475153954991
                                                                    [min_longitude] => -92.840846045009
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.03132898837
                                                                    [min_latitude] => 37.30767101163
                                                                    [max_longitude] => -92.200884887477
                                                                    [min_longitude] => -93.115115112523
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 1
                                    [website] => https://www.lebanonnorthnursingrehab.com/
                                    [count10] => 2
                                    [count25] => 9
                                    [rank10] => 2
                                    [rank25] => 8
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [3] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a75051b
                                        )

                                    [provnum] => 265418
                                    [provname] => Dixon Nursing  and  Rehab
                                    [web] => dixon-nursing-rehab
                                    [address] => 403 EAST 10TH STREET
                                    [city] => DIXON
                                    [state] => MO
                                    [zip] => 65459
                                    [phone] => 5737592135
                                    [county_ssa] => 840
                                    [county_name] => Pulaski
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 60
                                    [restot] => 30.5
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => N & R OF DIXON, LLC
                                    [participation_date] => 1990-02-07
                                    [affiliatedentityname] => JAMES & JUDY LINCOLN
                                    [affiliatedentityid] => 290
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => None
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 1
                                    [overall_rating_fn] => 
                                    [survey_rating] => 3
                                    [survey_rating_fn] => 
                                    [quality_rating] => 1
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 1
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 
                                    [ss_quality_rating_fn] => 2
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 12
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.80519
                                    [vochrd] => 0.70879
                                    [rnhrd] => 0.53517
                                    [totlichrd] => 1.24397
                                    [tothrd] => 4.04916
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.47463
                                    [registerednursehoursperresidentperdayontheweekend] => 0.46607
                                    [pthrd] => 0.00362
                                    [totalnursingstaffturnover] => 70.5
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 83.3
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 4
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.10301
                                    [nursingcase-mixindexratio] => 0.81338
                                    [cm_aide] => 1.86443
                                    [cm_lpn] => 0.71342
                                    [cm_rn] => 0.5434
                                    [cm_total] => 3.12125
                                    [nursingcase-mix-weekend] => 2.72739
                                    [adj_aide] => 3.42961
                                    [adj_lpn] => 0.86657
                                    [adj_rn] => 0.6543
                                    [adj_total] => 4.95048
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 4.24807
                                    [cycle_1_survey_date] => 2023-09-08
                                    [cycle_1_defs] => 13
                                    [cycle_1_nfromdefs] => 13
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 112
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 112
                                    [cycle_2_survey_date] => 2022-03-09
                                    [cycle_2_defs] => 4
                                    [cycle_2_nfromdefs] => 2
                                    [cycle_2_nfromcomp] => 2
                                    [cycle_2_defs_score] => 48
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 48
                                    [cycle_3_survey_date] => 2019-09-18
                                    [cycle_3_defs] => 0
                                    [cycle_3_nfromdefs] => 0
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 0
                                    [cycle_3_numrevis] => 0
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 0
                                    [weighted_all_cycles_score] => 72
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 1
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 403 EAST 10TH STREET,DIXON,MO,65459
                                    [latitude] => 38.0014
                                    [longitude] => -92.089
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 4
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.146131595348
                                                                    [min_latitude] => 37.856668404652
                                                                    [max_longitude] => -91.905329462807
                                                                    [min_longitude] => -92.272670537193
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.36322898837
                                                                    [min_latitude] => 37.63957101163
                                                                    [max_longitude] => -91.629823657016
                                                                    [min_longitude] => -92.548176342984
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 1
                                    [website] => https://www.dixonnursing.com/
                                    [count10] => 1
                                    [count25] => 11
                                    [rank10] => 1
                                    [rank25] => 7
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [4] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7504c3
                                        )

                                    [provnum] => 265249
                                    [provname] => Maries Manor
                                    [web] => maries-manor
                                    [address] => 174 BALLPARK ROAD
                                    [city] => VIENNA
                                    [state] => MO
                                    [zip] => 65582
                                    [phone] => 5734223177
                                    [county_ssa] => 620
                                    [county_name] => Maries
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 98
                                    [restot] => 60.3
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => VIENNA NURSING & REHAB LLC
                                    [participation_date] => 1984-09-27
                                    [affiliatedentityname] => JAMES & JUDY LINCOLN
                                    [affiliatedentityid] => 290
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 2
                                    [overall_rating_fn] => 
                                    [survey_rating] => 3
                                    [survey_rating_fn] => 
                                    [quality_rating] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 
                                    [ss_quality_rating_fn] => 2
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.27445
                                    [vochrd] => 0.73232
                                    [rnhrd] => 0.23781
                                    [totlichrd] => 0.97013
                                    [tothrd] => 2.24457
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 1.93787
                                    [registerednursehoursperresidentperdayontheweekend] => 0.1871
                                    [pthrd] => 0.00745
                                    [totalnursingstaffturnover] => 36
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 
                                    [registerednurseturnoverfootnote] => 6
                                    [numberofadministratorswhohaveleftthenursinghome] => 2
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 0.99623
                                    [nursingcase-mixindexratio] => 0.73464
                                    [cm_aide] => 1.68393
                                    [cm_lpn] => 0.64435
                                    [cm_rn] => 0.49079
                                    [cm_total] => 2.81907
                                    [nursingcase-mix-weekend] => 2.46334
                                    [adj_aide] => 1.72515
                                    [adj_lpn] => 0.9913
                                    [adj_rn] => 0.32191
                                    [adj_total] => 3.03836
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.62319
                                    [cycle_1_survey_date] => 2024-05-23
                                    [cycle_1_defs] => 6
                                    [cycle_1_nfromdefs] => 6
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 76
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 76
                                    [cycle_2_survey_date] => 2023-02-24
                                    [cycle_2_defs] => 6
                                    [cycle_2_nfromdefs] => 6
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 44
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 44
                                    [cycle_3_survey_date] => 2020-03-06
                                    [cycle_3_defs] => 3
                                    [cycle_3_nfromdefs] => 2
                                    [cycle_3_nfromcomp] => 1
                                    [cycle_3_defs_score] => 20
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 20
                                    [weighted_all_cycles_score] => 56
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 1
                                    [infection_count] => 
                                    [fine_cnt] => 2
                                    [fine_tot] => 19500
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 2
                                    [location] => 174 BALLPARK ROAD,VIENNA,MO,65582
                                    [latitude] => 38.1893
                                    [longitude] => -91.952
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 3
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.334031595348
                                                                    [min_latitude] => 38.044568404652
                                                                    [max_longitude] => -91.7678566365
                                                                    [min_longitude] => -92.1361433635
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.55112898837
                                                                    [min_latitude] => 37.82747101163
                                                                    [max_longitude] => -91.491641591249
                                                                    [min_longitude] => -92.412358408751
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 2
                                    [website] => https://www.visitmariesmanor.com/
                                    [count10] => 1
                                    [count25] => 12
                                    [rank10] => 1
                                    [rank25] => 5
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [5] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a750521
                                        )

                                    [provnum] => 265428
                                    [provname] => Lebanon South Nursing  and  Rehab
                                    [web] => lebanon-south-nursing-rehab
                                    [address] => 514 WEST FREMONT ROAD
                                    [city] => LEBANON
                                    [state] => MO
                                    [zip] => 65536
                                    [phone] => 4175325351
                                    [county_ssa] => 520
                                    [county_name] => Laclede
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 116
                                    [restot] => 71.5
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => N & R OF LEBANON SOUTH LLC
                                    [participation_date] => 1990-05-09
                                    [affiliatedentityname] => JAMES & JUDY LINCOLN
                                    [affiliatedentityid] => 290
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => None
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 2
                                    [overall_rating_fn] => 
                                    [survey_rating] => 3
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 2
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 2
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.72644
                                    [vochrd] => 0.28433
                                    [rnhrd] => 0.42535
                                    [totlichrd] => 0.70967
                                    [tothrd] => 2.43611
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.0902
                                    [registerednursehoursperresidentperdayontheweekend] => 0.31319
                                    [pthrd] => 0.02155
                                    [totalnursingstaffturnover] => 63.5
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 33.3
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 2
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.19219
                                    [nursingcase-mixindexratio] => 0.87914
                                    [cm_aide] => 2.01516
                                    [cm_lpn] => 0.7711
                                    [cm_rn] => 0.58733
                                    [cm_total] => 3.37358
                                    [nursingcase-mix-weekend] => 2.94788
                                    [adj_aide] => 1.95286
                                    [adj_lpn] => 0.32162
                                    [adj_rn] => 0.48113
                                    [adj_total] => 2.75561
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.36433
                                    [cycle_1_survey_date] => 2023-10-06
                                    [cycle_1_defs] => 11
                                    [cycle_1_nfromdefs] => 11
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 72
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 72
                                    [cycle_2_survey_date] => 2021-04-05
                                    [cycle_2_defs] => 8
                                    [cycle_2_nfromdefs] => 6
                                    [cycle_2_nfromcomp] => 2
                                    [cycle_2_defs_score] => 48
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 48
                                    [cycle_3_survey_date] => 2019-04-08
                                    [cycle_3_defs] => 4
                                    [cycle_3_nfromdefs] => 3
                                    [cycle_3_nfromcomp] => 1
                                    [cycle_3_defs_score] => 28
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 28
                                    [weighted_all_cycles_score] => 56.667
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 3
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 514 WEST FREMONT ROAD,LEBANON,MO,65536
                                    [latitude] => 37.6405
                                    [longitude] => -92.66
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 4
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.785231595348
                                                                    [min_latitude] => 37.495768404652
                                                                    [max_longitude] => -92.477225353233
                                                                    [min_longitude] => -92.842774646767
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.00232898837
                                                                    [min_latitude] => 37.27867101163
                                                                    [max_longitude] => -92.203063383082
                                                                    [min_longitude] => -93.116936616918
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 2
                                    [website] => https://www.lebanonsouthnursingrehab.com/
                                    [count10] => 2
                                    [count25] => 9
                                    [rank10] => 1
                                    [rank25] => 5
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [6] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7505e7
                                        )

                                    [provnum] => 265737
                                    [provname] => Laurie Care Center
                                    [web] => laurie-care-center
                                    [address] => 610 HIGHWAY O
                                    [city] => GRAVOIS MILLS
                                    [state] => MO
                                    [zip] => 65037
                                    [phone] => 5733748263
                                    [county_ssa] => 700
                                    [county_name] => Morgan
                                    [ownership] => Government - County
                                    [bedcert] => 108
                                    [restot] => 47.8
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => LAURIE CARE CENTER
                                    [participation_date] => 2002-03-01
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => Y
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 2
                                    [overall_rating_fn] => 
                                    [survey_rating] => 2
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 4
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 3
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.34032
                                    [vochrd] => 0.40752
                                    [rnhrd] => 0.57983
                                    [totlichrd] => 0.98735
                                    [tothrd] => 3.32766
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.87802
                                    [registerednursehoursperresidentperdayontheweekend] => 0.26932
                                    [pthrd] => 0.10686
                                    [totalnursingstaffturnover] => 50
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 33.3
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.19692
                                    [nursingcase-mixindexratio] => 0.88263
                                    [cm_aide] => 2.02316
                                    [cm_lpn] => 0.77416
                                    [cm_rn] => 0.58966
                                    [cm_total] => 3.38697
                                    [nursingcase-mix-weekend] => 2.95958
                                    [adj_aide] => 2.63678
                                    [adj_lpn] => 0.45915
                                    [adj_rn] => 0.65328
                                    [adj_total] => 3.7492
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.2426
                                    [cycle_1_survey_date] => 2024-05-03
                                    [cycle_1_defs] => 1
                                    [cycle_1_nfromdefs] => 0
                                    [cycle_1_nfromcomp] => 1
                                    [cycle_1_defs_score] => 20
                                    [cycle_1_numrevis] => 0
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 20
                                    [cycle_2_survey_date] => 2023-02-10
                                    [cycle_2_defs] => 3
                                    [cycle_2_nfromdefs] => 3
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 40
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 40
                                    [cycle_3_survey_date] => 2020-02-13
                                    [cycle_3_defs] => 5
                                    [cycle_3_nfromdefs] => 5
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 56
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 56
                                    [weighted_all_cycles_score] => 32.667
                                    [incident_cnt] => 1
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 0
                                    [fine_cnt] => 2
                                    [fine_tot] => 8820.28
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 2
                                    [location] => 610 HIGHWAY O,GRAVOIS MILLS,MO,65037
                                    [latitude] => 38.22
                                    [longitude] => -92.805
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => -1
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => 1
                                    [durationOverallRating] => 1
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.364731595348
                                                                    [min_latitude] => 38.075268404652
                                                                    [max_longitude] => -92.6207789639
                                                                    [min_longitude] => -92.9892210361
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.58182898837
                                                                    [min_latitude] => 37.85817101163
                                                                    [max_longitude] => -92.344447409749
                                                                    [min_longitude] => -93.265552590251
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 2
                                    [website] => https://gsnhd.com/the-laurie-care-center/
                                    [count10] => 5
                                    [count25] => 13
                                    [rank10] => 2
                                    [rank25] => 6
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [7] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7505f6
                                        )

                                    [provnum] => 265755
                                    [provname] => Richland Care Center Inc
                                    [web] => richland-care-center-inc
                                    [address] => 400 TRI-COUNTY LANE
                                    [city] => RICHLAND
                                    [state] => MO
                                    [zip] => 65556
                                    [phone] => 5737653243
                                    [county_ssa] => 840
                                    [county_name] => Pulaski
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 86
                                    [restot] => 30.7
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => RICHLAND CARE CENTER, INC.
                                    [participation_date] => 2003-07-01
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 3
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 
                                    [ss_quality_rating_fn] => 2
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 12
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.30073
                                    [vochrd] => 0.87496
                                    [rnhrd] => 0.29592
                                    [totlichrd] => 1.17087
                                    [tothrd] => 3.47161
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.77732
                                    [registerednursehoursperresidentperdayontheweekend] => 0.2434
                                    [pthrd] => 0
                                    [totalnursingstaffturnover] => 60.5
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 
                                    [registerednurseturnoverfootnote] => 6
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.10947
                                    [nursingcase-mixindexratio] => 0.81814
                                    [cm_aide] => 1.87535
                                    [cm_lpn] => 0.7176
                                    [cm_rn] => 0.54658
                                    [cm_total] => 3.13952
                                    [nursingcase-mix-weekend] => 2.74336
                                    [adj_aide] => 2.79649
                                    [adj_lpn] => 1.06349
                                    [adj_rn] => 0.35968
                                    [adj_total] => 4.21967
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.37578
                                    [cycle_1_survey_date] => 2023-05-24
                                    [cycle_1_defs] => 5
                                    [cycle_1_nfromdefs] => 3
                                    [cycle_1_nfromcomp] => 2
                                    [cycle_1_defs_score] => 32
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 32
                                    [cycle_2_survey_date] => 2020-10-08
                                    [cycle_2_defs] => 4
                                    [cycle_2_nfromdefs] => 2
                                    [cycle_2_nfromcomp] => 2
                                    [cycle_2_defs_score] => 40
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 40
                                    [cycle_3_survey_date] => 2019-05-16
                                    [cycle_3_defs] => 6
                                    [cycle_3_nfromdefs] => 5
                                    [cycle_3_nfromcomp] => 1
                                    [cycle_3_defs_score] => 60
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 60
                                    [weighted_all_cycles_score] => 39.333
                                    [incident_cnt] => 2
                                    [cmplnt_cnt] => 1
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 1
                                    [tot_penlty_cnt] => 1
                                    [location] => 400 TRI-COUNTY LANE,RICHLAND,MO,65556
                                    [latitude] => 37.8594
                                    [longitude] => -92.397
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => -1
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => -2
                                    [durationOverallRating] => 1
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.004131595348
                                                                    [min_latitude] => 37.714668404652
                                                                    [max_longitude] => -92.213683874714
                                                                    [min_longitude] => -92.580316125286
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.22122898837
                                                                    [min_latitude] => 37.49757101163
                                                                    [max_longitude] => -91.938709686785
                                                                    [min_longitude] => -92.855290313215
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 3
                                    [website] => https://richlandcarecenter.com/
                                    [count10] => 2
                                    [count25] => 13
                                    [rank10] => 1
                                    [rank25] => 6
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [8] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7505d5
                                        )

                                    [provnum] => 265713
                                    [provname] => Miller County Care and Rehabilitation Center
                                    [web] => miller-county-care-and-rehabilitation-center
                                    [address] => 1157 HIGHWAY 17
                                    [city] => TUSCUMBIA
                                    [state] => MO
                                    [zip] => 65082
                                    [phone] => 5733692318
                                    [county_ssa] => 650
                                    [county_name] => Miller
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 86
                                    [restot] => 63.3
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => MILLER COUNTY NURSING HOME DISTRICT
                                    [participation_date] => 2000-12-20
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 4
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 5
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.67617
                                    [vochrd] => 0.68998
                                    [rnhrd] => 0.20969
                                    [totlichrd] => 0.89967
                                    [tothrd] => 2.57585
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.35644
                                    [registerednursehoursperresidentperdayontheweekend] => 0.15179
                                    [pthrd] => 0.00515
                                    [totalnursingstaffturnover] => 33.3
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 40
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.06704
                                    [nursingcase-mixindexratio] => 0.78686
                                    [cm_aide] => 1.80363
                                    [cm_lpn] => 0.69015
                                    [cm_rn] => 0.52567
                                    [cm_total] => 3.01946
                                    [nursingcase-mix-weekend] => 2.63844
                                    [adj_aide] => 2.11837
                                    [adj_lpn] => 0.87201
                                    [adj_rn] => 0.26501
                                    [adj_total] => 3.25539
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.9781
                                    [cycle_1_survey_date] => 2024-02-23
                                    [cycle_1_defs] => 3
                                    [cycle_1_nfromdefs] => 3
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 24
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 24
                                    [cycle_2_survey_date] => 2022-11-17
                                    [cycle_2_defs] => 7
                                    [cycle_2_nfromdefs] => 7
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 52
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 52
                                    [cycle_3_survey_date] => 2020-01-10
                                    [cycle_3_defs] => 2
                                    [cycle_3_nfromdefs] => 2
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 16
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 16
                                    [weighted_all_cycles_score] => 32
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 1
                                    [fine_tot] => 17550
                                    [payden_cnt] => 1
                                    [tot_penlty_cnt] => 2
                                    [location] => 1157 HIGHWAY 17,TUSCUMBIA,MO,65082
                                    [latitude] => 38.213
                                    [longitude] => -92.436
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => -1
                                    [durationOverallRating] => 4
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.357731595348
                                                                    [min_latitude] => 38.068268404652
                                                                    [max_longitude] => -92.251796684686
                                                                    [min_longitude] => -92.620203315314
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.57482898837
                                                                    [min_latitude] => 37.85117101163
                                                                    [max_longitude] => -91.975491711714
                                                                    [min_longitude] => -92.896508288286
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => http://millercountycare.com/
                                    [count10] => 4
                                    [count25] => 17
                                    [rank10] => 2
                                    [rank25] => 3
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [9] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7504fd
                                        )

                                    [provnum] => 265373
                                    [provname] => Life Care Center of Waynesville
                                    [web] => life-care-center-of-waynesville
                                    [address] => 700 BIRCH LANE
                                    [city] => WAYNESVILLE
                                    [state] => MO
                                    [zip] => 65583
                                    [phone] => 5737746456
                                    [county_ssa] => 840
                                    [county_name] => Pulaski
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 120
                                    [restot] => 76
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => WAYNESVILLE MEDICAL INVESTORS LLC
                                    [participation_date] => 1989-06-26
                                    [affiliatedentityname] => LIFE CARE CENTERS OF AMERICA
                                    [affiliatedentityid] => 311
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 4
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 4
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 1
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.76745
                                    [vochrd] => 1.24341
                                    [rnhrd] => 0.40154
                                    [totlichrd] => 1.64496
                                    [tothrd] => 3.41241
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.08554
                                    [registerednursehoursperresidentperdayontheweekend] => 0.32727
                                    [pthrd] => 0.04681
                                    [totalnursingstaffturnover] => 49.3
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 80
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.20181
                                    [nursingcase-mixindexratio] => 0.88624
                                    [cm_aide] => 2.03143
                                    [cm_lpn] => 0.77732
                                    [cm_rn] => 0.59207
                                    [cm_total] => 3.40082
                                    [nursingcase-mix-weekend] => 2.97168
                                    [adj_aide] => 1.98324
                                    [adj_lpn] => 1.39522
                                    [adj_rn] => 0.45057
                                    [adj_total] => 3.82903
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.46225
                                    [cycle_1_survey_date] => 2024-02-01
                                    [cycle_1_defs] => 14
                                    [cycle_1_nfromdefs] => 12
                                    [cycle_1_nfromcomp] => 2
                                    [cycle_1_defs_score] => 56
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 56
                                    [cycle_2_survey_date] => 2022-11-14
                                    [cycle_2_defs] => 4
                                    [cycle_2_nfromdefs] => 3
                                    [cycle_2_nfromcomp] => 1
                                    [cycle_2_defs_score] => 28
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 28
                                    [cycle_3_survey_date] => 2019-11-15
                                    [cycle_3_defs] => 6
                                    [cycle_3_nfromdefs] => 5
                                    [cycle_3_nfromcomp] => 1
                                    [cycle_3_defs_score] => 52
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 52
                                    [weighted_all_cycles_score] => 46
                                    [incident_cnt] => 4
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 0
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 700 BIRCH LANE,WAYNESVILLE,MO,65583
                                    [latitude] => 37.8178
                                    [longitude] => -92.226
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 7
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.962531595348
                                                                    [min_latitude] => 37.673068404652
                                                                    [max_longitude] => -92.042787230621
                                                                    [min_longitude] => -92.409212769379
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 38.17962898837
                                                                    [min_latitude] => 37.45597101163
                                                                    [max_longitude] => -91.767968076551
                                                                    [min_longitude] => -92.684031923449
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://lcca.com/locations/mo/waynesville/
                                    [count10] => 2
                                    [count25] => 13
                                    [rank10] => 2
                                    [rank25] => 6
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                )

            [homeCount] => 13
            [week_ending] => 2024-10-20
            [new] => Array
                (
                )

            [newBeds] => 0
            [lost] => Array
                (
                )

            [lostBeds] => 0
            [covidData] => Array
                (
                    [0] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-10-20
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 914
                                    [allBeds] => 1170
                                    [occupied] => 654
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1410
                                )

                        )

                    [1] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-10-13
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 914
                                    [allBeds] => 1170
                                    [occupied] => 654
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1410
                                )

                        )

                    [2] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-10-06
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 914
                                    [allBeds] => 1170
                                    [occupied] => 654
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1410
                                )

                        )

                    [3] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-09-29
                                    [weeklyNewCases] => 3
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 914
                                    [allBeds] => 1156
                                    [occupied] => 665
                                    [hospital] => 1
                                    [staffWeekly] => 2
                                    [staffTotal] => 1410
                                )

                        )

                    [4] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-09-22
                                    [weeklyNewCases] => 36
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 912
                                    [allBeds] => 1058
                                    [occupied] => 610
                                    [hospital] => 2
                                    [staffWeekly] => 13
                                    [staffTotal] => 1408
                                )

                        )

                    [5] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-09-15
                                    [weeklyNewCases] => 32
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 906
                                    [allBeds] => 1156
                                    [occupied] => 665
                                    [hospital] => 0
                                    [staffWeekly] => 20
                                    [staffTotal] => 1395
                                )

                        )

                    [6] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-09-08
                                    [weeklyNewCases] => 9
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 901
                                    [allBeds] => 1058
                                    [occupied] => 601
                                    [hospital] => 0
                                    [staffWeekly] => 6
                                    [staffTotal] => 1372
                                )

                        )

                    [7] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-09-01
                                    [weeklyNewCases] => 6
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 897
                                    [allBeds] => 1156
                                    [occupied] => 664
                                    [hospital] => 1
                                    [staffWeekly] => 8
                                    [staffTotal] => 1366
                                )

                        )

                    [8] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-08-25
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 893
                                    [allBeds] => 1156
                                    [occupied] => 658
                                    [hospital] => 1
                                    [staffWeekly] => 3
                                    [staffTotal] => 1358
                                )

                        )

                    [9] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-08-18
                                    [weeklyNewCases] => 12
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 886
                                    [allBeds] => 1156
                                    [occupied] => 619
                                    [hospital] => 0
                                    [staffWeekly] => 11
                                    [staffTotal] => 1355
                                )

                        )

                    [10] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-08-11
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 881
                                    [allBeds] => 1140
                                    [occupied] => 618
                                    [hospital] => 0
                                    [staffWeekly] => 2
                                    [staffTotal] => 1344
                                )

                        )

                    [11] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-08-04
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 877
                                    [allBeds] => 1156
                                    [occupied] => 669
                                    [hospital] => 0
                                    [staffWeekly] => 3
                                    [staffTotal] => 1341
                                )

                        )

                    [12] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-07-28
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 873
                                    [allBeds] => 1156
                                    [occupied] => 650
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1338
                                )

                        )

                    [13] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-07-21
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 869
                                    [allBeds] => 1156
                                    [occupied] => 641
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 1337
                                )

                        )

                    [14] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-07-14
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 865
                                    [allBeds] => 1156
                                    [occupied] => 682
                                    [hospital] => 0
                                    [staffWeekly] => 6
                                    [staffTotal] => 1335
                                )

                        )

                    [15] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-07-07
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 862
                                    [allBeds] => 1156
                                    [occupied] => 681
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1328
                                )

                        )

                    [16] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-30
                                    [weeklyNewCases] => 3
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 856
                                    [allBeds] => 1156
                                    [occupied] => 736
                                    [hospital] => 0
                                    [staffWeekly] => 2
                                    [staffTotal] => 1328
                                )

                        )

                    [17] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-23
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 855
                                    [allBeds] => 1058
                                    [occupied] => 609
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1325
                                )

                        )

                    [18] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-16
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 853
                                    [allBeds] => 1156
                                    [occupied] => 671
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1325
                                )

                        )

                    [19] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-09
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 851
                                    [allBeds] => 1156
                                    [occupied] => 673
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1325
                                )

                        )

                    [20] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-02
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 849
                                    [allBeds] => 1058
                                    [occupied] => 609
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1325
                                )

                        )

                    [21] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-26
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 847
                                    [allBeds] => 1156
                                    [occupied] => 736
                                    [hospital] => 1
                                    [staffWeekly] => 1
                                    [staffTotal] => 1325
                                )

                        )

                    [22] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-19
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 843
                                    [allBeds] => 1156
                                    [occupied] => 735
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [23] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-12
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 837
                                    [allBeds] => 1156
                                    [occupied] => 665
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [24] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-05
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 834
                                    [allBeds] => 1156
                                    [occupied] => 661
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [25] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-28
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 831
                                    [allBeds] => 1156
                                    [occupied] => 669
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [26] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-21
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 829
                                    [allBeds] => 1156
                                    [occupied] => 661
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [27] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-14
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 828
                                    [allBeds] => 1156
                                    [occupied] => 660
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [28] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-07
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 826
                                    [allBeds] => 1156
                                    [occupied] => 666
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [29] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-31
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 820
                                    [allBeds] => 1156
                                    [occupied] => 666
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [30] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-24
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 810
                                    [allBeds] => 1156
                                    [occupied] => 660
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [31] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-17
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 805
                                    [allBeds] => 1156
                                    [occupied] => 665
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [32] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-10
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 803
                                    [allBeds] => 1156
                                    [occupied] => 675
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1324
                                )

                        )

                    [33] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-25
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 790
                                    [allBeds] => 1156
                                    [occupied] => 1348
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1323
                                )

                        )

                    [34] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-18
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 788
                                    [allBeds] => 1156
                                    [occupied] => 663
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 1323
                                )

                        )

                    [35] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-11
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 783
                                    [allBeds] => 1156
                                    [occupied] => 675
                                    [hospital] => 0
                                    [staffWeekly] => 4
                                    [staffTotal] => 1322
                                )

                        )

                    [36] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-04
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 781
                                    [allBeds] => 1156
                                    [occupied] => 677
                                    [hospital] => 0
                                    [staffWeekly] => 3
                                    [staffTotal] => 1317
                                )

                        )

                    [37] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-28
                                    [weeklyNewCases] => 3
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 778
                                    [allBeds] => 1156
                                    [occupied] => 671
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 1314
                                )

                        )

                    [38] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-14
                                    [weeklyNewCases] => 9
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 769
                                    [allBeds] => 1156
                                    [occupied] => 673
                                    [hospital] => 0
                                    [staffWeekly] => 5
                                    [staffTotal] => 1309
                                )

                        )

                    [39] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-07
                                    [weeklyNewCases] => 9
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 764
                                    [allBeds] => 1158
                                    [occupied] => 658
                                    [hospital] => 0
                                    [staffWeekly] => 6
                                    [staffTotal] => 1304
                                )

                        )

                    [40] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-31
                                    [weeklyNewCases] => 4
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 759
                                    [allBeds] => 1158
                                    [occupied] => 609
                                    [hospital] => 0
                                    [staffWeekly] => 4
                                    [staffTotal] => 1296
                                )

                        )

                    [41] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-24
                                    [weeklyNewCases] => 3
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 756
                                    [allBeds] => 1158
                                    [occupied] => 668
                                    [hospital] => 0
                                    [staffWeekly] => 5
                                    [staffTotal] => 1290
                                )

                        )

                    [42] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-10
                                    [weeklyNewCases] => 8
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 748
                                    [allBeds] => 1158
                                    [occupied] => 656
                                    [hospital] => 2
                                    [staffWeekly] => 23
                                    [staffTotal] => 1275
                                )

                        )

                    [43] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-03
                                    [weeklyNewCases] => 50
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 746
                                    [allBeds] => 1158
                                    [occupied] => 644
                                    [hospital] => 1
                                    [staffWeekly] => 30
                                    [staffTotal] => 1252
                                )

                        )

                    [44] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-26
                                    [weeklyNewCases] => 15
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 743
                                    [allBeds] => 1158
                                    [occupied] => 646
                                    [hospital] => 0
                                    [staffWeekly] => 20
                                    [staffTotal] => 1222
                                )

                        )

                    [45] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-19
                                    [weeklyNewCases] => 10
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 735
                                    [allBeds] => 1158
                                    [occupied] => 651
                                    [hospital] => 1
                                    [staffWeekly] => 7
                                    [staffTotal] => 1202
                                )

                        )

                    [46] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-05
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 728
                                    [allBeds] => 1158
                                    [occupied] => 663
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1172
                                )

                        )

                    [47] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-29
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 721
                                    [allBeds] => 1158
                                    [occupied] => 666
                                    [hospital] => 0
                                    [staffWeekly] => 2
                                    [staffTotal] => 1172
                                )

                        )

                    [48] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-22
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 718
                                    [allBeds] => 1158
                                    [occupied] => 667
                                    [hospital] => 0
                                    [staffWeekly] => 3
                                    [staffTotal] => 1170
                                )

                        )

                    [49] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-15
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 714
                                    [allBeds] => 1158
                                    [occupied] => 664
                                    [hospital] => 0
                                    [staffWeekly] => 3
                                    [staffTotal] => 1167
                                )

                        )

                    [50] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-08
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 2
                                    [totalDeaths] => 710
                                    [allBeds] => 1158
                                    [occupied] => 657
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 1164
                                )

                        )

                    [51] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-01
                                    [weeklyNewCases] => 9
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 705
                                    [allBeds] => 1158
                                    [occupied] => 649
                                    [hospital] => 0
                                    [staffWeekly] => 7
                                    [staffTotal] => 1164
                                )

                        )

                )

        )

    [abbr] => MO
    [state] => Missouri
    [city] => Richland
)