Array
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    [dev] => 
    [date] => DateTime Object
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            [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/ND/enderlin
    [report] => geographic-analysis
    [other] => ND
    [other2] => enderlin
    [other3] => 
    [results] => Array
        (
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                (
                    [table:protected] => Miscellaneous.cities
                    [connection:protected] => mysql
                    [primaryKey:protected] => IDcities
                    [keyType:protected] => int
                    [incrementing] => 1
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                    [withCount:protected] => Array
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                    [perPage:protected] => 15
                    [exists] => 1
                    [wasRecentlyCreated] => 
                    [attributes:protected] => Array
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                            [City] => Enderlin
                            [State] => ND
                            [Country] => USA
                            [Latitude] => 46.62150
                            [Longitude] => -97.59560
                            [created_at] => 2021-02-05 22:09:35
                            [updated_at] => 2021-02-05 22:52:30
                            [IDsimplemaps] => 1840000225
                            [County] => Ransom
                            [Population] => 838
                            [max_latitude] => 47.34516
                            [min_latitude] => 45.89784
                            [max_longitude] => -96.54196
                            [min_longitude] => -98.64924
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                    [original:protected] => Array
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                            [IDcities] => 31636
                            [City] => Enderlin
                            [State] => ND
                            [Country] => USA
                            [Latitude] => 46.62150
                            [Longitude] => -97.59560
                            [created_at] => 2021-02-05 22:09:35
                            [updated_at] => 2021-02-05 22:52:30
                            [IDsimplemaps] => 1840000225
                            [County] => Ransom
                            [Population] => 838
                            [max_latitude] => 47.34516
                            [min_latitude] => 45.89784
                            [max_longitude] => -96.54196
                            [min_longitude] => -98.64924
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                    [changes:protected] => Array
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                    [casts:protected] => Array
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                    [dates:protected] => Array
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                    [dateFormat:protected] => 
                    [appends:protected] => Array
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                    [dispatchesEvents:protected] => Array
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                    [observables:protected] => Array
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                    [relations:protected] => Array
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                    [touches:protected] => Array
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                    [timestamps] => 1
                    [hidden:protected] => Array
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                    [visible:protected] => Array
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                    [fillable:protected] => Array
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                    [guarded:protected] => Array
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                            [0] => *
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                )

            [staffingAverages] => Array
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                    [city] => Array
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                            [rnhrd] => 0.75118333333333
                            [aidhrd] => 3.3903233333333
                            [vochrd] => 0.46927666666667
                            [tothrd] => 4.61078
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                    [state] => MongoDB\Model\BSONDocument Object
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                            [storage:ArrayObject:private] => Array
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                                    [vochrd] => 0.59
                                    [rnhrd] => 0.92292
                                    [tothrd] => 4.59363
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                    [nation] => MongoDB\Model\BSONDocument Object
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                            [storage:ArrayObject:private] => Array
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            [best] => Array
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                    [0] => MongoDB\Model\BSONDocument Object
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                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a750db8
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                                    [provnum] => 355077
                                    [provname] => Smp Health - St Raphael
                                    [web] => smp-health-st-raphael
                                    [address] => 979 CENTRAL AVE N
                                    [city] => VALLEY CITY
                                    [state] => ND
                                    [zip] => 58072
                                    [phone] => 7018458222
                                    [county_ssa] => 10
                                    [county_name] => Barnes
                                    [ownership] => Non profit - Church related
                                    [bedcert] => 170
                                    [restot] => 156.2
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
                                    [participation_date] => 1978-10-01
                                    [affiliatedentityname] => SMP HEALTH
                                    [affiliatedentityid] => 476
                                    [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] => 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] => 5
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 3.54108
                                    [vochrd] => 0.59422
                                    [rnhrd] => 0.72581
                                    [totlichrd] => 1.32003
                                    [tothrd] => 4.86111
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 4.15281
                                    [registerednursehoursperresidentperdayontheweekend] => 0.43802
                                    [pthrd] => 0.00362
                                    [totalnursingstaffturnover] => 44.1
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 20
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.1073
                                    [nursingcase-mixindexratio] => 0.81655
                                    [cm_aide] => 1.87168
                                    [cm_lpn] => 0.7162
                                    [cm_rn] => 0.54551
                                    [cm_total] => 3.13339
                                    [nursingcase-mix-weekend] => 2.738
                                    [adj_aide] => 4.31253
                                    [adj_lpn] => 0.72368
                                    [adj_rn] => 0.88394
                                    [adj_total] => 5.92015
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 5.05754
                                    [cycle_1_survey_date] => 2024-08-08
                                    [cycle_1_defs] => 5
                                    [cycle_1_nfromdefs] => 4
                                    [cycle_1_nfromcomp] => 5
                                    [cycle_1_defs_score] => 40
                                    [cycle_1_numrevis] => 0
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 40
                                    [cycle_2_survey_date] => 2023-09-14
                                    [cycle_2_defs] => 3
                                    [cycle_2_nfromdefs] => 2
                                    [cycle_2_nfromcomp] => 1
                                    [cycle_2_defs_score] => 32
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 32
                                    [cycle_3_survey_date] => 2022-07-21
                                    [cycle_3_defs] => 4
                                    [cycle_3_nfromdefs] => 4
                                    [cycle_3_nfromcomp] => 4
                                    [cycle_3_defs_score] => 20
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 20
                                    [weighted_all_cycles_score] => 34
                                    [incident_cnt] => 1
                                    [cmplnt_cnt] => 2
                                    [infection_count] => 
                                    [fine_cnt] => 1
                                    [fine_tot] => 8190
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 1
                                    [location] => 979 CENTRAL AVE N,VALLEY CITY,ND,58072
                                    [latitude] => 46.9328
                                    [longitude] => -98.003
                                    [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] => -1
                                    [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] => 47.077531595348
                                                                    [min_latitude] => 46.788068404652
                                                                    [max_longitude] => -97.791049506948
                                                                    [min_longitude] => -98.214950493052
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 47.29462898837
                                                                    [min_latitude] => 46.57097101163
                                                                    [max_longitude] => -97.473123767371
                                                                    [min_longitude] => -98.532876232629
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                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://smphealth.org/straphael/
                                    [count10] => 1
                                    [count25] => 2
                                    [rank10] => 1
                                    [rank25] => 1
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [1] => MongoDB\Model\BSONDocument Object
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                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a750dd5
                                        )

                                    [provnum] => 355116
                                    [provname] => Parkside Lutheran Home
                                    [web] => parkside-lutheran-home
                                    [address] => 501 3RD AVE W
                                    [city] => LISBON
                                    [state] => ND
                                    [zip] => 58054
                                    [phone] => 7016835239
                                    [county_ssa] => 360
                                    [county_name] => Ransom
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 40
                                    [restot] => 36.1
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => PARKSIDE HOME
                                    [participation_date] => 1992-01-01
                                    [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] => 3
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 5
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 3
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 5
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 3.32365
                                    [vochrd] => 0.43188
                                    [rnhrd] => 0.83837
                                    [totlichrd] => 1.27025
                                    [tothrd] => 4.5939
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 4.08462
                                    [registerednursehoursperresidentperdayontheweekend] => 0.73147
                                    [pthrd] => 0
                                    [totalnursingstaffturnover] => 42.2
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 20
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.0303
                                    [nursingcase-mixindexratio] => 0.75976
                                    [cm_aide] => 1.74153
                                    [cm_lpn] => 0.66639
                                    [cm_rn] => 0.50758
                                    [cm_total] => 2.9155
                                    [nursingcase-mix-weekend] => 2.5476
                                    [adj_aide] => 4.35024
                                    [adj_lpn] => 0.56528
                                    [adj_rn] => 1.09732
                                    [adj_total] => 6.01284
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 5.34625
                                    [cycle_1_survey_date] => 2024-08-08
                                    [cycle_1_defs] => 9
                                    [cycle_1_nfromdefs] => 9
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 40
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 40
                                    [cycle_2_survey_date] => 2023-08-01
                                    [cycle_2_defs] => 4
                                    [cycle_2_nfromdefs] => 4
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 16
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 16
                                    [cycle_3_survey_date] => 2022-04-28
                                    [cycle_3_defs] => 4
                                    [cycle_3_nfromdefs] => 4
                                    [cycle_3_nfromcomp] => 0
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                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 16
                                    [weighted_all_cycles_score] => 28
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 501 3RD AVE W,LISBON,ND,58054
                                    [latitude] => 46.4435
                                    [longitude] => -97.69
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                            [milliseconds] => 1727740800000
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                                    [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
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                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
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                                                                    [min_latitude] => 46.298768404652
                                                                    [max_longitude] => -97.479960828583
                                                                    [min_longitude] => -97.900039171417
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                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
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                                                                    [min_latitude] => 46.08167101163
                                                                    [max_longitude] => -97.164902071458
                                                                    [min_longitude] => -98.215097928542
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                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://parksidelutheranhome.com/
                                    [count10] => 2
                                    [count25] => 5
                                    [rank10] => 1
                                    [rank25] => 2
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
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                        )

                    [2] => MongoDB\Model\BSONDocument Object
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                            [storage:ArrayObject:private] => Array
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                                    [_id] => MongoDB\BSON\ObjectId Object
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                                            [oid] => 67229947d55c337c9a750dcf
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                                    [provnum] => 355108
                                    [provname] => Smp Health  - Maryhill
                                    [web] => smp-health-maryhill
                                    [address] => 110 HILLCREST DR
                                    [city] => ENDERLIN
                                    [state] => ND
                                    [zip] => 58027
                                    [phone] => 7014373544
                                    [county_ssa] => 360
                                    [county_name] => Ransom
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 42
                                    [restot] => 41.2
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
                                    [participation_date] => 1991-09-01
                                    [affiliatedentityname] => SMP HEALTH
                                    [affiliatedentityid] => 476
                                    [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] => 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] => 5
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 3.30624
                                    [vochrd] => 0.38173
                                    [rnhrd] => 0.68937
                                    [totlichrd] => 1.0711
                                    [tothrd] => 4.37733
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.43324
                                    [registerednursehoursperresidentperdayontheweekend] => 0.37325
                                    [pthrd] => 0.03225
                                    [totalnursingstaffturnover] => 46.3
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 33.3
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.06858
                                    [nursingcase-mixindexratio] => 0.78799
                                    [cm_aide] => 1.80623
                                    [cm_lpn] => 0.69115
                                    [cm_rn] => 0.52643
                                    [cm_total] => 3.02381
                                    [nursingcase-mix-weekend] => 2.64225
                                    [adj_aide] => 4.17245
                                    [adj_lpn] => 0.48174
                                    [adj_rn] => 0.86997
                                    [adj_total] => 5.52416
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 4.33272
                                    [cycle_1_survey_date] => 2023-10-05
                                    [cycle_1_defs] => 11
                                    [cycle_1_nfromdefs] => 10
                                    [cycle_1_nfromcomp] => 1
                                    [cycle_1_defs_score] => 90
                                    [cycle_1_numrevis] => 2
                                    [cycle_1_revisit_score] => 45
                                    [cycle_1_total_score] => 135
                                    [cycle_2_survey_date] => 2022-09-15
                                    [cycle_2_defs] => 8
                                    [cycle_2_nfromdefs] => 8
                                    [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] => 2021-07-22
                                    [cycle_3_defs] => 4
                                    [cycle_3_nfromdefs] => 4
                                    [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] => 84.833
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 1
                                    [infection_count] => 
                                    [fine_cnt] => 1
                                    [fine_tot] => 10036
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 1
                                    [location] => 110 HILLCREST DR,ENDERLIN,ND,58027
                                    [latitude] => 46.6287
                                    [longitude] => -97.608
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
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                                    [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] => 46.773431595348
                                                                    [min_latitude] => 46.483968404652
                                                                    [max_longitude] => -97.397243268496
                                                                    [min_longitude] => -97.818756731504
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                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 46.99052898837
                                                                    [min_latitude] => 46.26687101163
                                                                    [max_longitude] => -97.08110817124
                                                                    [min_longitude] => -98.13489182876
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 2
                                    [website] => https://smphealth.org/maryhill/contact-us/
                                    [count10] => 1
                                    [count25] => 4
                                    [rank10] => 1
                                    [rank25] => 4
                                    [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] => 67229947d55c337c9a750dd3
                                        )

                                    [provnum] => 355114
                                    [provname] => North Dakota Veterans Home
                                    [web] => north-dakota-veterans-home
                                    [address] => 1600 VETERANS DRIVE
                                    [city] => LISBON
                                    [state] => ND
                                    [zip] => 58054
                                    [phone] => 7016836500
                                    [county_ssa] => 360
                                    [county_name] => Ransom
                                    [ownership] => Government - State
                                    [bedcert] => 52
                                    [restot] => 50.8
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
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                                    [provname] => North Dakota Veterans Home
                                    [web] => north-dakota-veterans-home
                                    [address] => 1600 VETERANS DRIVE
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                                    [state] => ND
                                    [zip] => 58054
                                    [phone] => 7016836500
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                                    [restot_fn] => 
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                                    [participation_date] => 1991-12-02
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                                    [affiliatedentityid] => 
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                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
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                                    [survey_rating_fn] => 
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                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                    [searchArea] => MongoDB\Model\BSONDocument Object
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                                    [searchArea] => MongoDB\Model\BSONDocument Object
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                                    [cycle_1_revisit_score] => 0
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                                    [location] => 979 CENTRAL AVE N,VALLEY CITY,ND,58072
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                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                    [searchArea] => MongoDB\Model\BSONDocument Object
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                                    [website] => https://smphealth.org/straphael/
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                                    [provnum] => 355116
                                    [provname] => Parkside Lutheran Home
                                    [web] => parkside-lutheran-home
                                    [address] => 501 3RD AVE W
                                    [city] => LISBON
                                    [state] => ND
                                    [zip] => 58054
                                    [phone] => 7016835239
                                    [county_ssa] => 360
                                    [county_name] => Ransom
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 40
                                    [restot] => 36.1
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => PARKSIDE HOME
                                    [participation_date] => 1992-01-01
                                    [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] => 3
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 5
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 3
                                    [ss_quality_rating_fn] => 
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                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
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                                    [rnhrd] => 0.83837
                                    [totlichrd] => 1.27025
                                    [tothrd] => 4.5939
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                                    [registerednursehoursperresidentperdayontheweekend] => 0.73147
                                    [pthrd] => 0
                                    [totalnursingstaffturnover] => 42.2
                                    [totalnursingstaffturnoverfootnote] => 
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                                    [registerednurseturnoverfootnote] => 
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                                    [administratorturnoverfootnote] => 
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                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 5.34625
                                    [cycle_1_survey_date] => 2024-08-08
                                    [cycle_1_defs] => 9
                                    [cycle_1_nfromdefs] => 9
                                    [cycle_1_nfromcomp] => 0
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                                    [cycle_1_numrevis] => 1
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                                    [cycle_1_total_score] => 40
                                    [cycle_2_survey_date] => 2023-08-01
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                                    [cycle_3_total_score] => 16
                                    [weighted_all_cycles_score] => 28
                                    [incident_cnt] => 0
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                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 501 3RD AVE W,LISBON,ND,58054
                                    [latitude] => 46.4435
                                    [longitude] => -97.69
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                    [change_overall_rating] => -1
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                                    [durationOverallRating] => 1
                                    [searchArea] => MongoDB\Model\BSONDocument Object
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                                    [overallRatingNumber] => 4
                                    [website] => https://parksidelutheranhome.com/
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            [new] => Array
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                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-14
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 317
                                    [allBeds] => 310
                                    [occupied] => 296
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 678
                                )

                        )

                    [39] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-07
                                    [weeklyNewCases] => 3
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 314
                                    [allBeds] => 310
                                    [occupied] => 296
                                    [hospital] => 0
                                    [staffWeekly] => 3
                                    [staffTotal] => 678
                                )

                        )

                    [40] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-31
                                    [weeklyNewCases] => 9
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 314
                                    [allBeds] => 310
                                    [occupied] => 294
                                    [hospital] => 0
                                    [staffWeekly] => 13
                                    [staffTotal] => 675
                                )

                        )

                    [41] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-24
                                    [weeklyNewCases] => 7
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 312
                                    [allBeds] => 310
                                    [occupied] => 300
                                    [hospital] => 0
                                    [staffWeekly] => 5
                                    [staffTotal] => 662
                                )

                        )

                    [42] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-10
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 309
                                    [allBeds] => 310
                                    [occupied] => 299
                                    [hospital] => 0
                                    [staffWeekly] => 3
                                    [staffTotal] => 649
                                )

                        )

                    [43] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-03
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 309
                                    [allBeds] => 310
                                    [occupied] => 300
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 646
                                )

                        )

                    [44] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-26
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 309
                                    [allBeds] => 310
                                    [occupied] => 297
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 646
                                )

                        )

                    [45] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-19
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 308
                                    [allBeds] => 310
                                    [occupied] => 299
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 646
                                )

                        )

                    [46] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-05
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 302
                                    [allBeds] => 310
                                    [occupied] => 297
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 645
                                )

                        )

                    [47] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-29
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 301
                                    [allBeds] => 310
                                    [occupied] => 301
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 645
                                )

                        )

                    [48] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-22
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 301
                                    [allBeds] => 310
                                    [occupied] => 299
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 644
                                )

                        )

                    [49] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-15
                                    [weeklyNewCases] => 5
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 297
                                    [allBeds] => 310
                                    [occupied] => 301
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 644
                                )

                        )

                    [50] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-08
                                    [weeklyNewCases] => 6
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 295
                                    [allBeds] => 310
                                    [occupied] => 298
                                    [hospital] => 0
                                    [staffWeekly] => 4
                                    [staffTotal] => 642
                                )

                        )

                    [51] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-01
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 294
                                    [allBeds] => 308
                                    [occupied] => 297
                                    [hospital] => 0
                                    [staffWeekly] => 2
                                    [staffTotal] => 638
                                )

                        )

                )

        )

    [abbr] => ND
    [state] => North Dakota
    [city] => Enderlin
)