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/VA/bedford
    [report] => geographic-analysis
    [other] => VA
    [other2] => bedford
    [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] => 21161
                            [City] => Bedford
                            [State] => VA
                            [Country] => USA
                            [Latitude] => 37.33600
                            [Longitude] => -79.51790
                            [created_at] => 2021-02-05 21:56:01
                            [updated_at] => 2021-02-05 22:41:33
                            [IDsimplemaps] => 1840001713
                            [County] => Bedford
                            [Population] => 7240
                            [max_latitude] => 38.05966
                            [min_latitude] => 36.61234
                            [max_longitude] => -78.60774
                            [min_longitude] => -80.42806
                        )

                    [original:protected] => Array
                        (
                            [IDcities] => 21161
                            [City] => Bedford
                            [State] => VA
                            [Country] => USA
                            [Latitude] => 37.33600
                            [Longitude] => -79.51790
                            [created_at] => 2021-02-05 21:56:01
                            [updated_at] => 2021-02-05 22:41:33
                            [IDsimplemaps] => 1840001713
                            [County] => Bedford
                            [Population] => 7240
                            [max_latitude] => 38.05966
                            [min_latitude] => 36.61234
                            [max_longitude] => -78.60774
                            [min_longitude] => -80.42806
                        )

                    [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] => 0.543515
                            [aidhrd] => 1.99332375
                            [vochrd] => 0.968195
                            [tothrd] => 3.5050325
                        )

                    [state] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [aidhrd] => 2.08
                                    [vochrd] => 1.01
                                    [rnhrd] => 0.66789
                                    [tothrd] => 3.75418
                                )

                        )

                    [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] => 67229947d55c337c9a7519e8
                                        )

                                    [provnum] => 495120
                                    [provname] => Westminster-Canterbury of Lynchburg Inc
                                    [web] => westminster-canterbury-of-lynchburg-inc
                                    [address] => 501 VES RD
                                    [city] => LYNCHBURG
                                    [state] => VA
                                    [zip] => 24503
                                    [phone] => 4343863500
                                    [county_ssa] => 551
                                    [county_name] => Lynchburg City
                                    [ownership] => Non profit - Church related
                                    [bedcert] => 80
                                    [restot] => 76.1
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => WESTMINSTER-CANTERBURY OF LYNCHBURG, INC.
                                    [participation_date] => 1980-07-14
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => Y
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 5
                                    [overall_rating_fn] => 
                                    [survey_rating] => 5
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 4
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 5
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 3.33976
                                    [vochrd] => 1.18222
                                    [rnhrd] => 1.04066
                                    [totlichrd] => 2.22287
                                    [tothrd] => 5.56264
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 5.14117
                                    [registerednursehoursperresidentperdayontheweekend] => 0.74449
                                    [pthrd] => 0.18162
                                    [totalnursingstaffturnover] => 26.7
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 14.3
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.19117
                                    [nursingcase-mixindexratio] => 0.87839
                                    [cm_aide] => 2.01344
                                    [cm_lpn] => 0.77044
                                    [cm_rn] => 0.58683
                                    [cm_total] => 3.37071
                                    [nursingcase-mix-weekend] => 2.94537
                                    [adj_aide] => 3.78099
                                    [adj_lpn] => 1.3384
                                    [adj_rn] => 1.17814
                                    [adj_total] => 6.29753
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 5.82038
                                    [cycle_1_survey_date] => 2023-02-08
                                    [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] => 2021-05-05
                                    [cycle_2_defs] => 3
                                    [cycle_2_nfromdefs] => 3
                                    [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] => 2019-06-05
                                    [cycle_3_defs] => 1
                                    [cycle_3_nfromdefs] => 1
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 4
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 4
                                    [weighted_all_cycles_score] => 10
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 0
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 501 VES RD,LYNCHBURG,VA,24503
                                    [latitude] => 37.4519
                                    [longitude] => -79.19
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 124
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.596631595348
                                                                    [min_latitude] => 37.307168404652
                                                                    [max_longitude] => -79.007687193466
                                                                    [min_longitude] => -79.372312806534
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.81372898837
                                                                    [min_latitude] => 37.09007101163
                                                                    [max_longitude] => -78.734217983665
                                                                    [min_longitude] => -79.645782016335
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 5
                                    [website] => https://www.wclynchburg.org/
                                    [count10] => 9
                                    [count25] => 16
                                    [rank10] => 1
                                    [rank25] => 1
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 1
                                    [bestCity] => 0
                                )

                        )

                    [1] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a751a95
                                        )

                                    [provnum] => 495357
                                    [provname] => Our Lady of The Valley
                                    [web] => our-lady-of-the-valley
                                    [address] => 650 NORTH JEFFERSON STREET
                                    [city] => ROANOKE
                                    [state] => VA
                                    [zip] => 24016
                                    [phone] => 5403455111
                                    [county_ssa] => 801
                                    [county_name] => Roanoke City
                                    [ownership] => Non profit - Church related
                                    [bedcert] => 70
                                    [restot] => 69.3
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => OUR LADY OF THE VALLEY, INC.
                                    [participation_date] => 2001-10-01
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => None
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 5
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 5
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 5
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.06968
                                    [vochrd] => 1.13241
                                    [rnhrd] => 0.43203
                                    [totlichrd] => 1.56444
                                    [tothrd] => 3.63412
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.26868
                                    [registerednursehoursperresidentperdayontheweekend] => 0.27652
                                    [pthrd] => 0.06877
                                    [totalnursingstaffturnover] => 50.7
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 81.8
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.21177
                                    [nursingcase-mixindexratio] => 0.89358
                                    [cm_aide] => 2.04826
                                    [cm_lpn] => 0.78376
                                    [cm_rn] => 0.59697
                                    [cm_total] => 3.429
                                    [nursingcase-mix-weekend] => 2.9963
                                    [adj_aide] => 2.30328
                                    [adj_lpn] => 1.26022
                                    [adj_rn] => 0.48079
                                    [adj_total] => 4.0443
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.63761
                                    [cycle_1_survey_date] => 2023-08-25
                                    [cycle_1_defs] => 3
                                    [cycle_1_nfromdefs] => 3
                                    [cycle_1_nfromcomp] => 1
                                    [cycle_1_defs_score] => 12
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 12
                                    [cycle_2_survey_date] => 2021-04-15
                                    [cycle_2_defs] => 7
                                    [cycle_2_nfromdefs] => 5
                                    [cycle_2_nfromcomp] => 2
                                    [cycle_2_defs_score] => 36
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 36
                                    [cycle_3_survey_date] => 2019-04-08
                                    [cycle_3_defs] => 4
                                    [cycle_3_nfromdefs] => 4
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 28
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 28
                                    [weighted_all_cycles_score] => 22.667
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 4
                                    [infection_count] => 
                                    [fine_cnt] => 2
                                    [fine_tot] => 4242.53
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 2
                                    [location] => 650 NORTH JEFFERSON STREET,ROANOKE,VA,24016
                                    [latitude] => 37.2778
                                    [longitude] => -79.94
                                    [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] => 12
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.422531595348
                                                                    [min_latitude] => 37.133068404652
                                                                    [max_longitude] => -79.758109714288
                                                                    [min_longitude] => -80.121890285712
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.63962898837
                                                                    [min_latitude] => 36.91597101163
                                                                    [max_longitude] => -79.48527428572
                                                                    [min_longitude] => -80.39472571428
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 5
                                    [website] => https://www.ourladyofthevalley.com/
                                    [count10] => 16
                                    [count25] => 22
                                    [rank10] => 4
                                    [rank25] => 4
                                    [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] => 67229947d55c337c9a751ac9
                                        )

                                    [provnum] => 495411
                                    [provname] => Liberty Ridge Health  and  Rehab
                                    [web] => liberty-ridge-health-rehab
                                    [address] => 189 MONICA BLVD
                                    [city] => LYNCHBURG
                                    [state] => VA
                                    [zip] => 24502
                                    [phone] => 4348472860
                                    [county_ssa] => 551
                                    [county_name] => Lynchburg City
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 90
                                    [restot] => 81.6
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => LIBERTY RIDGE HEALTHCARE GROUP LLC
                                    [participation_date] => 2013-04-12
                                    [affiliatedentityname] => SABER HEALTHCARE GROUP
                                    [affiliatedentityid] => 461
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => Y
                                    [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] => 3
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.12864
                                    [vochrd] => 0.94376
                                    [rnhrd] => 0.54744
                                    [totlichrd] => 1.4912
                                    [tothrd] => 3.61983
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.07291
                                    [registerednursehoursperresidentperdayontheweekend] => 0.2986
                                    [pthrd] => 0.11854
                                    [totalnursingstaffturnover] => 51.9
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 53.8
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.32104
                                    [nursingcase-mixindexratio] => 0.97416
                                    [cm_aide] => 2.23296
                                    [cm_lpn] => 0.85444
                                    [cm_rn] => 0.65081
                                    [cm_total] => 3.73821
                                    [nursingcase-mix-weekend] => 3.2665
                                    [adj_aide] => 2.17295
                                    [adj_lpn] => 0.96341
                                    [adj_rn] => 0.55883
                                    [adj_total] => 3.69518
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.13687
                                    [cycle_1_survey_date] => 2022-02-10
                                    [cycle_1_defs] => 5
                                    [cycle_1_nfromdefs] => 5
                                    [cycle_1_nfromcomp] => 1
                                    [cycle_1_defs_score] => 24
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 24
                                    [cycle_2_survey_date] => 2021-02-17
                                    [cycle_2_defs] => 4
                                    [cycle_2_nfromdefs] => 2
                                    [cycle_2_nfromcomp] => 2
                                    [cycle_2_defs_score] => 16
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 16
                                    [cycle_3_survey_date] => 2019-06-13
                                    [cycle_3_defs] => 9
                                    [cycle_3_nfromdefs] => 9
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 52
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 52
                                    [weighted_all_cycles_score] => 26
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 2
                                    [infection_count] => 0
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 189 MONICA BLVD,LYNCHBURG,VA,24502
                                    [latitude] => 37.3343
                                    [longitude] => -79.176
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 4
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.479031595348
                                                                    [min_latitude] => 37.189568404652
                                                                    [max_longitude] => -78.993972994215
                                                                    [min_longitude] => -79.358027005785
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.69612898837
                                                                    [min_latitude] => 36.97247101163
                                                                    [max_longitude] => -78.720932485538
                                                                    [min_longitude] => -79.631067514462
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 5
                                    [website] => https://www.saberhealth.com/locations/liberty-ridge-health-and-rehabilitation-center
                                    [count10] => 8
                                    [count25] => 14
                                    [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] => 67229947d55c337c9a751ac2
                                        )

                                    [provnum] => 495404
                                    [provname] => The Glebe
                                    [web] => the-glebe
                                    [address] => 250 GLEBE ROAD
                                    [city] => DALEVILLE
                                    [state] => VA
                                    [zip] => 24083
                                    [phone] => 5405912176
                                    [county_ssa] => 110
                                    [county_name] => Botetourt
                                    [ownership] => Non profit - Other
                                    [bedcert] => 32
                                    [restot] => 30.2
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => THE GLEBE, INC.
                                    [participation_date] => 2010-06-02
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => Y
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Both
                                    [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] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 4
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.83709
                                    [vochrd] => 1.32664
                                    [rnhrd] => 0.97755
                                    [totlichrd] => 2.30418
                                    [tothrd] => 5.14127
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 4.20521
                                    [registerednursehoursperresidentperdayontheweekend] => 0.42154
                                    [pthrd] => 0.08822
                                    [totalnursingstaffturnover] => 57.1
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 50
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.32138
                                    [nursingcase-mixindexratio] => 0.97441
                                    [cm_aide] => 2.23354
                                    [cm_lpn] => 0.85466
                                    [cm_rn] => 0.65097
                                    [cm_total] => 3.73918
                                    [nursingcase-mix-weekend] => 3.26734
                                    [adj_aide] => 2.8954
                                    [adj_lpn] => 1.3539
                                    [adj_rn] => 0.99764
                                    [adj_total] => 5.24694
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 4.29164
                                    [cycle_1_survey_date] => 2024-04-24
                                    [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] => 2021-12-09
                                    [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] => 2019-03-29
                                    [cycle_3_defs] => 7
                                    [cycle_3_nfromdefs] => 7
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 32
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 32
                                    [weighted_all_cycles_score] => 5.333
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 1
                                    [fine_tot] => 1315.6
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 1
                                    [location] => 250 GLEBE ROAD,DALEVILLE,VA,24083
                                    [latitude] => 37.4206
                                    [longitude] => -79.915
                                    [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] => 29
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.565331595348
                                                                    [min_latitude] => 37.275868404652
                                                                    [max_longitude] => -79.732763423785
                                                                    [min_longitude] => -80.097236576215
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.78242898837
                                                                    [min_latitude] => 37.05877101163
                                                                    [max_longitude] => -79.459408559462
                                                                    [min_longitude] => -80.370591440538
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 5
                                    [website] => https://theglebe.org/
                                    [count10] => 10
                                    [count25] => 21
                                    [rank10] => 1
                                    [rank25] => 1
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 1
                                    [bestCity] => 0
                                )

                        )

                    [4] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a751a19
                                        )

                                    [provnum] => 495196
                                    [provname] => Autumn Care of Altavista
                                    [web] => autumn-care-of-altavista
                                    [address] => 1317 LOLA AVE
                                    [city] => ALTAVISTA
                                    [state] => VA
                                    [zip] => 24517
                                    [phone] => 4343696651
                                    [county_ssa] => 150
                                    [county_name] => Campbell
                                    [ownership] => For profit - Limited Liability company
                                    [bedcert] => 111
                                    [restot] => 102.6
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => AUTUMN CARE OF ALTAVISTA LLC
                                    [participation_date] => 1989-07-21
                                    [affiliatedentityname] => SABER HEALTHCARE GROUP
                                    [affiliatedentityid] => 461
                                    [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] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 3
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.73611
                                    [vochrd] => 0.75174
                                    [rnhrd] => 0.54554
                                    [totlichrd] => 1.29728
                                    [tothrd] => 3.03339
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.50468
                                    [registerednursehoursperresidentperdayontheweekend] => 0.35172
                                    [pthrd] => 0.04289
                                    [totalnursingstaffturnover] => 40.2
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 37.5
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.20711
                                    [nursingcase-mixindexratio] => 0.89014
                                    [cm_aide] => 2.04038
                                    [cm_lpn] => 0.78075
                                    [cm_rn] => 0.59468
                                    [cm_total] => 3.41581
                                    [nursingcase-mix-weekend] => 2.98478
                                    [adj_aide] => 1.93952
                                    [adj_lpn] => 0.83982
                                    [adj_rn] => 0.60946
                                    [adj_total] => 3.38879
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.79814
                                    [cycle_1_survey_date] => 2023-05-24
                                    [cycle_1_defs] => 4
                                    [cycle_1_nfromdefs] => 4
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 16
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 16
                                    [cycle_2_survey_date] => 2021-08-18
                                    [cycle_2_defs] => 8
                                    [cycle_2_nfromdefs] => 8
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 48
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 48
                                    [cycle_3_survey_date] => 2019-08-22
                                    [cycle_3_defs] => 7
                                    [cycle_3_nfromdefs] => 7
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 28
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 28
                                    [weighted_all_cycles_score] => 28.667
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 1317 LOLA AVE,ALTAVISTA,VA,24517
                                    [latitude] => 37.1213
                                    [longitude] => -79.288
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 7
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.266031595348
                                                                    [min_latitude] => 36.976568404652
                                                                    [max_longitude] => -79.106486426631
                                                                    [min_longitude] => -79.469513573369
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.48312898837
                                                                    [min_latitude] => 36.75947101163
                                                                    [max_longitude] => -78.834216066578
                                                                    [min_longitude] => -79.741783933422
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 5
                                    [website] => https://www.saberhealth.com/locations/autumn-care-of-altavista
                                    [count10] => 1
                                    [count25] => 14
                                    [rank10] => 1
                                    [rank25] => 7
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [5] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a751a23
                                        )

                                    [provnum] => 495207
                                    [provname] => Franklin Health and Rehabilitation Center
                                    [web] => franklin-health-and-rehabilitation-center
                                    [address] => 720 ORCHARD AVENUE
                                    [city] => ROCKY MOUNT
                                    [state] => VA
                                    [zip] => 24151
                                    [phone] => 5404893467
                                    [county_ssa] => 330
                                    [county_name] => Franklin
                                    [ownership] => For profit - Limited Liability company
                                    [bedcert] => 120
                                    [restot] => 116.3
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => FRANKLIN FACILITY LLC
                                    [participation_date] => 1990-02-05
                                    [affiliatedentityname] => MEDICAL FACILITIES OF AMERICA
                                    [affiliatedentityid] => 343
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 4
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 1
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 3
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.60883
                                    [vochrd] => 0.76672
                                    [rnhrd] => 0.50664
                                    [totlichrd] => 1.27336
                                    [tothrd] => 2.88219
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.52237
                                    [registerednursehoursperresidentperdayontheweekend] => 0.30981
                                    [pthrd] => 0.06801
                                    [totalnursingstaffturnover] => 38.2
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 26.7
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.55881
                                    [nursingcase-mixindexratio] => 1.14949
                                    [cm_aide] => 2.63486
                                    [cm_lpn] => 1.00823
                                    [cm_rn] => 0.76794
                                    [cm_total] => 4.41103
                                    [nursingcase-mix-weekend] => 3.85442
                                    [adj_aide] => 1.39181
                                    [adj_lpn] => 0.6633
                                    [adj_rn] => 0.4383
                                    [adj_total] => 2.49341
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.18212
                                    [cycle_1_survey_date] => 2023-09-22
                                    [cycle_1_defs] => 10
                                    [cycle_1_nfromdefs] => 10
                                    [cycle_1_nfromcomp] => 2
                                    [cycle_1_defs_score] => 40
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 40
                                    [cycle_2_survey_date] => 2021-07-22
                                    [cycle_2_defs] => 2
                                    [cycle_2_nfromdefs] => 2
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 8
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 8
                                    [cycle_3_survey_date] => 2018-09-20
                                    [cycle_3_defs] => 3
                                    [cycle_3_nfromdefs] => 3
                                    [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] => 25.333
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 2
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 720 ORCHARD AVENUE,ROCKY MOUNT,VA,24151
                                    [latitude] => 36.9873
                                    [longitude] => -79.885
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -2
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 7
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.132031595348
                                                                    [min_latitude] => 36.842568404652
                                                                    [max_longitude] => -79.703806668945
                                                                    [min_longitude] => -80.066193331055
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.34912898837
                                                                    [min_latitude] => 36.62547101163
                                                                    [max_longitude] => -79.432016672361
                                                                    [min_longitude] => -80.337983327639
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://www.mfa.net/center/franklin-health-rehabilitation-center
                                    [count10] => 2
                                    [count25] => 24
                                    [rank10] => 1
                                    [rank25] => 8
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [6] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7519e7
                                        )

                                    [provnum] => 495118
                                    [provname] => Rocky Mount Health  and  Rehab Center
                                    [web] => rocky-mount-health-rehab-center
                                    [address] => 300 HATCHER STREET
                                    [city] => ROCKY MOUNT
                                    [state] => VA
                                    [zip] => 24151
                                    [phone] => 5404839261
                                    [county_ssa] => 330
                                    [county_name] => Franklin
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 180
                                    [restot] => 128.3
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => ROCKY MOUNT HEALTH & REHAB CENTER, LLC
                                    [participation_date] => 1980-02-01
                                    [affiliatedentityname] => SABER HEALTHCARE GROUP
                                    [affiliatedentityid] => 461
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => Y
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 4
                                    [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] => 1
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.05624
                                    [vochrd] => 0.86038
                                    [rnhrd] => 0.41041
                                    [totlichrd] => 1.27079
                                    [tothrd] => 3.32703
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.86424
                                    [registerednursehoursperresidentperdayontheweekend] => 0.26755
                                    [pthrd] => 0.01201
                                    [totalnursingstaffturnover] => 66.4
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 53.3
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.43882
                                    [nursingcase-mixindexratio] => 1.06101
                                    [cm_aide] => 2.43205
                                    [cm_lpn] => 0.93062
                                    [cm_rn] => 0.70883
                                    [cm_total] => 4.0715
                                    [nursingcase-mix-weekend] => 3.55774
                                    [adj_aide] => 1.92721
                                    [adj_lpn] => 0.80639
                                    [adj_rn] => 0.38466
                                    [adj_total] => 3.11826
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.68451
                                    [cycle_1_survey_date] => 2022-08-25
                                    [cycle_1_defs] => 5
                                    [cycle_1_nfromdefs] => 5
                                    [cycle_1_nfromcomp] => 1
                                    [cycle_1_defs_score] => 20
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 20
                                    [cycle_2_survey_date] => 2020-03-03
                                    [cycle_2_defs] => 1
                                    [cycle_2_nfromdefs] => 1
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 4
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 4
                                    [cycle_3_survey_date] => 2018-10-03
                                    [cycle_3_defs] => 21
                                    [cycle_3_nfromdefs] => 21
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 100
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 100
                                    [weighted_all_cycles_score] => 28
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 4
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 300 HATCHER STREET,ROCKY MOUNT,VA,24151
                                    [latitude] => 36.9925
                                    [longitude] => -79.902
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 4
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.137231595348
                                                                    [min_latitude] => 36.847768404652
                                                                    [max_longitude] => -79.720794281182
                                                                    [min_longitude] => -80.083205718818
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.35432898837
                                                                    [min_latitude] => 36.63067101163
                                                                    [max_longitude] => -79.448985702954
                                                                    [min_longitude] => -80.355014297046
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://www.saberhealth.com/locations/rocky-mount
                                    [count10] => 2
                                    [count25] => 25
                                    [rank10] => 2
                                    [rank25] => 10
                                    [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] => 67229947d55c337c9a751a7a
                                        )

                                    [provnum] => 495325
                                    [provname] => Pheasant Ridge Nursing  and  Rehab Center
                                    [web] => pheasant-ridge-nursing-rehab-center
                                    [address] => 4355 PHEASANT RIDGE ROAD, SW
                                    [city] => ROANOKE
                                    [state] => VA
                                    [zip] => 24014
                                    [phone] => 5407258210
                                    [county_ssa] => 801
                                    [county_name] => Roanoke City
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 101
                                    [restot] => 89.8
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => PHEASANT RIDGE FACILITY OPERATIONS, LLC
                                    [participation_date] => 1998-01-01
                                    [affiliatedentityname] => CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE
                                    [affiliatedentityid] => 158
                                    [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] => 5
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.71768
                                    [vochrd] => 1.05976
                                    [rnhrd] => 0.4746
                                    [totlichrd] => 1.53436
                                    [tothrd] => 3.25204
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.89915
                                    [registerednursehoursperresidentperdayontheweekend] => 0.3603
                                    [pthrd] => 0.06336
                                    [totalnursingstaffturnover] => 55.1
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 50
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.42385
                                    [nursingcase-mixindexratio] => 1.04997
                                    [cm_aide] => 2.40674
                                    [cm_lpn] => 0.92094
                                    [cm_rn] => 0.70145
                                    [cm_total] => 4.02913
                                    [nursingcase-mix-weekend] => 3.52071
                                    [adj_aide] => 1.62683
                                    [adj_lpn] => 1.0037
                                    [adj_rn] => 0.4495
                                    [adj_total] => 3.08004
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.74581
                                    [cycle_1_survey_date] => 2024-01-19
                                    [cycle_1_defs] => 10
                                    [cycle_1_nfromdefs] => 10
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 52
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 52
                                    [cycle_2_survey_date] => 2022-08-03
                                    [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] => 2021-04-08
                                    [cycle_3_defs] => 1
                                    [cycle_3_nfromdefs] => 1
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 4
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 4
                                    [weighted_all_cycles_score] => 32
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 13
                                    [fine_tot] => 45332.3
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 13
                                    [location] => 4355 PHEASANT RIDGE ROAD, SW,ROANOKE,VA,24014
                                    [latitude] => 37.2229
                                    [longitude] => -79.966
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => 1
                                    [durationOverallRating] => 6
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.367631595348
                                                                    [min_latitude] => 37.078168404652
                                                                    [max_longitude] => -79.784242196864
                                                                    [min_longitude] => -80.147757803136
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.58472898837
                                                                    [min_latitude] => 36.86107101163
                                                                    [max_longitude] => -79.511605492161
                                                                    [min_longitude] => -80.420394507839
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://www.caring.com/senior-living/virginia/roanoke/pheasant-ridge-nursing-and-rehab-center-24014
                                    [count10] => 15
                                    [count25] => 23
                                    [rank10] => 7
                                    [rank25] => 10
                                    [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] => 67229947d55c337c9a751ad8
                                        )

                                    [provnum] => 495427
                                    [provname] => Star City Rehabilitation and Nursing
                                    [web] => star-city-rehabilitation-and-nursing
                                    [address] => 1047 MECCA STREET NE
                                    [city] => ROANOKE
                                    [state] => VA
                                    [zip] => 24012
                                    [phone] => 5409240100
                                    [county_ssa] => 801
                                    [county_name] => Roanoke City
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 116
                                    [restot] => 84.7
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => Legal Business Name Not Available
                                    [participation_date] => 2021-09-08
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => Y
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 4
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.11341
                                    [vochrd] => 1.22319
                                    [rnhrd] => 0.29472
                                    [totlichrd] => 1.51791
                                    [tothrd] => 3.63132
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.29596
                                    [registerednursehoursperresidentperdayontheweekend] => 0.16644
                                    [pthrd] => 0.13232
                                    [totalnursingstaffturnover] => 65.8
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 66.7
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.30365
                                    [nursingcase-mixindexratio] => 0.96134
                                    [cm_aide] => 2.20357
                                    [cm_lpn] => 0.84319
                                    [cm_rn] => 0.64224
                                    [cm_total] => 3.68901
                                    [nursingcase-mix-weekend] => 3.22351
                                    [adj_aide] => 2.18618
                                    [adj_lpn] => 1.2653
                                    [adj_rn] => 0.30487
                                    [adj_total] => 3.75635
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.40944
                                    [cycle_1_survey_date] => 2024-02-14
                                    [cycle_1_defs] => 9
                                    [cycle_1_nfromdefs] => 9
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 44
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 44
                                    [cycle_2_survey_date] => 2021-09-08
                                    [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] => 
                                    [cycle_3_defs] => 
                                    [cycle_3_nfromdefs] => 
                                    [cycle_3_nfromcomp] => 
                                    [cycle_3_defs_score] => 
                                    [cycle_3_numrevis] => 
                                    [cycle_3_revisit_score] => 
                                    [cycle_3_total_score] => 
                                    [weighted_all_cycles_score] => 26.4
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 13
                                    [fine_tot] => 42642.03
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 13
                                    [location] => 1047 MECCA STREET NE,ROANOKE,VA,24012
                                    [latitude] => 37.2943
                                    [longitude] => -79.901
                                    [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] => 0
                                    [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] => 37.439031595348
                                                                    [min_latitude] => 37.149568404652
                                                                    [max_longitude] => -79.719069826709
                                                                    [min_longitude] => -80.082930173291
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.65612898837
                                                                    [min_latitude] => 36.93247101163
                                                                    [max_longitude] => -79.446174566774
                                                                    [min_longitude] => -80.355825433226
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://richfieldliving.com/expansions/roanoke-campus/
                                    [count10] => 16
                                    [count25] => 22
                                    [rank10] => 6
                                    [rank25] => 7
                                    [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] => 67229947d55c337c9a751a2c
                                        )

                                    [provnum] => 495218
                                    [provname] => Brian Center of Fincastle
                                    [web] => brian-center-of-fincastle
                                    [address] => 188 OLD FINCASTLE ROAD
                                    [city] => FINCASTLE
                                    [state] => VA
                                    [zip] => 24090
                                    [phone] => 5404732288
                                    [county_ssa] => 110
                                    [county_name] => Botetourt
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 60
                                    [restot] => 53.5
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => RBM OPCO OF FINCASTLE LLC
                                    [participation_date] => 1990-09-05
                                    [affiliatedentityname] => KISSITO HEALTHCARE
                                    [affiliatedentityid] => 302
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => Y
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 4
                                    [overall_rating_fn] => 
                                    [survey_rating] => 3
                                    [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] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.3435
                                    [vochrd] => 1.1815
                                    [rnhrd] => 1.1961
                                    [totlichrd] => 2.37759
                                    [tothrd] => 4.72109
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 4.05208
                                    [registerednursehoursperresidentperdayontheweekend] => 0.84334
                                    [pthrd] => 0.10647
                                    [totalnursingstaffturnover] => 44
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 36.8
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 3.06142
                                    [nursingcase-mixindexratio] => 2.25755
                                    [cm_aide] => 5.17474
                                    [cm_lpn] => 1.98011
                                    [cm_rn] => 1.5082
                                    [cm_total] => 8.66305
                                    [nursingcase-mix-weekend] => 7.56989
                                    [adj_aide] => 1.0323
                                    [adj_lpn] => 0.52044
                                    [adj_rn] => 0.52688
                                    [adj_total] => 2.07962
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 1.78492
                                    [cycle_1_survey_date] => 2022-08-18
                                    [cycle_1_defs] => 6
                                    [cycle_1_nfromdefs] => 5
                                    [cycle_1_nfromcomp] => 2
                                    [cycle_1_defs_score] => 40
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 40
                                    [cycle_2_survey_date] => 2021-03-04
                                    [cycle_2_defs] => 11
                                    [cycle_2_nfromdefs] => 8
                                    [cycle_2_nfromcomp] => 3
                                    [cycle_2_defs_score] => 64
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 64
                                    [cycle_3_survey_date] => 2019-02-14
                                    [cycle_3_defs] => 7
                                    [cycle_3_nfromdefs] => 7
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 48
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 48
                                    [weighted_all_cycles_score] => 49.333
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 5
                                    [infection_count] => 
                                    [fine_cnt] => 2
                                    [fine_tot] => 33504.8
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 2
                                    [location] => 188 OLD FINCASTLE ROAD,FINCASTLE,VA,24090
                                    [latitude] => 37.5212
                                    [longitude] => -79.88
                                    [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] => 2
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.665931595348
                                                                    [min_latitude] => 37.376468404652
                                                                    [max_longitude] => -79.697517994119
                                                                    [min_longitude] => -80.062482005881
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.88302898837
                                                                    [min_latitude] => 37.15937101163
                                                                    [max_longitude] => -79.423794985299
                                                                    [min_longitude] => -80.336205014701
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://kissito.org/the-brian-center-botetourt/
                                    [count10] => 3
                                    [count25] => 26
                                    [rank10] => 2
                                    [rank25] => 18
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                )

            [worst] => Array
                (
                    [0] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7519cf
                                        )

                                    [provnum] => 495046
                                    [provname] => Oakwood Health and Rehab Center
                                    [web] => oakwood-health-and-rehab-center
                                    [address] => 1613 OAKWOOD STREET
                                    [city] => BEDFORD
                                    [state] => VA
                                    [zip] => 24523
                                    [phone] => 5404257800
                                    [county_ssa] => 88
                                    [county_name] => Bedford
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 111
                                    [restot] => 90.4
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => BEDFORD SNF OPERATIONS LLC
                                    [participation_date] => 1967-05-01
                                    [affiliatedentityname] => HILL VALLEY HEALTHCARE
                                    [affiliatedentityid] => 270
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 1
                                    [overall_rating_fn] => 
                                    [survey_rating] => 1
                                    [survey_rating_fn] => 
                                    [quality_rating] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 2
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.6834
                                    [vochrd] => 0.77979
                                    [rnhrd] => 0.75406
                                    [totlichrd] => 1.53385
                                    [tothrd] => 3.21725
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.91527
                                    [registerednursehoursperresidentperdayontheweekend] => 0.54466
                                    [pthrd] => 0.10332
                                    [totalnursingstaffturnover] => 62
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 50
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.43778
                                    [nursingcase-mixindexratio] => 1.06025
                                    [cm_aide] => 2.43029
                                    [cm_lpn] => 0.92995
                                    [cm_rn] => 0.70832
                                    [cm_total] => 4.06856
                                    [nursingcase-mix-weekend] => 3.55516
                                    [adj_aide] => 1.57892
                                    [adj_lpn] => 0.73139
                                    [adj_rn] => 0.70725
                                    [adj_total] => 3.01756
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.73432
                                    [cycle_1_survey_date] => 2023-07-26
                                    [cycle_1_defs] => 7
                                    [cycle_1_nfromdefs] => 7
                                    [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] => 2022-05-19
                                    [cycle_2_defs] => 26
                                    [cycle_2_nfromdefs] => 24
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 338
                                    [cycle_2_numrevis] => 2
                                    [cycle_2_revisit_score] => 169
                                    [cycle_2_total_score] => 507
                                    [cycle_3_survey_date] => 2020-02-06
                                    [cycle_3_defs] => 3
                                    [cycle_3_nfromdefs] => 3
                                    [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] => 191.667
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 2
                                    [fine_cnt] => 3
                                    [fine_tot] => 194841.4
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 3
                                    [location] => 1613 OAKWOOD STREET,BEDFORD,VA,24523
                                    [latitude] => 37.3523
                                    [longitude] => -79.516
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 23
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.497031595348
                                                                    [min_latitude] => 37.207568404652
                                                                    [max_longitude] => -79.333929356995
                                                                    [min_longitude] => -79.698070643005
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.71412898837
                                                                    [min_latitude] => 36.99047101163
                                                                    [max_longitude] => -79.060823392487
                                                                    [min_longitude] => -79.971176607513
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 1
                                    [website] => https://oakwoodhrc.com/
                                    [count10] => 2
                                    [count25] => 22
                                    [rank10] => 2
                                    [rank25] => 19
                                    [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] => 67229947d55c337c9a7519fb
                                        )

                                    [provnum] => 495151
                                    [provname] => Seven Hills Rehabilitation and Nursing
                                    [web] => seven-hills-rehabilitation-and-nursing
                                    [address] => 2081 LANGHORNE ROAD
                                    [city] => LYNCHBURG
                                    [state] => VA
                                    [zip] => 24501
                                    [phone] => 4348468437
                                    [county_ssa] => 551
                                    [county_name] => Lynchburg City
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 120
                                    [restot] => 83.4
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => 2081 LANGHORNE OPCO LLC
                                    [participation_date] => 1984-12-01
                                    [affiliatedentityname] => CHOICE HEALTHCARE
                                    [affiliatedentityid] => 588
                                    [ccrc_facil] => N
                                    [sffstatus] => SFF Candidate
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 1
                                    [overall_rating_fn] => 
                                    [survey_rating] => 1
                                    [survey_rating_fn] => 
                                    [quality_rating] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 3
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.84435
                                    [vochrd] => 0.87185
                                    [rnhrd] => 0.51132
                                    [totlichrd] => 1.38317
                                    [tothrd] => 3.22753
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.79692
                                    [registerednursehoursperresidentperdayontheweekend] => 0.36245
                                    [pthrd] => 0.09511
                                    [totalnursingstaffturnover] => 77.2
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 69.2
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 
                                    [administratorturnoverfootnote] => 6
                                    [nursingcase-mixindex] => 1.25677
                                    [nursingcase-mixindexratio] => 0.92677
                                    [cm_aide] => 2.12433
                                    [cm_lpn] => 0.81287
                                    [cm_rn] => 0.61915
                                    [cm_total] => 3.55635
                                    [nursingcase-mix-weekend] => 3.10759
                                    [adj_aide] => 1.97902
                                    [adj_lpn] => 0.93551
                                    [adj_rn] => 0.54865
                                    [adj_total] => 3.46319
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.00114
                                    [cycle_1_survey_date] => 2023-08-02
                                    [cycle_1_defs] => 29
                                    [cycle_1_nfromdefs] => 29
                                    [cycle_1_nfromcomp] => 6
                                    [cycle_1_defs_score] => 351
                                    [cycle_1_numrevis] => 2
                                    [cycle_1_revisit_score] => 176
                                    [cycle_1_total_score] => 527
                                    [cycle_2_survey_date] => 2021-12-01
                                    [cycle_2_defs] => 36
                                    [cycle_2_nfromdefs] => 13
                                    [cycle_2_nfromcomp] => 26
                                    [cycle_2_defs_score] => 251
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 251
                                    [cycle_3_survey_date] => 2019-02-26
                                    [cycle_3_defs] => 15
                                    [cycle_3_nfromdefs] => 15
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 64
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 64
                                    [weighted_all_cycles_score] => 357.833
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 9
                                    [infection_count] => 
                                    [fine_cnt] => 4
                                    [fine_tot] => 301822.93
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 4
                                    [location] => 2081 LANGHORNE ROAD,LYNCHBURG,VA,24501
                                    [latitude] => 37.4137
                                    [longitude] => -79.181
                                    [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] => 23
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.558431595348
                                                                    [min_latitude] => 37.268968404652
                                                                    [max_longitude] => -78.998780212663
                                                                    [min_longitude] => -79.363219787337
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.77552898837
                                                                    [min_latitude] => 37.05187101163
                                                                    [max_longitude] => -78.725450531658
                                                                    [min_longitude] => -79.636549468342
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 1
                                    [website] => https://sevenhillsnursing.com/about/
                                    [count10] => 8
                                    [count25] => 14
                                    [rank10] => 8
                                    [rank25] => 14
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 1
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [2] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7519ff
                                        )

                                    [provnum] => 495156
                                    [provname] => Old Southwest Health and Rehabilitation
                                    [web] => old-southwest-health-and-rehabilitation
                                    [address] => 324 KING GEORGE AVE SW
                                    [city] => ROANOKE
                                    [state] => VA
                                    [zip] => 24016
                                    [phone] => 5403458139
                                    [county_ssa] => 801
                                    [county_name] => Roanoke City
                                    [ownership] => For profit - Limited Liability company
                                    [bedcert] => 130
                                    [restot] => 83.1
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => 324 KING GEORGE OPCO LLC
                                    [participation_date] => 1985-04-25
                                    [affiliatedentityname] => CHOICE HEALTHCARE
                                    [affiliatedentityid] => 588
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => Y
                                    [chow_last_12mos] => Y
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 1
                                    [overall_rating_fn] => 
                                    [survey_rating] => 1
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 2
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 
                                    [ss_quality_rating_fn] => 2
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.55441
                                    [vochrd] => 0.91768
                                    [rnhrd] => 0.59769
                                    [totlichrd] => 1.51537
                                    [tothrd] => 3.06978
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.51101
                                    [registerednursehoursperresidentperdayontheweekend] => 0.27884
                                    [pthrd] => 0.02874
                                    [totalnursingstaffturnover] => 85.1
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 88.9
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 2
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.61388
                                    [nursingcase-mixindexratio] => 1.19011
                                    [cm_aide] => 2.72795
                                    [cm_lpn] => 1.04385
                                    [cm_rn] => 0.79507
                                    [cm_total] => 4.56687
                                    [nursingcase-mix-weekend] => 3.9906
                                    [adj_aide] => 1.29884
                                    [adj_lpn] => 0.7668
                                    [adj_rn] => 0.49942
                                    [adj_total] => 2.56507
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.09817
                                    [cycle_1_survey_date] => 2022-07-19
                                    [cycle_1_defs] => 14
                                    [cycle_1_nfromdefs] => 14
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 56
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 56
                                    [cycle_2_survey_date] => 2021-08-05
                                    [cycle_2_defs] => 31
                                    [cycle_2_nfromdefs] => 24
                                    [cycle_2_nfromcomp] => 6
                                    [cycle_2_defs_score] => 164
                                    [cycle_2_numrevis] => 2
                                    [cycle_2_revisit_score] => 82
                                    [cycle_2_total_score] => 246
                                    [cycle_3_survey_date] => 2019-04-26
                                    [cycle_3_defs] => 54
                                    [cycle_3_nfromdefs] => 36
                                    [cycle_3_nfromcomp] => 18
                                    [cycle_3_defs_score] => 328
                                    [cycle_3_numrevis] => 2
                                    [cycle_3_revisit_score] => 164
                                    [cycle_3_total_score] => 492
                                    [weighted_all_cycles_score] => 192
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 9
                                    [infection_count] => 18
                                    [fine_cnt] => 7
                                    [fine_tot] => 212424.93
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 7
                                    [location] => 324 KING GEORGE AVE SW,ROANOKE,VA,24016
                                    [latitude] => 37.2597
                                    [longitude] => -79.948
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 1
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 71
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.404431595348
                                                                    [min_latitude] => 37.114968404652
                                                                    [max_longitude] => -79.7661534323
                                                                    [min_longitude] => -80.1298465677
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.62152898837
                                                                    [min_latitude] => 36.89787101163
                                                                    [max_longitude] => -79.49338358075
                                                                    [min_longitude] => -80.40261641925
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 1
                                    [website] => https://oldsouthwesthealth.com/contact/
                                    [count10] => 16
                                    [count25] => 23
                                    [rank10] => 16
                                    [rank25] => 23
                                    [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] => 67229947d55c337c9a7519de
                                        )

                                    [provnum] => 495105
                                    [provname] => Lynchburg Health  and  Rehabilitation Center
                                    [web] => lynchburg-health-rehabilitation-center
                                    [address] => 5615 SEMINOLE AVENUE
                                    [city] => LYNCHBURG
                                    [state] => VA
                                    [zip] => 24502
                                    [phone] => 4342392657
                                    [county_ssa] => 551
                                    [county_name] => Lynchburg City
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 180
                                    [restot] => 159.2
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => LYNCHBURG CARE CENTER LLC
                                    [participation_date] => 1977-01-01
                                    [affiliatedentityname] => MEDICAL FACILITIES OF AMERICA
                                    [affiliatedentityid] => 343
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => Y
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 1
                                    [overall_rating_fn] => 
                                    [survey_rating] => 1
                                    [survey_rating_fn] => 
                                    [quality_rating] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.85485
                                    [vochrd] => 0.8833
                                    [rnhrd] => 0.27977
                                    [totlichrd] => 1.16307
                                    [tothrd] => 3.01791
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.58331
                                    [registerednursehoursperresidentperdayontheweekend] => 0.1021
                                    [pthrd] => 0.08825
                                    [totalnursingstaffturnover] => 54.9
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 50
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.56183
                                    [nursingcase-mixindexratio] => 1.15172
                                    [cm_aide] => 2.63998
                                    [cm_lpn] => 1.01018
                                    [cm_rn] => 0.76943
                                    [cm_total] => 4.41959
                                    [nursingcase-mix-weekend] => 3.8619
                                    [adj_aide] => 1.60154
                                    [adj_lpn] => 0.76267
                                    [adj_rn] => 0.24156
                                    [adj_total] => 2.60577
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.23052
                                    [cycle_1_survey_date] => 2021-07-01
                                    [cycle_1_defs] => 13
                                    [cycle_1_nfromdefs] => 12
                                    [cycle_1_nfromcomp] => 1
                                    [cycle_1_defs_score] => 189
                                    [cycle_1_numrevis] => 3
                                    [cycle_1_revisit_score] => 132
                                    [cycle_1_total_score] => 321
                                    [cycle_2_survey_date] => 2019-09-17
                                    [cycle_2_defs] => 11
                                    [cycle_2_nfromdefs] => 10
                                    [cycle_2_nfromcomp] => 1
                                    [cycle_2_defs_score] => 60
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 60
                                    [cycle_3_survey_date] => 2018-08-02
                                    [cycle_3_defs] => 27
                                    [cycle_3_nfromdefs] => 11
                                    [cycle_3_nfromcomp] => 16
                                    [cycle_3_defs_score] => 232
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 232
                                    [weighted_all_cycles_score] => 219.167
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 18
                                    [infection_count] => 
                                    [fine_cnt] => 3
                                    [fine_tot] => 204194.25
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 3
                                    [location] => 5615 SEMINOLE AVENUE,LYNCHBURG,VA,24502
                                    [latitude] => 37.3683
                                    [longitude] => -79.181
                                    [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] => 32
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.513031595348
                                                                    [min_latitude] => 37.223568404652
                                                                    [max_longitude] => -78.998890535694
                                                                    [min_longitude] => -79.363109464306
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.73012898837
                                                                    [min_latitude] => 37.00647101163
                                                                    [max_longitude] => -78.725726339234
                                                                    [min_longitude] => -79.636273660766
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 1
                                    [website] => https://lynchburghealthrehab.com/
                                    [count10] => 8
                                    [count25] => 14
                                    [rank10] => 7
                                    [rank25] => 13
                                    [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] => 67229947d55c337c9a7519c7
                                        )

                                    [provnum] => 495002
                                    [provname] => South Roanoke Nursing and Rehabilitation
                                    [web] => south-roanoke-nursing-and-rehabilitation
                                    [address] => 3823 FRANKLIN RD, SW
                                    [city] => ROANOKE
                                    [state] => VA
                                    [zip] => 24014
                                    [phone] => 5403444325
                                    [county_ssa] => 801
                                    [county_name] => Roanoke City
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 98
                                    [restot] => 85.8
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => SOUTH ROANOKE LIFE CARE LLC
                                    [participation_date] => 1967-01-01
                                    [affiliatedentityname] => HERITAGE HALL
                                    [affiliatedentityid] => 265
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => Y
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Both
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 1
                                    [overall_rating_fn] => 
                                    [survey_rating] => 2
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 5
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 2
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.96776
                                    [vochrd] => 0.75272
                                    [rnhrd] => 0.53867
                                    [totlichrd] => 1.29139
                                    [tothrd] => 3.25915
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.83177
                                    [registerednursehoursperresidentperdayontheweekend] => 0.36393
                                    [pthrd] => 0.05656
                                    [totalnursingstaffturnover] => 
                                    [totalnursingstaffturnoverfootnote] => 6
                                    [registerednurseturnover] => 
                                    [registerednurseturnoverfootnote] => 6
                                    [numberofadministratorswhohaveleftthenursinghome] => 1
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.26116
                                    [nursingcase-mixindexratio] => 0.93
                                    [cm_aide] => 2.13174
                                    [cm_lpn] => 0.81571
                                    [cm_rn] => 0.6213
                                    [cm_total] => 3.56875
                                    [nursingcase-mix-weekend] => 3.11842
                                    [adj_aide] => 2.10411
                                    [adj_lpn] => 0.80488
                                    [adj_rn] => 0.576
                                    [adj_total] => 3.48498
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.02799
                                    [cycle_1_survey_date] => 2022-03-24
                                    [cycle_1_defs] => 14
                                    [cycle_1_nfromdefs] => 14
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 104
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 104
                                    [cycle_2_survey_date] => 2019-07-09
                                    [cycle_2_defs] => 14
                                    [cycle_2_nfromdefs] => 14
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 84
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 84
                                    [cycle_3_survey_date] => 2018-03-15
                                    [cycle_3_defs] => 8
                                    [cycle_3_nfromdefs] => 8
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 48
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 48
                                    [weighted_all_cycles_score] => 88
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 1
                                    [fine_tot] => 9750
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 1
                                    [location] => 3823 FRANKLIN RD, SW,ROANOKE,VA,24014
                                    [latitude] => 37.2335
                                    [longitude] => -79.972
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => -1
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 1
                                    [change_staffing_rating] => -1
                                    [durationOverallRating] => 1
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.378231595348
                                                                    [min_latitude] => 37.088768404652
                                                                    [max_longitude] => -79.790216645386
                                                                    [min_longitude] => -80.153783354614
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.59532898837
                                                                    [min_latitude] => 36.87167101163
                                                                    [max_longitude] => -79.517541613465
                                                                    [min_longitude] => -80.426458386535
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 1
                                    [website] => https://www.southroanokenursinghome.com/
                                    [count10] => 15
                                    [count25] => 23
                                    [rank10] => 14
                                    [rank25] => 22
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [5] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a751aac
                                        )

                                    [provnum] => 495381
                                    [provname] => Summit Health and Rehab Center
                                    [web] => summit-health-and-rehab-center
                                    [address] => 1300 ENTERPRISE DRIVE
                                    [city] => LYNCHBURG
                                    [state] => VA
                                    [zip] => 24502
                                    [phone] => 4348456045
                                    [county_ssa] => 551
                                    [county_name] => Lynchburg City
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 120
                                    [restot] => 104.6
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => WYNDHURST SNF OPERATIONS LLC
                                    [participation_date] => 2004-09-16
                                    [affiliatedentityname] => HILL VALLEY HEALTHCARE
                                    [affiliatedentityid] => 270
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => Y
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 2
                                    [overall_rating_fn] => 
                                    [survey_rating] => 2
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 4
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 3
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.97806
                                    [vochrd] => 1.00577
                                    [rnhrd] => 0.46948
                                    [totlichrd] => 1.47525
                                    [tothrd] => 3.45331
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.03459
                                    [registerednursehoursperresidentperdayontheweekend] => 0.29776
                                    [pthrd] => 0.12143
                                    [totalnursingstaffturnover] => 55.9
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 47.6
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.37957
                                    [nursingcase-mixindexratio] => 1.01732
                                    [cm_aide] => 2.33189
                                    [cm_lpn] => 0.8923
                                    [cm_rn] => 0.67964
                                    [cm_total] => 3.90383
                                    [nursingcase-mix-weekend] => 3.41122
                                    [adj_aide] => 1.93357
                                    [adj_lpn] => 0.98315
                                    [adj_rn] => 0.45892
                                    [adj_total] => 3.37563
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.96634
                                    [cycle_1_survey_date] => 2022-04-21
                                    [cycle_1_defs] => 22
                                    [cycle_1_nfromdefs] => 18
                                    [cycle_1_nfromcomp] => 5
                                    [cycle_1_defs_score] => 144
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 144
                                    [cycle_2_survey_date] => 2019-10-24
                                    [cycle_2_defs] => 6
                                    [cycle_2_nfromdefs] => 6
                                    [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] => 2018-08-23
                                    [cycle_3_defs] => 9
                                    [cycle_3_nfromdefs] => 9
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 28
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 28
                                    [weighted_all_cycles_score] => 84.667
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 3
                                    [infection_count] => 0
                                    [fine_cnt] => 1
                                    [fine_tot] => 657.8
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 1
                                    [location] => 1300 ENTERPRISE DRIVE,LYNCHBURG,VA,24502
                                    [latitude] => 37.3549
                                    [longitude] => -79.241
                                    [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] => 23
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.499631595348
                                                                    [min_latitude] => 37.210168404652
                                                                    [max_longitude] => -79.058923050626
                                                                    [min_longitude] => -79.423076949374
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.71672898837
                                                                    [min_latitude] => 36.99307101163
                                                                    [max_longitude] => -78.785807626564
                                                                    [min_longitude] => -79.696192373436
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 2
                                    [website] => https://summithrc.org/
                                    [count10] => 8
                                    [count25] => 14
                                    [rank10] => 6
                                    [rank25] => 11
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                    [6] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a751ae2
                                        )

                                    [provnum] => 49E004
                                    [provname] => Bedford Co Nursing Home
                                    [web] => bedford-co-nursing-home
                                    [address] => 1229 COUNTY FARM ROAD
                                    [city] => BEDFORD
                                    [state] => VA
                                    [zip] => 24523
                                    [phone] => 5405867658
                                    [county_ssa] => 88
                                    [county_name] => Bedford
                                    [ownership] => Government - County
                                    [bedcert] => 90
                                    [restot] => 83.9
                                    [restot_fn] => 
                                    [certification] => Medicaid
                                    [inhosp] => N
                                    [lbn] => Legal Business Name Not Available
                                    [participation_date] => 1975-01-01
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 3
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 2
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 2
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 
                                    [ss_quality_rating_fn] => 2
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 12
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.36402
                                    [vochrd] => 0.78109
                                    [rnhrd] => 0.37912
                                    [totlichrd] => 1.16022
                                    [tothrd] => 3.52423
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.1246
                                    [registerednursehoursperresidentperdayontheweekend] => 0.10119
                                    [pthrd] => 0.04579
                                    [totalnursingstaffturnover] => 
                                    [totalnursingstaffturnoverfootnote] => 6
                                    [registerednurseturnover] => 
                                    [registerednurseturnoverfootnote] => 6
                                    [numberofadministratorswhohaveleftthenursinghome] => 
                                    [administratorturnoverfootnote] => 6
                                    [nursingcase-mixindex] => 1.3035
                                    [nursingcase-mixindexratio] => 0.96122
                                    [cm_aide] => 2.20331
                                    [cm_lpn] => 0.84309
                                    [cm_rn] => 0.64216
                                    [cm_total] => 3.68857
                                    [nursingcase-mix-weekend] => 3.22312
                                    [adj_aide] => 2.4457
                                    [adj_lpn] => 0.80808
                                    [adj_rn] => 0.39222
                                    [adj_total] => 3.64601
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.23257
                                    [cycle_1_survey_date] => 2023-08-16
                                    [cycle_1_defs] => 5
                                    [cycle_1_nfromdefs] => 5
                                    [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] => 2021-08-05
                                    [cycle_2_defs] => 7
                                    [cycle_2_nfromdefs] => 5
                                    [cycle_2_nfromcomp] => 2
                                    [cycle_2_defs_score] => 64
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 64
                                    [cycle_3_survey_date] => 2019-09-05
                                    [cycle_3_defs] => 8
                                    [cycle_3_nfromdefs] => 8
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 52
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 52
                                    [weighted_all_cycles_score] => 38
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 1
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 1229 COUNTY FARM ROAD,BEDFORD,VA,24523
                                    [latitude] => 37.3121
                                    [longitude] => -79.502
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
                                        (
                                            [milliseconds] => 1727740800000
                                        )

                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => -1
                                    [change_staffing_rating] => 0
                                    [durationOverallRating] => 4
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.456831595348
                                                                    [min_latitude] => 37.167368404652
                                                                    [max_longitude] => -79.320026759927
                                                                    [min_longitude] => -79.683973240073
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.67392898837
                                                                    [min_latitude] => 36.95027101163
                                                                    [max_longitude] => -79.047066899817
                                                                    [min_longitude] => -79.956933100183
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 3
                                    [website] => https://www.bedfordcountyva.gov/government/departments-and-offices-e-n/nursing-home
                                    [count10] => 2
                                    [count25] => 23
                                    [rank10] => 1
                                    [rank25] => 13
                                    [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] => 67229947d55c337c9a7519d3
                                        )

                                    [provnum] => 495077
                                    [provname] => Tate Springs Health  and  Rehab
                                    [web] => tate-springs-health-rehab
                                    [address] => 2200 LANDOVER PLACE
                                    [city] => LYNCHBURG
                                    [state] => VA
                                    [zip] => 24501
                                    [phone] => 4348464626
                                    [county_ssa] => 551
                                    [county_name] => Lynchburg City
                                    [ownership] => For profit - Individual
                                    [bedcert] => 118
                                    [restot] => 85
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => SEVEN HILLS SNF OPERATIONS LLC
                                    [participation_date] => 1970-05-04
                                    [affiliatedentityname] => HILL VALLEY HEALTHCARE
                                    [affiliatedentityid] => 270
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Both
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 3
                                    [overall_rating_fn] => 
                                    [survey_rating] => 4
                                    [survey_rating_fn] => 
                                    [quality_rating] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 2
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 1
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.70717
                                    [vochrd] => 0.81542
                                    [rnhrd] => 0.43735
                                    [totlichrd] => 1.25277
                                    [tothrd] => 2.95994
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.66487
                                    [registerednursehoursperresidentperdayontheweekend] => 0.21273
                                    [pthrd] => 0.05318
                                    [totalnursingstaffturnover] => 56.3
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 84.6
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.45106
                                    [nursingcase-mixindexratio] => 1.07004
                                    [cm_aide] => 2.45274
                                    [cm_lpn] => 0.93854
                                    [cm_rn] => 0.71486
                                    [cm_total] => 4.10614
                                    [nursingcase-mix-weekend] => 3.588
                                    [adj_aide] => 1.58656
                                    [adj_lpn] => 0.75781
                                    [adj_rn] => 0.40645
                                    [adj_total] => 2.75081
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 2.47658
                                    [cycle_1_survey_date] => 2023-04-19
                                    [cycle_1_defs] => 3
                                    [cycle_1_nfromdefs] => 3
                                    [cycle_1_nfromcomp] => 1
                                    [cycle_1_defs_score] => 12
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 12
                                    [cycle_2_survey_date] => 2021-11-18
                                    [cycle_2_defs] => 11
                                    [cycle_2_nfromdefs] => 11
                                    [cycle_2_nfromcomp] => 2
                                    [cycle_2_defs_score] => 56
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 56
                                    [cycle_3_survey_date] => 2019-02-21
                                    [cycle_3_defs] => 6
                                    [cycle_3_nfromdefs] => 6
                                    [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] => 27.333
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 2
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 2200 LANDOVER PLACE,LYNCHBURG,VA,24501
                                    [latitude] => 37.4126
                                    [longitude] => -79.177
                                    [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] => 11
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.557331595348
                                                                    [min_latitude] => 37.267868404652
                                                                    [max_longitude] => -78.994782888621
                                                                    [min_longitude] => -79.359217111379
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.77442898837
                                                                    [min_latitude] => 37.05077101163
                                                                    [max_longitude] => -78.721457221552
                                                                    [min_longitude] => -79.632542778448
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 3
                                    [website] => https://tatespringshealth.com/
                                    [count10] => 8
                                    [count25] => 14
                                    [rank10] => 3
                                    [rank25] => 3
                                    [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] => 67229947d55c337c9a751a69
                                        )

                                    [provnum] => 495302
                                    [provname] => Forest Health  and  Rehab Center
                                    [web] => forest-health-rehab-center
                                    [address] => 2406 ATHERHOLT ROAD
                                    [city] => LYNCHBURG
                                    [state] => VA
                                    [zip] => 24501
                                    [phone] => 4348463200
                                    [county_ssa] => 551
                                    [county_name] => Lynchburg City
                                    [ownership] => For profit - Limited Liability company
                                    [bedcert] => 89
                                    [restot] => 84.6
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => FOREST HEALTH & REHAB CENTER, LLC
                                    [participation_date] => 1995-07-01
                                    [affiliatedentityname] => SABER HEALTHCARE GROUP
                                    [affiliatedentityid] => 461
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => Y
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 3
                                    [overall_rating_fn] => 
                                    [survey_rating] => 3
                                    [survey_rating_fn] => 
                                    [quality_rating] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 3
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 3
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.95573
                                    [vochrd] => 1.01
                                    [rnhrd] => 0.48414
                                    [totlichrd] => 1.49414
                                    [tothrd] => 3.44987
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.06787
                                    [registerednursehoursperresidentperdayontheweekend] => 0.18474
                                    [pthrd] => 0.08169
                                    [totalnursingstaffturnover] => 38.1
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 46.2
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 2
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.26968
                                    [nursingcase-mixindexratio] => 0.93629
                                    [cm_aide] => 2.14615
                                    [cm_lpn] => 0.82122
                                    [cm_rn] => 0.6255
                                    [cm_total] => 3.59288
                                    [nursingcase-mix-weekend] => 3.13951
                                    [adj_aide] => 2.0772
                                    [adj_lpn] => 1.07272
                                    [adj_rn] => 0.51421
                                    [adj_total] => 3.66414
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.25841
                                    [cycle_1_survey_date] => 2022-06-15
                                    [cycle_1_defs] => 5
                                    [cycle_1_nfromdefs] => 5
                                    [cycle_1_nfromcomp] => 1
                                    [cycle_1_defs_score] => 28
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 28
                                    [cycle_2_survey_date] => 2021-02-25
                                    [cycle_2_defs] => 10
                                    [cycle_2_nfromdefs] => 9
                                    [cycle_2_nfromcomp] => 1
                                    [cycle_2_defs_score] => 48
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 48
                                    [cycle_3_survey_date] => 2019-04-11
                                    [cycle_3_defs] => 15
                                    [cycle_3_nfromdefs] => 15
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 88
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 88
                                    [weighted_all_cycles_score] => 44.667
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 1
                                    [infection_count] => 
                                    [fine_cnt] => 1
                                    [fine_tot] => 3250
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 1
                                    [location] => 2406 ATHERHOLT ROAD,LYNCHBURG,VA,24501
                                    [latitude] => 37.4109
                                    [longitude] => -79.172
                                    [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] => 15
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.555631595348
                                                                    [min_latitude] => 37.266168404652
                                                                    [max_longitude] => -78.989787023905
                                                                    [min_longitude] => -79.354212976095
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.77272898837
                                                                    [min_latitude] => 37.04907101163
                                                                    [max_longitude] => -78.716467559763
                                                                    [min_longitude] => -79.627532440237
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 3
                                    [website] => https://www.saberhealth.com/locations/forest-health-and-rehab
                                    [count10] => 8
                                    [count25] => 14
                                    [rank10] => 5
                                    [rank25] => 8
                                    [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] => 67229947d55c337c9a751ab0
                                        )

                                    [provnum] => 495386
                                    [provname] => Carrington Place at Botetourt Commons
                                    [web] => carrington-place-at-botetourt-commons
                                    [address] => 290 COMMONS PARKWAY
                                    [city] => DALEVILLE
                                    [state] => VA
                                    [zip] => 24083
                                    [phone] => 5409660056
                                    [county_ssa] => 110
                                    [county_name] => Botetourt
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 90
                                    [restot] => 86.2
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => BOTETOURT HEALTH CARE, LLC
                                    [participation_date] => 2005-12-19
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 3
                                    [overall_rating_fn] => 
                                    [survey_rating] => 3
                                    [survey_rating_fn] => 
                                    [quality_rating] => 4
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 4
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 4
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 2
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 1.89195
                                    [vochrd] => 1.04238
                                    [rnhrd] => 0.35693
                                    [totlichrd] => 1.39931
                                    [tothrd] => 3.29126
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 2.89197
                                    [registerednursehoursperresidentperdayontheweekend] => 0.19698
                                    [pthrd] => 0.07746
                                    [totalnursingstaffturnover] => 53.1
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 28.6
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 2
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.26295
                                    [nursingcase-mixindexratio] => 0.93132
                                    [cm_aide] => 2.13477
                                    [cm_lpn] => 0.81687
                                    [cm_rn] => 0.62219
                                    [cm_total] => 3.57383
                                    [nursingcase-mix-weekend] => 3.12286
                                    [adj_aide] => 2.02017
                                    [adj_lpn] => 1.11302
                                    [adj_rn] => 0.38112
                                    [adj_total] => 3.51431
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 3.08795
                                    [cycle_1_survey_date] => 2024-04-10
                                    [cycle_1_defs] => 13
                                    [cycle_1_nfromdefs] => 13
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 56
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 56
                                    [cycle_2_survey_date] => 2023-02-16
                                    [cycle_2_defs] => 15
                                    [cycle_2_nfromdefs] => 15
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 68
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 68
                                    [cycle_3_survey_date] => 2021-05-27
                                    [cycle_3_defs] => 4
                                    [cycle_3_nfromdefs] => 4
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 20
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 20
                                    [weighted_all_cycles_score] => 54
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 4
                                    [fine_tot] => 4616.93
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 4
                                    [location] => 290 COMMONS PARKWAY,DALEVILLE,VA,24083
                                    [latitude] => 37.3943
                                    [longitude] => -79.912
                                    [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] => 12
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.539031595348
                                                                    [min_latitude] => 37.249568404652
                                                                    [max_longitude] => -79.729827385451
                                                                    [min_longitude] => -80.094172614549
                                                                )

                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.75612898837
                                                                    [min_latitude] => 37.03247101163
                                                                    [max_longitude] => -79.456568463626
                                                                    [min_longitude] => -80.367431536374
                                                                )

                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 3
                                    [website] => https://botetourt.carringtonplaces.com/
                                    [count10] => 14
                                    [count25] => 20
                                    [rank10] => 12
                                    [rank25] => 16
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
                                )

                        )

                )

            [homeCount] => 24
            [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] => 14
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2490
                                    [allBeds] => 2789
                                    [occupied] => 2413
                                    [hospital] => 1
                                    [staffWeekly] => 0
                                    [staffTotal] => 3419
                                )

                        )

                    [1] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-10-13
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2490
                                    [allBeds] => 2789
                                    [occupied] => 2413
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 3419
                                )

                        )

                    [2] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-10-06
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2490
                                    [allBeds] => 2789
                                    [occupied] => 2413
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 3419
                                )

                        )

                    [3] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-09-29
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 2488
                                    [allBeds] => 2653
                                    [occupied] => 2287
                                    [hospital] => 1
                                    [staffWeekly] => 6
                                    [staffTotal] => 3418
                                )

                        )

                    [4] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-09-22
                                    [weeklyNewCases] => 7
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2478
                                    [allBeds] => 2653
                                    [occupied] => 2241
                                    [hospital] => 2
                                    [staffWeekly] => 8
                                    [staffTotal] => 3409
                                )

                        )

                    [5] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-09-15
                                    [weeklyNewCases] => 6
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2466
                                    [allBeds] => 2621
                                    [occupied] => 2221
                                    [hospital] => 0
                                    [staffWeekly] => 6
                                    [staffTotal] => 3401
                                )

                        )

                    [6] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-09-08
                                    [weeklyNewCases] => 5
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 2453
                                    [allBeds] => 2653
                                    [occupied] => 2313
                                    [hospital] => 1
                                    [staffWeekly] => 8
                                    [staffTotal] => 3394
                                )

                        )

                    [7] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-09-01
                                    [weeklyNewCases] => 45
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2442
                                    [allBeds] => 2677
                                    [occupied] => 2338
                                    [hospital] => 1
                                    [staffWeekly] => 26
                                    [staffTotal] => 3386
                                )

                        )

                    [8] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-08-25
                                    [weeklyNewCases] => 9
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2434
                                    [allBeds] => 2677
                                    [occupied] => 2350
                                    [hospital] => 0
                                    [staffWeekly] => 26
                                    [staffTotal] => 3360
                                )

                        )

                    [9] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-08-18
                                    [weeklyNewCases] => 13
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2429
                                    [allBeds] => 2677
                                    [occupied] => 2357
                                    [hospital] => 1
                                    [staffWeekly] => 11
                                    [staffTotal] => 3334
                                )

                        )

                    [10] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-08-11
                                    [weeklyNewCases] => 20
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2421
                                    [allBeds] => 2677
                                    [occupied] => 2365
                                    [hospital] => 0
                                    [staffWeekly] => 12
                                    [staffTotal] => 3324
                                )

                        )

                    [11] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-08-04
                                    [weeklyNewCases] => 25
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2413
                                    [allBeds] => 2677
                                    [occupied] => 2347
                                    [hospital] => 1
                                    [staffWeekly] => 12
                                    [staffTotal] => 3312
                                )

                        )

                    [12] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-07-28
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2404
                                    [allBeds] => 2677
                                    [occupied] => 2332
                                    [hospital] => 0
                                    [staffWeekly] => 5
                                    [staffTotal] => 3300
                                )

                        )

                    [13] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-07-21
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2398
                                    [allBeds] => 2677
                                    [occupied] => 2348
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 3292
                                )

                        )

                    [14] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-07-14
                                    [weeklyNewCases] => 8
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2394
                                    [allBeds] => 2677
                                    [occupied] => 2349
                                    [hospital] => 0
                                    [staffWeekly] => 8
                                    [staffTotal] => 3291
                                )

                        )

                    [15] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-07-07
                                    [weeklyNewCases] => 6
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2387
                                    [allBeds] => 2677
                                    [occupied] => 2333
                                    [hospital] => 1
                                    [staffWeekly] => 1
                                    [staffTotal] => 3283
                                )

                        )

                    [16] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-30
                                    [weeklyNewCases] => 17
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2378
                                    [allBeds] => 2702
                                    [occupied] => 2346
                                    [hospital] => 0
                                    [staffWeekly] => 6
                                    [staffTotal] => 3282
                                )

                        )

                    [17] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-23
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2364
                                    [allBeds] => 2702
                                    [occupied] => 2319
                                    [hospital] => 0
                                    [staffWeekly] => 3
                                    [staffTotal] => 3276
                                )

                        )

                    [18] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-16
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2351
                                    [allBeds] => 2670
                                    [occupied] => 2300
                                    [hospital] => 0
                                    [staffWeekly] => 2
                                    [staffTotal] => 3273
                                )

                        )

                    [19] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-09
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2339
                                    [allBeds] => 2702
                                    [occupied] => 2314
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 3271
                                )

                        )

                    [20] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-02
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2330
                                    [allBeds] => 2702
                                    [occupied] => 2329
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 3271
                                )

                        )

                    [21] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-26
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2320
                                    [allBeds] => 2702
                                    [occupied] => 2340
                                    [hospital] => 0
                                    [staffWeekly] => 2
                                    [staffTotal] => 3271
                                )

                        )

                    [22] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-19
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2312
                                    [allBeds] => 2702
                                    [occupied] => 2347
                                    [hospital] => 0
                                    [staffWeekly] => 2
                                    [staffTotal] => 3269
                                )

                        )

                    [23] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-12
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2332
                                    [allBeds] => 2702
                                    [occupied] => 2337
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 3300
                                )

                        )

                    [24] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-05
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2322
                                    [allBeds] => 2702
                                    [occupied] => 2357
                                    [hospital] => 1
                                    [staffWeekly] => 0
                                    [staffTotal] => 3300
                                )

                        )

                    [25] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-28
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2304
                                    [allBeds] => 2702
                                    [occupied] => 2342
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 3300
                                )

                        )

                    [26] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-21
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2302
                                    [allBeds] => 2702
                                    [occupied] => 2355
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 3300
                                )

                        )

                    [27] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-14
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2293
                                    [allBeds] => 2702
                                    [occupied] => 2338
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 3300
                                )

                        )

                    [28] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-07
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2285
                                    [allBeds] => 2702
                                    [occupied] => 2334
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 3299
                                )

                        )

                    [29] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-31
                                    [weeklyNewCases] => 4
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2281
                                    [allBeds] => 2818
                                    [occupied] => 2424
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 3298
                                )

                        )

                    [30] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-24
                                    [weeklyNewCases] => 10
                                    [weeklyDeaths] => 3
                                    [totalDeaths] => 2271
                                    [allBeds] => 2818
                                    [occupied] => 2441
                                    [hospital] => 1
                                    [staffWeekly] => 5
                                    [staffTotal] => 3298
                                )

                        )

                    [31] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-17
                                    [weeklyNewCases] => 12
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 2259
                                    [allBeds] => 2818
                                    [occupied] => 2437
                                    [hospital] => 1
                                    [staffWeekly] => 7
                                    [staffTotal] => 3293
                                )

                        )

                    [32] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-10
                                    [weeklyNewCases] => 8
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 2249
                                    [allBeds] => 2818
                                    [occupied] => 2443
                                    [hospital] => 0
                                    [staffWeekly] => 9
                                    [staffTotal] => 3286
                                )

                        )

                    [33] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-25
                                    [weeklyNewCases] => 3
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2231
                                    [allBeds] => 2818
                                    [occupied] => 2457
                                    [hospital] => 0
                                    [staffWeekly] => 7
                                    [staffTotal] => 3266
                                )

                        )

                    [34] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-18
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2223
                                    [allBeds] => 2818
                                    [occupied] => 2482
                                    [hospital] => 0
                                    [staffWeekly] => 2
                                    [staffTotal] => 3259
                                )

                        )

                    [35] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-11
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2216
                                    [allBeds] => 2818
                                    [occupied] => 2487
                                    [hospital] => 0
                                    [staffWeekly] => 3
                                    [staffTotal] => 3257
                                )

                        )

                    [36] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-04
                                    [weeklyNewCases] => 7
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2207
                                    [allBeds] => 2818
                                    [occupied] => 2503
                                    [hospital] => 0
                                    [staffWeekly] => 5
                                    [staffTotal] => 3254
                                )

                        )

                    [37] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-28
                                    [weeklyNewCases] => 9
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2199
                                    [allBeds] => 2818
                                    [occupied] => 2486
                                    [hospital] => 0
                                    [staffWeekly] => 11
                                    [staffTotal] => 3249
                                )

                        )

                    [38] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-14
                                    [weeklyNewCases] => 9
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2177
                                    [allBeds] => 2818
                                    [occupied] => 2443
                                    [hospital] => 0
                                    [staffWeekly] => 4
                                    [staffTotal] => 3222
                                )

                        )

                    [39] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-07
                                    [weeklyNewCases] => 23
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2172
                                    [allBeds] => 2698
                                    [occupied] => 2301
                                    [hospital] => 2
                                    [staffWeekly] => 25
                                    [staffTotal] => 3216
                                )

                        )

                    [40] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-31
                                    [weeklyNewCases] => 21
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2161
                                    [allBeds] => 2698
                                    [occupied] => 2299
                                    [hospital] => 2
                                    [staffWeekly] => 26
                                    [staffTotal] => 3190
                                )

                        )

                    [41] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-24
                                    [weeklyNewCases] => 14
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2151
                                    [allBeds] => 2698
                                    [occupied] => 2306
                                    [hospital] => 1
                                    [staffWeekly] => 20
                                    [staffTotal] => 3164
                                )

                        )

                    [42] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-10
                                    [weeklyNewCases] => 38
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 2137
                                    [allBeds] => 2818
                                    [occupied] => 2415
                                    [hospital] => 1
                                    [staffWeekly] => 26
                                    [staffTotal] => 3125
                                )

                        )

                    [43] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-03
                                    [weeklyNewCases] => 45
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2123
                                    [allBeds] => 2818
                                    [occupied] => 2405
                                    [hospital] => 4
                                    [staffWeekly] => 34
                                    [staffTotal] => 3093
                                )

                        )

                    [44] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-26
                                    [weeklyNewCases] => 46
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2105
                                    [allBeds] => 2818
                                    [occupied] => 2414
                                    [hospital] => 2
                                    [staffWeekly] => 18
                                    [staffTotal] => 3059
                                )

                        )

                    [45] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-19
                                    [weeklyNewCases] => 23
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 2090
                                    [allBeds] => 2818
                                    [occupied] => 2424
                                    [hospital] => 1
                                    [staffWeekly] => 23
                                    [staffTotal] => 3041
                                )

                        )

                    [46] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-05
                                    [weeklyNewCases] => 13
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 2069
                                    [allBeds] => 2818
                                    [occupied] => 2388
                                    [hospital] => 0
                                    [staffWeekly] => 18
                                    [staffTotal] => 3000
                                )

                        )

                    [47] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-29
                                    [weeklyNewCases] => 48
                                    [weeklyDeaths] => 2
                                    [totalDeaths] => 2053
                                    [allBeds] => 2818
                                    [occupied] => 2361
                                    [hospital] => 3
                                    [staffWeekly] => 10
                                    [staffTotal] => 2982
                                )

                        )

                    [48] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-22
                                    [weeklyNewCases] => 43
                                    [weeklyDeaths] => 2
                                    [totalDeaths] => 2032
                                    [allBeds] => 2818
                                    [occupied] => 2407
                                    [hospital] => 0
                                    [staffWeekly] => 27
                                    [staffTotal] => 2970
                                )

                        )

                    [49] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-15
                                    [weeklyNewCases] => 18
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 2016
                                    [allBeds] => 2818
                                    [occupied] => 2409
                                    [hospital] => 1
                                    [staffWeekly] => 16
                                    [staffTotal] => 2942
                                )

                        )

                    [50] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-08
                                    [weeklyNewCases] => 15
                                    [weeklyDeaths] => 3
                                    [totalDeaths] => 2005
                                    [allBeds] => 2818
                                    [occupied] => 2400
                                    [hospital] => 1
                                    [staffWeekly] => 20
                                    [staffTotal] => 2926
                                )

                        )

                    [51] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-01
                                    [weeklyNewCases] => 23
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 1990
                                    [allBeds] => 2818
                                    [occupied] => 2383
                                    [hospital] => 0
                                    [staffWeekly] => 17
                                    [staffTotal] => 2906
                                )

                        )

                )

        )

    [abbr] => VA
    [state] => Virginia
    [city] => Bedford
)