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/NE/bertrand [report] => geographic-analysis [other] => NE [other2] => bertrand [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] => 32661 [City] => Bertrand [State] => NE [Country] => USA [Latitude] => 40.52630 [Longitude] => -99.63240 [created_at] => 2021-02-05 22:11:00 [updated_at] => 2021-02-05 22:53:28 [IDsimplemaps] => 1840012076 [County] => Phelps [Population] => 709 [max_latitude] => 41.24996 [min_latitude] => 39.80264 [max_longitude] => -98.68035 [min_longitude] => -100.58445 ) [original:protected] => Array ( [IDcities] => 32661 [City] => Bertrand [State] => NE [Country] => USA [Latitude] => 40.52630 [Longitude] => -99.63240 [created_at] => 2021-02-05 22:11:00 [updated_at] => 2021-02-05 22:53:28 [IDsimplemaps] => 1840012076 [County] => Phelps [Population] => 709 [max_latitude] => 41.24996 [min_latitude] => 39.80264 [max_longitude] => -98.68035 [min_longitude] => -100.58445 ) [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] => 0.779732 [aidhrd] => 2.553288 [vochrd] => 0.676956 [tothrd] => 4.009972 ) [state] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [aidhrd] => 2.71 [vochrd] => 0.68 [rnhrd] => 0.71704 [tothrd] => 4.11276 ) ) [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] => 67229947d55c337c9a7506c0 ) [provnum] => 285067 [provname] => Holdrege Memorial Homes, Inc [web] => holdrege-memorial-homes-inc [address] => 1320 11TH AVENUE [city] => HOLDREGE [state] => NE [zip] => 68949 [phone] => 3089958631 [county_ssa] => 680 [county_name] => Phelps [ownership] => Non profit - Corporation [bedcert] => 94 [restot] => 73.4 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => HOLDREGE MEMORIAL HOMES, INC. [participation_date] => 1984-08-01 [affiliatedentityname] => [affiliatedentityid] => [ccrc_facil] => N [sffstatus] => [abuse_icon] => N [oldsurvey] => N [chow_last_12mos] => N [resfamcouncil] => Resident [sprinkler_status] => Yes [overall_rating] => 5 [overall_rating_fn] => [survey_rating] => 4 [survey_rating_fn] => [quality_rating] => 5 [quality_rating_fn] => [ls_quality_rating] => 5 [ls_quality_rating_fn] => [ss_quality_rating] => 5 [ss_quality_rating_fn] => [staffing_rating] => 4 [staffing_rating_fn] => [staffing_flag] => [pt_staffing_flag] => [aidhrd] => 2.36184 [vochrd] => 0.56238 [rnhrd] => 0.68669 [totlichrd] => 1.24906 [tothrd] => 3.6109 [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.30305 [registerednursehoursperresidentperdayontheweekend] => 0.43921 [pthrd] => 0.02441 [totalnursingstaffturnover] => 30 [totalnursingstaffturnoverfootnote] => [registerednurseturnover] => 20 [registerednurseturnoverfootnote] => [numberofadministratorswhohaveleftthenursinghome] => 0 [administratorturnoverfootnote] => [nursingcase-mixindex] => 1.30616 [nursingcase-mixindexratio] => 0.96319 [cm_aide] => 2.20781 [cm_lpn] => 0.84481 [cm_rn] => 0.64347 [cm_total] => 3.6961 [nursingcase-mix-weekend] => 3.2297 [adj_aide] => 2.43847 [adj_lpn] => 0.58063 [adj_rn] => 0.70897 [adj_total] => 3.72807 [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.41022 [cycle_1_survey_date] => 2024-07-11 [cycle_1_defs] => 3 [cycle_1_nfromdefs] => 3 [cycle_1_nfromcomp] => 0 [cycle_1_defs_score] => 20 [cycle_1_numrevis] => 0 [cycle_1_revisit_score] => 0 [cycle_1_total_score] => 20 [cycle_2_survey_date] => 2023-07-24 [cycle_2_defs] => 0 [cycle_2_nfromdefs] => 0 [cycle_2_nfromcomp] => 0 [cycle_2_defs_score] => 0 [cycle_2_numrevis] => 0 [cycle_2_revisit_score] => 0 [cycle_2_total_score] => 0 [cycle_3_survey_date] => 2022-05-26 [cycle_3_defs] => 5 [cycle_3_nfromdefs] => 5 [cycle_3_nfromcomp] => 0 [cycle_3_defs_score] => 36 [cycle_3_numrevis] => 1 [cycle_3_revisit_score] => 0 [cycle_3_total_score] => 36 [weighted_all_cycles_score] => 16 [incident_cnt] => 0 [cmplnt_cnt] => 0 [infection_count] => [fine_cnt] => 1 [fine_tot] => 9750 [payden_cnt] => 0 [tot_penlty_cnt] => 1 [location] => 1320 11TH AVENUE,HOLDREGE,NE,68949 [latitude] => 40.4454 [longitude] => -99.362 [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] => 10 [searchArea] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [10] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 40.590131595348 [min_latitude] => 40.300668404652 [max_longitude] => -99.171820060799 [min_longitude] => -99.552179939201 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 40.80722898837 [min_latitude] => 40.08357101163 [max_longitude] => -98.886550151998 [min_longitude] => -99.837449848002 ) ) ) ) [overallRatingNumber] => 5 [website] => https://holdregehomes.org/ [count10] => 2 [count25] => 12 [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] => 67229947d55c337c9a750734 ) [provnum] => 285258 [provname] => Bertrand Nursing Home [web] => bertrand-nursing-home [address] => 100 MINOR AVENUE [city] => BERTRAND [state] => NE [zip] => 68927 [phone] => 3084723341 [county_ssa] => 680 [county_name] => Phelps [ownership] => Government - City [bedcert] => 26 [restot] => 17.4 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => BERTRAND NURSING HOME [participation_date] => 2005-01-01 [affiliatedentityname] => [affiliatedentityid] => [ccrc_facil] => N [sffstatus] => [abuse_icon] => N [oldsurvey] => N [chow_last_12mos] => N [resfamcouncil] => Resident [sprinkler_status] => Yes [overall_rating] => 5 [overall_rating_fn] => [survey_rating] => 4 [survey_rating_fn] => [quality_rating] => 5 [quality_rating_fn] => [ls_quality_rating] => 5 [ls_quality_rating_fn] => [ss_quality_rating] => [ss_quality_rating_fn] => 2 [staffing_rating] => 4 [staffing_rating_fn] => [staffing_flag] => [pt_staffing_flag] => [aidhrd] => 2.30826 [vochrd] => 0.52799 [rnhrd] => 1.17626 [totlichrd] => 1.70426 [tothrd] => 4.01252 [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.7685 [registerednursehoursperresidentperdayontheweekend] => 1.02313 [pthrd] => 0.0297 [totalnursingstaffturnover] => 60 [totalnursingstaffturnoverfootnote] => [registerednurseturnover] => [registerednurseturnoverfootnote] => 6 [numberofadministratorswhohaveleftthenursinghome] => 0 [administratorturnoverfootnote] => [nursingcase-mixindex] => 1.34456 [nursingcase-mixindexratio] => 0.99151 [cm_aide] => 2.27272 [cm_lpn] => 0.86965 [cm_rn] => 0.66239 [cm_total] => 3.80477 [nursingcase-mix-weekend] => 3.32466 [adj_aide] => 2.31509 [adj_lpn] => 0.52956 [adj_rn] => 1.17974 [adj_total] => 4.02438 [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.77965 [cycle_1_survey_date] => 2024-04-11 [cycle_1_defs] => 1 [cycle_1_nfromdefs] => 1 [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] => 2023-04-20 [cycle_2_defs] => 1 [cycle_2_nfromdefs] => 1 [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] => 2021-12-02 [cycle_3_defs] => 6 [cycle_3_nfromdefs] => 6 [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] => 22.667 [incident_cnt] => 0 [cmplnt_cnt] => 0 [infection_count] => 0 [fine_cnt] => 0 [fine_tot] => 0 [payden_cnt] => 1 [tot_penlty_cnt] => 1 [location] => 100 MINOR AVENUE,BERTRAND,NE,68927 [latitude] => 40.5213 [longitude] => -99.634 [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] => 7 [searchArea] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [10] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 40.666031595348 [min_latitude] => 40.376568404652 [max_longitude] => -99.443604895194 [min_longitude] => -99.824395104806 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 40.88312898837 [min_latitude] => 40.15947101163 [max_longitude] => -99.158012237984 [min_longitude] => -100.10998776202 ) ) ) ) [overallRatingNumber] => 5 [website] => https://www.rhdconsult.com/communities/bertrand/ [count10] => 1 [count25] => 5 [rank10] => 1 [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] => 67229947d55c337c9a75072c ) [provnum] => 285246 [provname] => Christian Homes Health Care Center [web] => christian-homes-health-care-center [address] => 1923 WEST 4TH AVENUE [city] => HOLDREGE [state] => NE [zip] => 68949 [phone] => 3089954493 [county_ssa] => 680 [county_name] => Phelps [ownership] => Non profit - Corporation [bedcert] => 86 [restot] => 49.8 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => CHRISTIAN HOMES, INC. 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[participation_date] => 2002-08-01 [affiliatedentityname] => [affiliatedentityid] => [ccrc_facil] => Y [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] => 3 [quality_rating_fn] => [ls_quality_rating] => 2 [ls_quality_rating_fn] => [ss_quality_rating] => 4 [ss_quality_rating_fn] => [staffing_rating] => 4 [staffing_rating_fn] => [staffing_flag] => [pt_staffing_flag] => [aidhrd] => 3.10592 [vochrd] => 1.04009 [rnhrd] => 0.76594 [totlichrd] => 1.80602 [tothrd] => 4.91194 [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 4.26068 [registerednursehoursperresidentperdayontheweekend] => 0.52717 [pthrd] => 0.04701 [totalnursingstaffturnover] => 59.7 [totalnursingstaffturnoverfootnote] => [registerednurseturnover] => 25 [registerednurseturnoverfootnote] => [numberofadministratorswhohaveleftthenursinghome] => [administratorturnoverfootnote] => 6 [nursingcase-mixindex] => 1.37283 [nursingcase-mixindexratio] => 1.01235 [cm_aide] => 2.3205 [cm_lpn] => 0.88793 [cm_rn] => 0.67632 [cm_total] => 3.88475 [nursingcase-mix-weekend] => 3.39455 [adj_aide] => 3.05097 [adj_lpn] => 1.02169 [adj_rn] => 0.75238 [adj_total] => 4.82505 [adjustedweekendtotalnursestaffinghoursperresidentperday] => 4.1853 [cycle_1_survey_date] => 2024-02-01 [cycle_1_defs] => 2 [cycle_1_nfromdefs] => 2 [cycle_1_nfromcomp] => 0 [cycle_1_defs_score] => 8 [cycle_1_numrevis] => 1 [cycle_1_revisit_score] => 0 [cycle_1_total_score] => 8 [cycle_2_survey_date] => 2023-03-02 [cycle_2_defs] => 4 [cycle_2_nfromdefs] => 4 [cycle_2_nfromcomp] => 0 [cycle_2_defs_score] => 28 [cycle_2_numrevis] => 1 [cycle_2_revisit_score] => 0 [cycle_2_total_score] => 28 [cycle_3_survey_date] => 2021-09-28 [cycle_3_defs] => 6 [cycle_3_nfromdefs] => 6 [cycle_3_nfromcomp] => 0 [cycle_3_defs_score] => 40 [cycle_3_numrevis] => 1 [cycle_3_revisit_score] => 0 [cycle_3_total_score] => 40 [weighted_all_cycles_score] => 20 [incident_cnt] => 0 [cmplnt_cnt] => 0 [infection_count] => [fine_cnt] => 1 [fine_tot] => 657.8 [payden_cnt] => 0 [tot_penlty_cnt] => 1 [location] => 1923 WEST 4TH AVENUE,HOLDREGE,NE,68949 [latitude] => 40.4379 [longitude] => -99.41 [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] => 40.582631595348 [min_latitude] => 40.293168404652 [max_longitude] => -99.219841277716 [min_longitude] => -99.600158722284 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 40.79972898837 [min_latitude] => 40.07607101163 [max_longitude] => -98.93460319429 [min_longitude] => -99.88539680571 ) ) ) ) [overallRatingNumber] => 4 [website] => https://www.chrisoma.com/ [count10] => 2 [count25] => 13 [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] => 67229947d55c337c9a7506c0 ) [provnum] => 285067 [provname] => Holdrege Memorial Homes, Inc [web] => holdrege-memorial-homes-inc [address] => 1320 11TH AVENUE [city] => HOLDREGE [state] => NE [zip] => 68949 [phone] => 3089958631 [county_ssa] => 680 [county_name] => Phelps [ownership] => Non profit - Corporation [bedcert] => 94 [restot] => 73.4 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => HOLDREGE MEMORIAL HOMES, INC. [participation_date] => 1984-08-01 [affiliatedentityname] => [affiliatedentityid] => [ccrc_facil] => N [sffstatus] => [abuse_icon] => N [oldsurvey] => N [chow_last_12mos] => N [resfamcouncil] => Resident [sprinkler_status] => Yes [overall_rating] => 5 [overall_rating_fn] => [survey_rating] => 4 [survey_rating_fn] => [quality_rating] => 5 [quality_rating_fn] => [ls_quality_rating] => 5 [ls_quality_rating_fn] => [ss_quality_rating] => 5 [ss_quality_rating_fn] => [staffing_rating] => 4 [staffing_rating_fn] => [staffing_flag] => [pt_staffing_flag] => [aidhrd] => 2.36184 [vochrd] => 0.56238 [rnhrd] => 0.68669 [totlichrd] => 1.24906 [tothrd] => 3.6109 [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.30305 [registerednursehoursperresidentperdayontheweekend] => 0.43921 [pthrd] => 0.02441 [totalnursingstaffturnover] => 30 [totalnursingstaffturnoverfootnote] => [registerednurseturnover] => 20 [registerednurseturnoverfootnote] => [numberofadministratorswhohaveleftthenursinghome] => 0 [administratorturnoverfootnote] => [nursingcase-mixindex] => 1.30616 [nursingcase-mixindexratio] => 0.96319 [cm_aide] => 2.20781 [cm_lpn] => 0.84481 [cm_rn] => 0.64347 [cm_total] => 3.6961 [nursingcase-mix-weekend] => 3.2297 [adj_aide] => 2.43847 [adj_lpn] => 0.58063 [adj_rn] => 0.70897 [adj_total] => 3.72807 [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.41022 [cycle_1_survey_date] => 2024-07-11 [cycle_1_defs] => 3 [cycle_1_nfromdefs] => 3 [cycle_1_nfromcomp] => 0 [cycle_1_defs_score] => 20 [cycle_1_numrevis] => 0 [cycle_1_revisit_score] => 0 [cycle_1_total_score] => 20 [cycle_2_survey_date] => 2023-07-24 [cycle_2_defs] => 0 [cycle_2_nfromdefs] => 0 [cycle_2_nfromcomp] => 0 [cycle_2_defs_score] => 0 [cycle_2_numrevis] => 0 [cycle_2_revisit_score] => 0 [cycle_2_total_score] => 0 [cycle_3_survey_date] => 2022-05-26 [cycle_3_defs] => 5 [cycle_3_nfromdefs] => 5 [cycle_3_nfromcomp] => 0 [cycle_3_defs_score] => 36 [cycle_3_numrevis] => 1 [cycle_3_revisit_score] => 0 [cycle_3_total_score] => 36 [weighted_all_cycles_score] => 16 [incident_cnt] => 0 [cmplnt_cnt] => 0 [infection_count] => [fine_cnt] => 1 [fine_tot] => 9750 [payden_cnt] => 0 [tot_penlty_cnt] => 1 [location] => 1320 11TH AVENUE,HOLDREGE,NE,68949 [latitude] => 40.4454 [longitude] => -99.362 [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] => 10 [searchArea] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [10] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 40.590131595348 [min_latitude] => 40.300668404652 [max_longitude] => -99.171820060799 [min_longitude] => -99.552179939201 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 40.80722898837 [min_latitude] => 40.08357101163 [max_longitude] => -98.886550151998 [min_longitude] => -99.837449848002 ) ) ) ) [overallRatingNumber] => 5 [website] => https://holdregehomes.org/ [count10] => 2 [count25] => 12 [rank10] => 1 [rank25] => 2 [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] => 67229947d55c337c9a750734 ) [provnum] => 285258 [provname] => Bertrand Nursing Home [web] => bertrand-nursing-home [address] => 100 MINOR AVENUE [city] => BERTRAND [state] => NE [zip] => 68927 [phone] => 3084723341 [county_ssa] => 680 [county_name] => Phelps [ownership] => Government - City [bedcert] => 26 [restot] => 17.4 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => BERTRAND NURSING HOME [participation_date] => 2005-01-01 [affiliatedentityname] => [affiliatedentityid] => [ccrc_facil] => N [sffstatus] => [abuse_icon] => N [oldsurvey] => N [chow_last_12mos] => N [resfamcouncil] => Resident [sprinkler_status] => Yes [overall_rating] => 5 [overall_rating_fn] => [survey_rating] => 4 [survey_rating_fn] => [quality_rating] => 5 [quality_rating_fn] => [ls_quality_rating] => 5 [ls_quality_rating_fn] => [ss_quality_rating] => [ss_quality_rating_fn] => 2 [staffing_rating] => 4 [staffing_rating_fn] => [staffing_flag] => [pt_staffing_flag] => [aidhrd] => 2.30826 [vochrd] => 0.52799 [rnhrd] => 1.17626 [totlichrd] => 1.70426 [tothrd] => 4.01252 [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.7685 [registerednursehoursperresidentperdayontheweekend] => 1.02313 [pthrd] => 0.0297 [totalnursingstaffturnover] => 60 [totalnursingstaffturnoverfootnote] => [registerednurseturnover] => [registerednurseturnoverfootnote] => 6 [numberofadministratorswhohaveleftthenursinghome] => 0 [administratorturnoverfootnote] => [nursingcase-mixindex] => 1.34456 [nursingcase-mixindexratio] => 0.99151 [cm_aide] => 2.27272 [cm_lpn] => 0.86965 [cm_rn] => 0.66239 [cm_total] => 3.80477 [nursingcase-mix-weekend] => 3.32466 [adj_aide] => 2.31509 [adj_lpn] => 0.52956 [adj_rn] => 1.17974 [adj_total] => 4.02438 [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.77965 [cycle_1_survey_date] => 2024-04-11 [cycle_1_defs] => 1 [cycle_1_nfromdefs] => 1 [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] => 2023-04-20 [cycle_2_defs] => 1 [cycle_2_nfromdefs] => 1 [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] => 2021-12-02 [cycle_3_defs] => 6 [cycle_3_nfromdefs] => 6 [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] => 22.667 [incident_cnt] => 0 [cmplnt_cnt] => 0 [infection_count] => 0 [fine_cnt] => 0 [fine_tot] => 0 [payden_cnt] => 1 [tot_penlty_cnt] => 1 [location] => 100 MINOR AVENUE,BERTRAND,NE,68927 [latitude] => 40.5213 [longitude] => -99.634 [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] => 7 [searchArea] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [10] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 40.666031595348 [min_latitude] => 40.376568404652 [max_longitude] => -99.443604895194 [min_longitude] => -99.824395104806 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 40.88312898837 [min_latitude] => 40.15947101163 [max_longitude] => -99.158012237984 [min_longitude] => -100.10998776202 ) ) ) ) [overallRatingNumber] => 5 [website] => https://www.rhdconsult.com/communities/bertrand/ [count10] => 1 [count25] => 5 [rank10] => 1 [rank25] => 3 [worstNation] => 0 [bestNation] => 0 [worstState] => 0 [worstCity] => 0 [bestState] => 0 [bestCity] => 0 ) ) ) [homeCount] => 5 [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] => 3 [weeklyDeaths] => 0 [totalDeaths] => 340 [allBeds] => 316 [occupied] => 216 [hospital] => 1 [staffWeekly] => 0 [staffTotal] => 413 ) ) [1] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-10-13 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 340 [allBeds] => 316 [occupied] => 216 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 413 ) ) [2] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-10-06 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 340 [allBeds] => 316 [occupied] => 216 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 413 ) ) [3] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-09-29 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 340 [allBeds] => 309 [occupied] => 220 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 413 ) ) [4] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-09-22 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 337 [allBeds] => 309 [occupied] => 219 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 413 ) ) [5] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-09-15 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 337 [allBeds] => 309 [occupied] => 220 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 413 ) ) [6] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-09-08 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 335 [allBeds] => 309 [occupied] => 226 [hospital] => 0 [staffWeekly] => 1 [staffTotal] => 411 ) ) [7] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-09-01 [weeklyNewCases] => 9 [weeklyDeaths] => 0 [totalDeaths] => 335 [allBeds] => 309 [occupied] => 231 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 410 ) ) [8] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-08-25 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 333 [allBeds] => 309 [occupied] => 230 [hospital] => 1 [staffWeekly] => 0 [staffTotal] => 408 ) ) [9] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-08-18 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 332 [allBeds] => 309 [occupied] => 232 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 408 ) ) [10] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-08-11 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 330 [allBeds] => 223 [occupied] => 164 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 408 ) ) [11] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-08-04 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 330 [allBeds] => 309 [occupied] => 209 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 408 ) ) [12] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-07-28 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 329 [allBeds] => 309 [occupied] => 210 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 408 ) ) [13] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-07-21 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 325 [allBeds] => 309 [occupied] => 217 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 408 ) ) [14] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-07-14 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 323 [allBeds] => 309 [occupied] => 221 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [15] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-07-07 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 320 [allBeds] => 309 [occupied] => 225 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [16] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-06-30 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 318 [allBeds] => 309 [occupied] => 226 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [17] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-06-23 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 318 [allBeds] => 309 [occupied] => 222 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [18] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-06-16 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 318 [allBeds] => 309 [occupied] => 222 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [19] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-06-09 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 315 [allBeds] => 309 [occupied] => 217 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [20] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-06-02 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 315 [allBeds] => 309 [occupied] => 217 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [21] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-05-26 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 312 [allBeds] => 309 [occupied] => 219 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [22] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-05-19 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 310 [allBeds] => 309 [occupied] => 223 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [23] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-05-12 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 309 [allBeds] => 309 [occupied] => 222 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [24] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-05-05 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 308 [allBeds] => 309 [occupied] => 221 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-04-28 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 307 [allBeds] => 309 [occupied] => 215 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [26] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-04-21 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 307 [allBeds] => 309 [occupied] => 217 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [27] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-04-14 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 307 [allBeds] => 309 [occupied] => 214 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [28] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-04-07 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 306 [allBeds] => 309 [occupied] => 216 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [29] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-03-31 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 304 [allBeds] => 309 [occupied] => 219 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [30] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-03-24 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 303 [allBeds] => 309 [occupied] => 218 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 404 ) ) [31] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-03-17 [weeklyNewCases] => 2 [weeklyDeaths] => 0 [totalDeaths] => 301 [allBeds] => 309 [occupied] => 215 [hospital] => 0 [staffWeekly] => 1 [staffTotal] => 404 ) ) [32] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-03-10 [weeklyNewCases] => 6 [weeklyDeaths] => 0 [totalDeaths] => 298 [allBeds] => 309 [occupied] => 219 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 403 ) ) [33] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-02-25 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 297 [allBeds] => 309 [occupied] => 214 [hospital] => 1 [staffWeekly] => 0 [staffTotal] => 403 ) ) [34] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-02-18 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 296 [allBeds] => 309 [occupied] => 219 [hospital] => 0 [staffWeekly] => 1 [staffTotal] => 403 ) ) [35] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-02-11 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 294 [allBeds] => 309 [occupied] => 222 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 402 ) ) [36] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-02-04 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 293 [allBeds] => 309 [occupied] => 227 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 402 ) ) [37] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-01-28 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 293 [allBeds] => 309 [occupied] => 226 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 402 ) ) [38] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-01-14 [weeklyNewCases] => 3 [weeklyDeaths] => 0 [totalDeaths] => 292 [allBeds] => 309 [occupied] => 226 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 402 ) ) [39] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-01-07 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 291 [allBeds] => 309 [occupied] => 222 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 402 ) ) [40] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-12-31 [weeklyNewCases] => 4 [weeklyDeaths] => 0 [totalDeaths] => 291 [allBeds] => 309 [occupied] => 224 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 400 ) ) [41] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-12-24 [weeklyNewCases] => 5 [weeklyDeaths] => 0 [totalDeaths] => 291 [allBeds] => 309 [occupied] => 223 [hospital] => 1 [staffWeekly] => 4 [staffTotal] => 398 ) ) [42] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-12-10 [weeklyNewCases] => 8 [weeklyDeaths] => 0 [totalDeaths] => 288 [allBeds] => 309 [occupied] => 223 [hospital] => 0 [staffWeekly] => 3 [staffTotal] => 391 ) ) [43] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-12-03 [weeklyNewCases] => 5 [weeklyDeaths] => 0 [totalDeaths] => 287 [allBeds] => 309 [occupied] => 221 [hospital] => 0 [staffWeekly] => 7 [staffTotal] => 388 ) ) [44] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-11-26 [weeklyNewCases] => 2 [weeklyDeaths] => 0 [totalDeaths] => 285 [allBeds] => 309 [occupied] => 217 [hospital] => 0 [staffWeekly] => 1 [staffTotal] => 381 ) ) [45] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-11-19 [weeklyNewCases] => 3 [weeklyDeaths] => 1 [totalDeaths] => 285 [allBeds] => 309 [occupied] => 213 [hospital] => 0 [staffWeekly] => 3 [staffTotal] => 379 ) ) [46] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-11-05 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 279 [allBeds] => 309 [occupied] => 219 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 375 ) ) [47] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-10-29 [weeklyNewCases] => 4 [weeklyDeaths] => 0 [totalDeaths] => 279 [allBeds] => 309 [occupied] => 198 [hospital] => 0 [staffWeekly] => 1 [staffTotal] => 373 ) ) [48] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-10-22 [weeklyNewCases] => 4 [weeklyDeaths] => 0 [totalDeaths] => 279 [allBeds] => 309 [occupied] => 220 [hospital] => 0 [staffWeekly] => 4 [staffTotal] => 372 ) ) [49] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-10-15 [weeklyNewCases] => 3 [weeklyDeaths] => 0 [totalDeaths] => 278 [allBeds] => 309 [occupied] => 217 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 368 ) ) [50] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-10-08 [weeklyNewCases] => 10 [weeklyDeaths] => 0 [totalDeaths] => 278 [allBeds] => 309 [occupied] => 218 [hospital] => 1 [staffWeekly] => 3 [staffTotal] => 366 ) ) [51] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-10-01 [weeklyNewCases] => 3 [weeklyDeaths] => 0 [totalDeaths] => 277 [allBeds] => 309 [occupied] => 215 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 363 ) ) ) ) [abbr] => NE [state] => Nebraska [city] => Bertrand )