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/lyons [report] => geographic-analysis [other] => NE [other2] => lyons [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] => 31924 [City] => Lyons [State] => NE [Country] => USA [Latitude] => 41.93600 [Longitude] => -96.47170 [created_at] => 2021-02-05 22:09:57 [updated_at] => 2021-02-05 22:52:47 [IDsimplemaps] => 1840009193 [County] => Burt [Population] => 799 [max_latitude] => 42.65966 [min_latitude] => 41.21234 [max_longitude] => -95.49890 [min_longitude] => -97.44450 ) [original:protected] => Array ( [IDcities] => 31924 [City] => Lyons [State] => NE [Country] => USA [Latitude] => 41.93600 [Longitude] => -96.47170 [created_at] => 2021-02-05 22:09:57 [updated_at] => 2021-02-05 22:52:47 [IDsimplemaps] => 1840009193 [County] => Burt [Population] => 799 [max_latitude] => 42.65966 [min_latitude] => 41.21234 [max_longitude] => -95.49890 [min_longitude] => -97.44450 ) [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] => 0.787058 [aidhrd] => 2.92708 [vochrd] => 0.6047 [tothrd] => 4.318838 ) [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] => 67229947d55c337c9a750748 ) [provnum] => 285281 [provname] => Oakland Heights [web] => oakland-heights [address] => 207 SOUTH ENGDAHL AVENUE [city] => OAKLAND [state] => NE [zip] => 68045 [phone] => 4026855683 [county_ssa] => 100 [county_name] => Burt [ownership] => Government - City [bedcert] => 45 [restot] => 37.5 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => OAKLAND HEIGHTS [participation_date] => 2009-07-01 [affiliatedentityname] => [affiliatedentityid] => [ccrc_facil] => N [sffstatus] => [abuse_icon] => N [oldsurvey] => N [chow_last_12mos] => N 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[cm_total] => 3.55479 [nursingcase-mix-weekend] => 3.10623 [adj_aide] => 2.94713 [adj_lpn] => 0.77465 [adj_rn] => 0.55824 [adj_total] => 4.28002 [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.49574 [cycle_1_survey_date] => 2024-06-27 [cycle_1_defs] => 0 [cycle_1_nfromdefs] => 0 [cycle_1_nfromcomp] => 0 [cycle_1_defs_score] => 0 [cycle_1_numrevis] => 0 [cycle_1_revisit_score] => 0 [cycle_1_total_score] => 0 [cycle_2_survey_date] => 2023-08-15 [cycle_2_defs] => 2 [cycle_2_nfromdefs] => 2 [cycle_2_nfromcomp] => 1 [cycle_2_defs_score] => 8 [cycle_2_numrevis] => 1 [cycle_2_revisit_score] => 0 [cycle_2_total_score] => 8 [cycle_3_survey_date] => 2022-07-26 [cycle_3_defs] => 4 [cycle_3_nfromdefs] => 4 [cycle_3_nfromcomp] => 0 [cycle_3_defs_score] => 44 [cycle_3_numrevis] => 1 [cycle_3_revisit_score] => 0 [cycle_3_total_score] => 44 [weighted_all_cycles_score] => 10 [incident_cnt] => 0 [cmplnt_cnt] => 2 [infection_count] => 0 [fine_cnt] => 0 [fine_tot] => 0 [payden_cnt] => 0 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[sprinkler_status] => Yes [overall_rating] => 4 [overall_rating_fn] => [survey_rating] => 3 [survey_rating_fn] => [quality_rating] => 4 [quality_rating_fn] => [ls_quality_rating] => 2 [ls_quality_rating_fn] => [ss_quality_rating] => 5 [ss_quality_rating_fn] => [staffing_rating] => 5 [staffing_rating_fn] => [staffing_flag] => [pt_staffing_flag] => [aidhrd] => 3.37961 [vochrd] => 0.81752 [rnhrd] => 0.64855 [totlichrd] => 1.46607 [tothrd] => 4.84568 [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 4.03636 [registerednursehoursperresidentperdayontheweekend] => 0.52524 [pthrd] => 0.02661 [totalnursingstaffturnover] => 35.3 [totalnursingstaffturnoverfootnote] => [registerednurseturnover] => [registerednurseturnoverfootnote] => 6 [numberofadministratorswhohaveleftthenursinghome] => 0 [administratorturnoverfootnote] => [nursingcase-mixindex] => 1.27828 [nursingcase-mixindexratio] => 0.94263 [cm_aide] => 2.16069 [cm_lpn] => 0.82678 [cm_rn] => 0.62974 [cm_total] => 3.61722 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http://wakefieldcarecenter.com/wordpress/ [count10] => 3 [count25] => 17 [rank10] => 2 [rank25] => 6 [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] => 67229947d55c337c9a75071d ) [provnum] => 285222 [provname] => Heritage of Emerson [web] => heritage-of-emerson [address] => 607 NEBRASKA STREET [city] => EMERSON [state] => NE [zip] => 68733 [phone] => 4026952683 [county_ssa] => 210 [county_name] => Dakota [ownership] => Non profit - Corporation [bedcert] => 38 [restot] => 32.1 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => VSL EMERSON LLC [participation_date] => 1998-03-12 [affiliatedentityname] => VETTER SENIOR LIVING [affiliatedentityid] => 547 [ccrc_facil] => N [sffstatus] => [abuse_icon] => N [oldsurvey] => N [chow_last_12mos] => N [resfamcouncil] => Resident [sprinkler_status] => Yes [overall_rating] => 4 [overall_rating_fn] => [survey_rating] => 4 [survey_rating_fn] => [quality_rating] => 4 [quality_rating_fn] => [ls_quality_rating] => 4 [ls_quality_rating_fn] => [ss_quality_rating] => [ss_quality_rating_fn] => 2 [staffing_rating] => 4 [staffing_rating_fn] => [staffing_flag] => [pt_staffing_flag] => [aidhrd] => 2.05657 [vochrd] => 0.23444 [rnhrd] => 0.92524 [totlichrd] => 1.15969 [tothrd] => 3.21626 [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.80034 [registerednursehoursperresidentperdayontheweekend] => 0.61675 [pthrd] => 0.02004 [totalnursingstaffturnover] => 47.1 [totalnursingstaffturnoverfootnote] => [registerednurseturnover] => 50 [registerednurseturnoverfootnote] => [numberofadministratorswhohaveleftthenursinghome] => [administratorturnoverfootnote] => 6 [nursingcase-mixindex] => 0.99751 [nursingcase-mixindexratio] => 0.73558 [cm_aide] => 1.6861 [cm_lpn] => 0.64518 [cm_rn] => 0.49142 [cm_total] => 2.82271 [nursingcase-mix-weekend] => 2.46652 [adj_aide] => 2.78028 [adj_lpn] => 0.31694 [adj_rn] => 1.25084 [adj_total] => 4.34807 [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.78578 [cycle_1_survey_date] => 2024-06-13 [cycle_1_defs] => 2 [cycle_1_nfromdefs] => 2 [cycle_1_nfromcomp] => 0 [cycle_1_defs_score] => 12 [cycle_1_numrevis] => 1 [cycle_1_revisit_score] => 0 [cycle_1_total_score] => 12 [cycle_2_survey_date] => 2023-04-20 [cycle_2_defs] => 3 [cycle_2_nfromdefs] => 3 [cycle_2_nfromcomp] => 0 [cycle_2_defs_score] => 24 [cycle_2_numrevis] => 1 [cycle_2_revisit_score] => 0 [cycle_2_total_score] => 24 [cycle_3_survey_date] => 2021-12-07 [cycle_3_defs] => 3 [cycle_3_nfromdefs] => 3 [cycle_3_nfromcomp] => 0 [cycle_3_defs_score] => 12 [cycle_3_numrevis] => 1 [cycle_3_revisit_score] => 0 [cycle_3_total_score] => 12 [weighted_all_cycles_score] => 16 [incident_cnt] => 0 [cmplnt_cnt] => 0 [infection_count] => [fine_cnt] => 0 [fine_tot] => 0 [payden_cnt] => 0 [tot_penlty_cnt] => 0 [location] => 607 NEBRASKA STREET,EMERSON,NE,68733 [latitude] => 42.2835 [longitude] => -96.724 [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] => 42.428231595348 [min_latitude] => 42.138768404652 [max_longitude] => -96.528370467049 [min_longitude] => -96.919629532951 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 42.64532898837 [min_latitude] => 41.92167101163 [max_longitude] => -96.234926167623 [min_longitude] => -97.213073832377 ) ) ) ) [overallRatingNumber] => 4 [website] => 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=> 0 [tot_penlty_cnt] => 5 [location] => 100 INDIAN HILLS DRIVE,MACY,NE,68039 [latitude] => 42.013 [longitude] => -96.575 [geocodingfootnote] => 22 [filedate] => 2024-10-01 [timestamp] => 1727740800 [recordDate] => MongoDB\BSON\UTCDateTime Object ( [milliseconds] => 1727740800000 ) [change_overall_rating] => 0 [change_survey_rating] => 0 [change_quality_rating] => 0 [change_staffing_rating] => 0 [durationOverallRating] => 15 [searchArea] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [10] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 42.157731595348 [min_latitude] => 41.868268404652 [max_longitude] => -96.380204627519 [min_longitude] => -96.769795372481 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 42.37482898837 [min_latitude] => 41.65117101163 [max_longitude] => -96.088011568798 [min_longitude] => -97.061988431202 ) ) ) ) [overallRatingNumber] => 4 [website] => https://nrrs.ne.gov/resource/34146/250.0 [count10] => 1 [count25] => 11 [rank10] => 1 [rank25] => 3 [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] => 67229947d55c337c9a7506e1 ) [provnum] => 285118 [provname] => Arbor Care Centers-Tekamah LLC [web] => arbor-care-centers-tekamah-llc [address] => 823 M STREET [city] => TEKAMAH [state] => NE [zip] => 68061 [phone] => 4023741414 [county_ssa] => 100 [county_name] => Burt [ownership] => For profit - Limited Liability company [bedcert] => 44 [restot] => 32.9 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => ARBOR CARE CENTERS - TEKAMAH LLC [participation_date] => 1992-06-01 [affiliatedentityname] => ARBOR CARE CENTERS [affiliatedentityid] => 40 [ccrc_facil] => N [sffstatus] => 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=> https://www.mycaringplan.com/senior-living/st-josephs-hillside-villa/ [count10] => 2 [count25] => 6 [rank10] => 1 [rank25] => 3 [worstNation] => 0 [bestNation] => 0 [worstState] => 0 [worstCity] => 0 [bestState] => 0 [bestCity] => 0 ) ) [7] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => MongoDB\BSON\ObjectId Object ( [oid] => 67229947d55c337c9a74f9dc ) [provnum] => 165296 [provname] => Pleasant View Care Center [web] => pleasant-view-care-center [address] => 200 SHANNON DRIVE [city] => WHITING [state] => IA [zip] => 51063 [phone] => 7124582417 [county_ssa] => 660 [county_name] => Monona [ownership] => For profit - Corporation [bedcert] => 80 [restot] => 46.3 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => WHITING COMMERCIAL DEVELOPMENT CORP [participation_date] => 1996-09-01 [affiliatedentityname] => [affiliatedentityid] => [ccrc_facil] => Y [sffstatus] => [abuse_icon] => N [oldsurvey] => N [chow_last_12mos] => N [resfamcouncil] => None [sprinkler_status] => Yes [overall_rating] => 3 [overall_rating_fn] => [survey_rating] => 3 [survey_rating_fn] => [quality_rating] => 1 [quality_rating_fn] => [ls_quality_rating] => 1 [ls_quality_rating_fn] => [ss_quality_rating] => 1 [ss_quality_rating_fn] => [staffing_rating] => 5 [staffing_rating_fn] => [staffing_flag] => [pt_staffing_flag] => [aidhrd] => 2.90444 [vochrd] => 0.64951 [rnhrd] => 0.69 [totlichrd] => 1.3395 [tothrd] => 4.24394 [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.81496 [registerednursehoursperresidentperdayontheweekend] => 0.59488 [pthrd] => 0.0144 [totalnursingstaffturnover] => 37.1 [totalnursingstaffturnoverfootnote] => [registerednurseturnover] => 12.5 [registerednurseturnoverfootnote] => [numberofadministratorswhohaveleftthenursinghome] => 0 [administratorturnoverfootnote] => [nursingcase-mixindex] => 1.24777 [nursingcase-mixindexratio] => 0.92013 [cm_aide] => 2.10911 [cm_lpn] => 0.80705 [cm_rn] => 0.61471 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=> 3 [website] => https://iowahealthcare.org/directory/pleasant-view-care-center/ [count10] => 2 [count25] => 12 [rank10] => 1 [rank25] => 6 [worstNation] => 0 [bestNation] => 0 [worstState] => 0 [worstCity] => 0 [bestState] => 0 [bestCity] => 0 ) ) [8] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => MongoDB\BSON\ObjectId Object ( [oid] => 67229947d55c337c9a74f9bc ) [provnum] => 165256 [provname] => Elmwood Care Centre [web] => elmwood-care-centre [address] => 222 NORTH 15TH STREET [city] => ONAWA [state] => IA [zip] => 51040 [phone] => 7124232510 [county_ssa] => 660 [county_name] => Monona [ownership] => For profit - Corporation [bedcert] => 54 [restot] => 34.6 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => ELMWOOD CARE CENTER LLC [participation_date] => 1995-06-01 [affiliatedentityname] => ARBORETA HEALTHCARE [affiliatedentityid] => 618 [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] => 2 [survey_rating_fn] => [quality_rating] => 3 [quality_rating_fn] => [ls_quality_rating] => 1 [ls_quality_rating_fn] => [ss_quality_rating] => 4 [ss_quality_rating_fn] => [staffing_rating] => 2 [staffing_rating_fn] => [staffing_flag] => [pt_staffing_flag] => [aidhrd] => 1.96625 [vochrd] => 0.58013 [rnhrd] => 0.59335 [totlichrd] => 1.17348 [tothrd] => 3.13974 [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.79399 [registerednursehoursperresidentperdayontheweekend] => 0.57893 [pthrd] => 0.02474 [totalnursingstaffturnover] => 64.7 [totalnursingstaffturnoverfootnote] => [registerednurseturnover] => 75 [registerednurseturnoverfootnote] => [numberofadministratorswhohaveleftthenursinghome] => 2 [administratorturnoverfootnote] => [nursingcase-mixindex] => 1.19884 [nursingcase-mixindexratio] => 0.88405 [cm_aide] => 2.02641 [cm_lpn] => 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[fine_tot] => 0 [payden_cnt] => 0 [tot_penlty_cnt] => 0 [location] => 222 NORTH 15TH STREET,ONAWA,IA,51040 [latitude] => 42.0366 [longitude] => -96.104 [geocodingfootnote] => [filedate] => 2024-10-01 [timestamp] => 1727740800 [recordDate] => MongoDB\BSON\UTCDateTime Object ( [milliseconds] => 1727740800000 ) [change_overall_rating] => 0 [change_survey_rating] => 0 [change_quality_rating] => 0 [change_staffing_rating] => 0 [durationOverallRating] => 4 [searchArea] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [10] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 42.181331595348 [min_latitude] => 41.891868404652 [max_longitude] => -95.909132306577 [min_longitude] => -96.298867693423 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 42.39842898837 [min_latitude] => 41.67477101163 [max_longitude] => -95.616830766442 [min_longitude] => -96.591169233558 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1.18178 [nursingcase-mixindexratio] => 0.87147 [cm_aide] => 1.99757 [cm_lpn] => 0.76437 [cm_rn] => 0.5822 [cm_total] => 3.34414 [nursingcase-mix-weekend] => 2.92216 [adj_aide] => 2.65134 [adj_lpn] => 0.78314 [adj_rn] => 0.61236 [adj_total] => 4.04684 [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.1982 [cycle_1_survey_date] => 2023-09-14 [cycle_1_defs] => 2 [cycle_1_nfromdefs] => 2 [cycle_1_nfromcomp] => 0 [cycle_1_defs_score] => 12 [cycle_1_numrevis] => 1 [cycle_1_revisit_score] => 0 [cycle_1_total_score] => 12 [cycle_2_survey_date] => 2022-07-21 [cycle_2_defs] => 6 [cycle_2_nfromdefs] => 6 [cycle_2_nfromcomp] => 2 [cycle_2_defs_score] => 40 [cycle_2_numrevis] => 1 [cycle_2_revisit_score] => 0 [cycle_2_total_score] => 40 [cycle_3_survey_date] => 2021-03-18 [cycle_3_defs] => 4 [cycle_3_nfromdefs] => 4 [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] => 26 [incident_cnt] => 0 [cmplnt_cnt] => 2 [infection_count] => [fine_cnt] => 1 [fine_tot] => 650 [payden_cnt] => 0 [tot_penlty_cnt] => 1 [location] => 823 M STREET,TEKAMAH,NE,68061 [latitude] => 41.7781 [longitude] => -96.214 [geocodingfootnote] => [filedate] => 2024-10-01 [timestamp] => 1727740800 [recordDate] => MongoDB\BSON\UTCDateTime Object ( [milliseconds] => 1727740800000 ) [change_overall_rating] => 1 [change_survey_rating] => 0 [change_quality_rating] => 2 [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] => 41.922831595348 [min_latitude] => 41.633368404652 [max_longitude] => -96.019919760284 [min_longitude] => -96.408080239716 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 42.13992898837 [min_latitude] => 41.41627101163 [max_longitude] => -95.728799400711 [min_longitude] => -96.699200599289 ) ) ) ) [overallRatingNumber] => 4 [website] => https://arborcarecenter.com/tekamah/ [count10] => 1 [count25] => 11 [rank10] => 1 [rank25] => 4 [worstNation] => 0 [bestNation] => 0 [worstState] => 0 [worstCity] => 0 [bestState] => 0 [bestCity] => 0 ) ) [9] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => MongoDB\BSON\ObjectId Object ( [oid] => 67229947d55c337c9a750748 ) [provnum] => 285281 [provname] => Oakland Heights [web] => oakland-heights [address] => 207 SOUTH ENGDAHL AVENUE [city] => OAKLAND [state] => NE [zip] => 68045 [phone] => 4026855683 [county_ssa] => 100 [county_name] => Burt [ownership] => Government - City [bedcert] => 45 [restot] => 37.5 [restot_fn] => [certification] => Medicare and Medicaid [inhosp] => N [lbn] => OAKLAND HEIGHTS [participation_date] => 2009-07-01 [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] => 5 [survey_rating_fn] => [quality_rating] => 3 [quality_rating_fn] => [ls_quality_rating] => 3 [ls_quality_rating_fn] => [ss_quality_rating] => [ss_quality_rating_fn] => 2 [staffing_rating] => 4 [staffing_rating_fn] => [staffing_flag] => [pt_staffing_flag] => [aidhrd] => 2.74538 [vochrd] => 0.72162 [rnhrd] => 0.52002 [totlichrd] => 1.24164 [tothrd] => 3.98702 [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.25644 [registerednursehoursperresidentperdayontheweekend] => 0.33754 [pthrd] => 0.03971 [totalnursingstaffturnover] => 35.7 [totalnursingstaffturnoverfootnote] => [registerednurseturnover] => 0 [registerednurseturnoverfootnote] => [numberofadministratorswhohaveleftthenursinghome] => 0 [administratorturnoverfootnote] => [nursingcase-mixindex] => 1.25622 [nursingcase-mixindexratio] => 0.92636 [cm_aide] => 2.1234 [cm_lpn] => 0.81252 [cm_rn] => 0.61887 [cm_total] => 3.55479 [nursingcase-mix-weekend] => 3.10623 [adj_aide] => 2.94713 [adj_lpn] => 0.77465 [adj_rn] => 0.55824 [adj_total] => 4.28002 [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.49574 [cycle_1_survey_date] => 2024-06-27 [cycle_1_defs] => 0 [cycle_1_nfromdefs] => 0 [cycle_1_nfromcomp] => 0 [cycle_1_defs_score] => 0 [cycle_1_numrevis] => 0 [cycle_1_revisit_score] => 0 [cycle_1_total_score] => 0 [cycle_2_survey_date] => 2023-08-15 [cycle_2_defs] => 2 [cycle_2_nfromdefs] => 2 [cycle_2_nfromcomp] => 1 [cycle_2_defs_score] => 8 [cycle_2_numrevis] => 1 [cycle_2_revisit_score] => 0 [cycle_2_total_score] => 8 [cycle_3_survey_date] => 2022-07-26 [cycle_3_defs] => 4 [cycle_3_nfromdefs] => 4 [cycle_3_nfromcomp] => 0 [cycle_3_defs_score] => 44 [cycle_3_numrevis] => 1 [cycle_3_revisit_score] => 0 [cycle_3_total_score] => 44 [weighted_all_cycles_score] => 10 [incident_cnt] => 0 [cmplnt_cnt] => 2 [infection_count] => 0 [fine_cnt] => 0 [fine_tot] => 0 [payden_cnt] => 0 [tot_penlty_cnt] => 0 [location] => 207 SOUTH ENGDAHL AVENUE,OAKLAND,NE,68045 [latitude] => 41.8329 [longitude] => -96.46 [geocodingfootnote] => [filedate] => 2024-10-01 [timestamp] => 1727740800 [recordDate] => MongoDB\BSON\UTCDateTime Object ( [milliseconds] => 1727740800000 ) [change_overall_rating] => 0 [change_survey_rating] => 0 [change_quality_rating] => 0 [change_staffing_rating] => 0 [durationOverallRating] => 3 [searchArea] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [10] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 41.977631595348 [min_latitude] => 41.688168404652 [max_longitude] => -96.265753688216 [min_longitude] => -96.654246311784 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [max_latitude] => 42.19472898837 [min_latitude] => 41.47107101163 [max_longitude] => -95.97438422054 [min_longitude] => -96.94561577946 ) ) ) ) [overallRatingNumber] => 5 [website] => https://www.oaklandhgts.com/ [count10] => 1 [count25] => 10 [rank10] => 1 [rank25] => 1 [worstNation] => 0 [bestNation] => 0 [worstState] => 0 [worstCity] => 0 [bestState] => 1 [bestCity] => 0 ) ) ) [homeCount] => 10 [week_ending] => 2024-10-20 [new] => Array ( ) [newBeds] => 0 [lost] => Array ( ) [lostBeds] => 0 [covidData] => Array ( [0] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-10-20 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 456 [allBeds] => 452 [occupied] => 347 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 859 ) ) [1] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-10-13 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 456 [allBeds] => 452 [occupied] => 347 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 859 ) ) [2] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-10-06 [weeklyNewCases] => 2 [weeklyDeaths] => 0 [totalDeaths] => 456 [allBeds] => 452 [occupied] => 347 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 859 ) ) [3] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-09-29 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 456 [allBeds] => 409 [occupied] => 318 [hospital] => 0 [staffWeekly] => 1 [staffTotal] => 859 ) ) [4] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-09-22 [weeklyNewCases] => 4 [weeklyDeaths] => 1 [totalDeaths] => 450 [allBeds] => 329 [occupied] => 266 [hospital] => 0 [staffWeekly] => 4 [staffTotal] => 856 ) ) [5] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-09-15 [weeklyNewCases] => 11 [weeklyDeaths] => 0 [totalDeaths] => 447 [allBeds] => 383 [occupied] => 308 [hospital] => 0 [staffWeekly] => 8 [staffTotal] => 852 ) ) [6] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-09-08 [weeklyNewCases] => 3 [weeklyDeaths] => 0 [totalDeaths] => 445 [allBeds] => 358 [occupied] => 288 [hospital] => 0 [staffWeekly] => 10 [staffTotal] => 839 ) ) [7] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-09-01 [weeklyNewCases] => 5 [weeklyDeaths] => 0 [totalDeaths] => 442 [allBeds] => 463 [occupied] => 361 [hospital] => 0 [staffWeekly] => 4 [staffTotal] => 829 ) ) [8] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-08-25 [weeklyNewCases] => 4 [weeklyDeaths] => 0 [totalDeaths] => 441 [allBeds] => 463 [occupied] => 360 [hospital] => 0 [staffWeekly] => 8 [staffTotal] => 825 ) ) [9] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-08-18 [weeklyNewCases] => 11 [weeklyDeaths] => 0 [totalDeaths] => 440 [allBeds] => 463 [occupied] => 352 [hospital] => 0 [staffWeekly] => 5 [staffTotal] => 816 ) ) [10] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-08-11 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 437 [allBeds] => 383 [occupied] => 299 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 811 ) ) [11] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-08-04 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 435 [allBeds] => 463 [occupied] => 346 [hospital] => 0 [staffWeekly] => 1 [staffTotal] => 809 ) ) [12] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-07-28 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 431 [allBeds] => 463 [occupied] => 350 [hospital] => 0 [staffWeekly] => 5 [staffTotal] => 808 ) ) [13] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-07-21 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 422 [allBeds] => 414 [occupied] => 317 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 803 ) ) [14] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-07-14 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 422 [allBeds] => 414 [occupied] => 315 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 801 ) ) [15] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-07-07 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 419 [allBeds] => 463 [occupied] => 351 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 801 ) ) [16] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-06-30 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 417 [allBeds] => 383 [occupied] => 305 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 801 ) ) [17] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-06-23 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 417 [allBeds] => 463 [occupied] => 350 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 801 ) ) [18] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-06-16 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 417 [allBeds] => 463 [occupied] => 349 [hospital] => 0 [staffWeekly] => 1 [staffTotal] => 801 ) ) [19] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-06-09 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 416 [allBeds] => 463 [occupied] => 345 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 800 ) ) [20] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-06-02 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 415 [allBeds] => 463 [occupied] => 345 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 800 ) ) [21] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-05-26 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 414 [allBeds] => 463 [occupied] => 344 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 800 ) ) [22] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-05-19 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 414 [allBeds] => 383 [occupied] => 295 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 800 ) ) [23] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-05-12 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 413 [allBeds] => 463 [occupied] => 343 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 800 ) ) [24] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-05-05 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 412 [allBeds] => 463 [occupied] => 341 [hospital] => 0 [staffWeekly] => 5 [staffTotal] => 800 ) ) [25] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-04-28 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 407 [allBeds] => 463 [occupied] => 343 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 795 ) ) [26] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-04-21 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 406 [allBeds] => 463 [occupied] => 326 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 795 ) ) [27] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-04-14 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 404 [allBeds] => 463 [occupied] => 342 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 795 ) ) [28] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-04-07 [weeklyNewCases] => 2 [weeklyDeaths] => 0 [totalDeaths] => 403 [allBeds] => 463 [occupied] => 340 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 795 ) ) [29] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-03-31 [weeklyNewCases] => 2 [weeklyDeaths] => 0 [totalDeaths] => 399 [allBeds] => 463 [occupied] => 346 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 795 ) ) [30] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-03-24 [weeklyNewCases] => 4 [weeklyDeaths] => 0 [totalDeaths] => 398 [allBeds] => 463 [occupied] => 349 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 795 ) ) [31] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-03-17 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 397 [allBeds] => 463 [occupied] => 356 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 793 ) ) [32] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-03-10 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 395 [allBeds] => 438 [occupied] => 332 [hospital] => 0 [staffWeekly] => 0 [staffTotal] => 793 ) ) [33] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-02-25 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 392 [allBeds] => 463 [occupied] => 358 [hospital] => 0 [staffWeekly] => 5 [staffTotal] => 792 ) ) [34] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-02-18 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 390 [allBeds] => 463 [occupied] => 355 [hospital] => 0 [staffWeekly] => 1 [staffTotal] => 787 ) ) [35] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-02-11 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 389 [allBeds] => 463 [occupied] => 352 [hospital] => 0 [staffWeekly] => 5 [staffTotal] => 785 ) ) [36] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-02-04 [weeklyNewCases] => 7 [weeklyDeaths] => 0 [totalDeaths] => 387 [allBeds] => 463 [occupied] => 352 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 780 ) ) [37] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-01-28 [weeklyNewCases] => 6 [weeklyDeaths] => 0 [totalDeaths] => 384 [allBeds] => 463 [occupied] => 354 [hospital] => 0 [staffWeekly] => 7 [staffTotal] => 777 ) ) [38] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-01-14 [weeklyNewCases] => 1 [weeklyDeaths] => 0 [totalDeaths] => 382 [allBeds] => 463 [occupied] => 355 [hospital] => 0 [staffWeekly] => 3 [staffTotal] => 769 ) ) [39] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2024-01-07 [weeklyNewCases] => 2 [weeklyDeaths] => 0 [totalDeaths] => 382 [allBeds] => 463 [occupied] => 350 [hospital] => 0 [staffWeekly] => 3 [staffTotal] => 765 ) ) [40] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-12-31 [weeklyNewCases] => 22 [weeklyDeaths] => 0 [totalDeaths] => 381 [allBeds] => 438 [occupied] => 329 [hospital] => 1 [staffWeekly] => 20 [staffTotal] => 761 ) ) [41] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-12-24 [weeklyNewCases] => 24 [weeklyDeaths] => 0 [totalDeaths] => 379 [allBeds] => 463 [occupied] => 354 [hospital] => 1 [staffWeekly] => 10 [staffTotal] => 737 ) ) [42] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-12-10 [weeklyNewCases] => 2 [weeklyDeaths] => 0 [totalDeaths] => 376 [allBeds] => 438 [occupied] => 330 [hospital] => 0 [staffWeekly] => 7 [staffTotal] => 721 ) ) [43] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-12-03 [weeklyNewCases] => 7 [weeklyDeaths] => 0 [totalDeaths] => 374 [allBeds] => 463 [occupied] => 356 [hospital] => 0 [staffWeekly] => 5 [staffTotal] => 714 ) ) [44] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-11-26 [weeklyNewCases] => 4 [weeklyDeaths] => 0 [totalDeaths] => 370 [allBeds] => 463 [occupied] => 362 [hospital] => 0 [staffWeekly] => 10 [staffTotal] => 707 ) ) [45] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-11-19 [weeklyNewCases] => 20 [weeklyDeaths] => 0 [totalDeaths] => 367 [allBeds] => 438 [occupied] => 335 [hospital] => 0 [staffWeekly] => 15 [staffTotal] => 695 ) ) [46] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-11-05 [weeklyNewCases] => 3 [weeklyDeaths] => 0 [totalDeaths] => 362 [allBeds] => 463 [occupied] => 353 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 668 ) ) [47] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-10-29 [weeklyNewCases] => 0 [weeklyDeaths] => 0 [totalDeaths] => 361 [allBeds] => 463 [occupied] => 350 [hospital] => 1 [staffWeekly] => 2 [staffTotal] => 666 ) ) [48] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-10-22 [weeklyNewCases] => 7 [weeklyDeaths] => 0 [totalDeaths] => 356 [allBeds] => 463 [occupied] => 352 [hospital] => 0 [staffWeekly] => 5 [staffTotal] => 664 ) ) [49] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-10-15 [weeklyNewCases] => 5 [weeklyDeaths] => 0 [totalDeaths] => 356 [allBeds] => 463 [occupied] => 347 [hospital] => 0 [staffWeekly] => 5 [staffTotal] => 659 ) ) [50] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-10-08 [weeklyNewCases] => 2 [weeklyDeaths] => 0 [totalDeaths] => 352 [allBeds] => 463 [occupied] => 344 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 654 ) ) [51] => MongoDB\Model\BSONDocument Object ( [storage:ArrayObject:private] => Array ( [_id] => 2023-10-01 [weeklyNewCases] => 3 [weeklyDeaths] => 0 [totalDeaths] => 350 [allBeds] => 463 [occupied] => 349 [hospital] => 0 [staffWeekly] => 2 [staffTotal] => 652 ) ) ) ) [abbr] => NE [state] => Nebraska [city] => Lyons )