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/mechanicsville
    [report] => geographic-analysis
    [other] => VA
    [other2] => mechanicsville
    [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
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                    [withCount:protected] => Array
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                    [perPage:protected] => 15
                    [exists] => 1
                    [wasRecentlyCreated] => 
                    [attributes:protected] => Array
                        (
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                            [City] => Mechanicsville
                            [State] => VA
                            [Country] => USA
                            [Latitude] => 37.62620
                            [Longitude] => -77.35610
                            [created_at] => 2021-02-05 21:50:11
                            [updated_at] => 2021-02-05 22:37:03
                            [IDsimplemaps] => 1840006340
                            [County] => Hanover
                            [Population] => 37496
                            [max_latitude] => 38.34986
                            [min_latitude] => 36.90254
                            [max_longitude] => -76.44240
                            [min_longitude] => -78.26980
                        )

                    [original:protected] => Array
                        (
                            [IDcities] => 17186
                            [City] => Mechanicsville
                            [State] => VA
                            [Country] => USA
                            [Latitude] => 37.62620
                            [Longitude] => -77.35610
                            [created_at] => 2021-02-05 21:50:11
                            [updated_at] => 2021-02-05 22:37:03
                            [IDsimplemaps] => 1840006340
                            [County] => Hanover
                            [Population] => 37496
                            [max_latitude] => 38.34986
                            [min_latitude] => 36.90254
                            [max_longitude] => -76.44240
                            [min_longitude] => -78.26980
                        )

                    [changes:protected] => Array
                        (
                        )

                    [casts:protected] => Array
                        (
                        )

                    [dates:protected] => Array
                        (
                        )

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

                    [relations:protected] => Array
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                    [touches:protected] => Array
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                    [timestamps] => 1
                    [hidden:protected] => Array
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                    [visible:protected] => Array
                        (
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                    [fillable:protected] => Array
                        (
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                    [guarded:protected] => Array
                        (
                            [0] => *
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                )

            [staffingAverages] => Array
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                    [city] => Array
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                            [aidhrd] => 2.0607267741935
                            [vochrd] => 1.1053703225806
                            [tothrd] => 3.7657503225806
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                    [state] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
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                                    [vochrd] => 1.01
                                    [rnhrd] => 0.66789
                                    [tothrd] => 3.75418
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                    [nation] => MongoDB\Model\BSONDocument Object
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                            [storage:ArrayObject:private] => Array
                                (
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                                    [vochrd] => 0.88
                                    [rnhrd] => 0.66807
                                    [tothrd] => 3.83737
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                )

            [best] => Array
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                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a751a0d
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                                    [provnum] => 495183
                                    [provname] => The Haven at Brandermill Woods
                                    [web] => the-haven-at-brandermill-woods
                                    [address] => 2100 BRANDERMILL PKWY
                                    [city] => MIDLOTHIAN
                                    [state] => VA
                                    [zip] => 23112
                                    [phone] => 8043797100
                                    [county_ssa] => 200
                                    [county_name] => Chesterfield
                                    [ownership] => Non profit - Other
                                    [bedcert] => 60
                                    [restot] => 39.2
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => SENIOR LIVING CHOICES OF VA INC
                                    [participation_date] => 1988-11-02
                                    [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] => 3
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 3
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 3
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 5
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 3.38641
                                    [vochrd] => 1.65979
                                    [rnhrd] => 0.89613
                                    [totlichrd] => 2.55592
                                    [tothrd] => 5.94232
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 5.01916
                                    [registerednursehoursperresidentperdayontheweekend] => 0.69108
                                    [pthrd] => 0.0832
                                    [totalnursingstaffturnover] => 39.4
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 41.7
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 0
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 1.27122
                                    [nursingcase-mixindexratio] => 0.93742
                                    [cm_aide] => 2.14875
                                    [cm_lpn] => 0.82222
                                    [cm_rn] => 0.62626
                                    [cm_total] => 3.59723
                                    [nursingcase-mix-weekend] => 3.14331
                                    [adj_aide] => 3.59238
                                    [adj_lpn] => 1.76074
                                    [adj_rn] => 0.95063
                                    [adj_total] => 6.30375
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 5.32444
                                    [cycle_1_survey_date] => 2023-03-30
                                    [cycle_1_defs] => 4
                                    [cycle_1_nfromdefs] => 4
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 20
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 20
                                    [cycle_2_survey_date] => 2021-04-01
                                    [cycle_2_defs] => 2
                                    [cycle_2_nfromdefs] => 2
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 12
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 12
                                    [cycle_3_survey_date] => 2018-08-02
                                    [cycle_3_defs] => 1
                                    [cycle_3_nfromdefs] => 1
                                    [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] => 16.667
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 2100 BRANDERMILL PKWY,MIDLOTHIAN,VA,23112
                                    [latitude] => 37.4623
                                    [longitude] => -77.663
                                    [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] => 32
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
                                                                    [max_latitude] => 37.607031595348
                                                                    [min_latitude] => 37.317568404652
                                                                    [max_longitude] => -77.480661838378
                                                                    [min_longitude] => -77.845338161622
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                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
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                                                                    [max_longitude] => -77.207154595945
                                                                    [min_longitude] => -78.118845404055
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                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 5
                                    [website] => https://www.brandermillwoods.com/skilled-care-midlothian
                                    [count10] => 11
                                    [count25] => 39
                                    [rank10] => 1
                                    [rank25] => 2
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 0
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                        )

                    [1] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a751ae1
                                        )

                                    [provnum] => 49A022
                                    [provname] => Vcu Health Children's Services at Brook Road
                                    [web] => vcu-health-children-s-services-at-brook-road
                                    [address] => 2924 BROOK RD
                                    [city] => RICHMOND
                                    [state] => VA
                                    [zip] => 23220
                                    [phone] => 8043217474
                                    [county_ssa] => 791
                                    [county_name] => Richmond City
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 47
                                    [restot] => 30.3
                                    [restot_fn] => 
                                    [certification] => Medicaid
                                    [inhosp] => N
                                    [lbn] => Legal Business Name Not Available
                                    [participation_date] => 1999-07-13
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => N
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => None
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 5
                                    [overall_rating_fn] => 
                                    [survey_rating] => 5
                                    [survey_rating_fn] => 
                                    [quality_rating] => 5
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 5
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 
                                    [ss_quality_rating_fn] => 2
                                    [staffing_rating] => 4
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.68227
                                    [vochrd] => 1.8745
                                    [rnhrd] => 4.81773
                                    [totlichrd] => 6.69223
                                    [tothrd] => 9.3745
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 8.71266
                                    [registerednursehoursperresidentperdayontheweekend] => 3.19462
                                    [pthrd] => 0.0226
                                    [totalnursingstaffturnover] => 65
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 68.3
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 2
                                    [administratorturnoverfootnote] => 
                                    [nursingcase-mixindex] => 2.80604
                                    [nursingcase-mixindexratio] => 2.06922
                                    [cm_aide] => 4.74306
                                    [cm_lpn] => 1.81493
                                    [cm_rn] => 1.38239
                                    [cm_total] => 7.94038
                                    [nursingcase-mix-weekend] => 6.93841
                                    [adj_aide] => 1.28906
                                    [adj_lpn] => 0.90086
                                    [adj_rn] => 2.31533
                                    [adj_total] => 4.50524
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 4.18717
                                    [cycle_1_survey_date] => 2023-04-20
                                    [cycle_1_defs] => 5
                                    [cycle_1_nfromdefs] => 5
                                    [cycle_1_nfromcomp] => 0
                                    [cycle_1_defs_score] => 24
                                    [cycle_1_numrevis] => 1
                                    [cycle_1_revisit_score] => 0
                                    [cycle_1_total_score] => 24
                                    [cycle_2_survey_date] => 2021-10-28
                                    [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] => 2019-12-18
                                    [cycle_3_defs] => 0
                                    [cycle_3_nfromdefs] => 0
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 0
                                    [cycle_3_numrevis] => 0
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 0
                                    [weighted_all_cycles_score] => 12
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 0
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 2924 BROOK RD,RICHMOND,VA,23220
                                    [latitude] => 37.5707
                                    [longitude] => -77.449
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                            [milliseconds] => 1727740800000
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                                    [change_overall_rating] => 0
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 0
                                    [change_staffing_rating] => 1
                                    [durationOverallRating] => 81
                                    [searchArea] => MongoDB\Model\BSONDocument Object
                                        (
                                            [storage:ArrayObject:private] => Array
                                                (
                                                    [10] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
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                                                                    [min_latitude] => 37.425968404652
                                                                    [max_longitude] => -77.26639678136
                                                                    [min_longitude] => -77.631603218639
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                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
                                                                (
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                                                                    [min_latitude] => 37.20887101163
                                                                    [max_longitude] => -76.992491953401
                                                                    [min_longitude] => -77.905508046599
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                                        )

                                    [overallRatingNumber] => 5
                                    [website] => https://www.vcuhealth.org/locations/location-details?id=94
                                    [count10] => 23
                                    [count25] => 34
                                    [rank10] => 1
                                    [rank25] => 1
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 1
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                        )

                    [2] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a7519da
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                                    [provnum] => 495096
                                    [provname] => Westminster-Canterbury of Richmond
                                    [web] => westminster-canterbury-of-richmond
                                    [address] => 1600 WESTBROOK AVE
                                    [city] => RICHMOND
                                    [state] => VA
                                    [zip] => 23227
                                    [phone] => 8042646000
                                    [county_ssa] => 430
                                    [county_name] => Henrico
                                    [ownership] => Non profit - Corporation
                                    [bedcert] => 158
                                    [restot] => 145.8
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => WESTMINSTER CANTERBURY CORPORATION
                                    [participation_date] => 1975-10-01
                                    [affiliatedentityname] => 
                                    [affiliatedentityid] => 
                                    [ccrc_facil] => Y
                                    [sffstatus] => 
                                    [abuse_icon] => N
                                    [oldsurvey] => N
                                    [chow_last_12mos] => N
                                    [resfamcouncil] => Resident
                                    [sprinkler_status] => Yes
                                    [overall_rating] => 4
                                    [overall_rating_fn] => 
                                    [survey_rating] => 3
                                    [survey_rating_fn] => 
                                    [quality_rating] => 5
                                    [quality_rating_fn] => 
                                    [ls_quality_rating] => 4
                                    [ls_quality_rating_fn] => 
                                    [ss_quality_rating] => 5
                                    [ss_quality_rating_fn] => 
                                    [staffing_rating] => 4
                                    [staffing_rating_fn] => 
                                    [staffing_flag] => 
                                    [pt_staffing_flag] => 
                                    [aidhrd] => 2.34801
                                    [vochrd] => 0.88403
                                    [rnhrd] => 0.97883
                                    [totlichrd] => 1.86286
                                    [tothrd] => 4.21087
                                    [totalnumberofnursestaffhoursperresidentperdayontheweekend] => 3.84258
                                    [registerednursehoursperresidentperdayontheweekend] => 0.69733
                                    [pthrd] => 0.08845
                                    [totalnursingstaffturnover] => 42.2
                                    [totalnursingstaffturnoverfootnote] => 
                                    [registerednurseturnover] => 25
                                    [registerednurseturnoverfootnote] => 
                                    [numberofadministratorswhohaveleftthenursinghome] => 
                                    [administratorturnoverfootnote] => 6
                                    [nursingcase-mixindex] => 1.19042
                                    [nursingcase-mixindexratio] => 0.87784
                                    [cm_aide] => 2.01217
                                    [cm_lpn] => 0.76996
                                    [cm_rn] => 0.58646
                                    [cm_total] => 3.36859
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                                    [adj_aide] => 2.65989
                                    [adj_lpn] => 1.00145
                                    [adj_rn] => 1.10885
                                    [adj_total] => 4.77019
                                    [adjustedweekendtotalnursestaffinghoursperresidentperday] => 4.35298
                                    [cycle_1_survey_date] => 2023-05-25
                                    [cycle_1_defs] => 4
                                    [cycle_1_nfromdefs] => 4
                                    [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] => 2021-03-25
                                    [cycle_2_defs] => 4
                                    [cycle_2_nfromdefs] => 4
                                    [cycle_2_nfromcomp] => 0
                                    [cycle_2_defs_score] => 52
                                    [cycle_2_numrevis] => 1
                                    [cycle_2_revisit_score] => 0
                                    [cycle_2_total_score] => 52
                                    [cycle_3_survey_date] => 2018-06-28
                                    [cycle_3_defs] => 3
                                    [cycle_3_nfromdefs] => 2
                                    [cycle_3_nfromcomp] => 0
                                    [cycle_3_defs_score] => 129
                                    [cycle_3_numrevis] => 1
                                    [cycle_3_revisit_score] => 0
                                    [cycle_3_total_score] => 129
                                    [weighted_all_cycles_score] => 42.833
                                    [incident_cnt] => 0
                                    [cmplnt_cnt] => 0
                                    [infection_count] => 1
                                    [fine_cnt] => 0
                                    [fine_tot] => 0
                                    [payden_cnt] => 0
                                    [tot_penlty_cnt] => 0
                                    [location] => 1600 WESTBROOK AVE,RICHMOND,VA,23227
                                    [latitude] => 37.5974
                                    [longitude] => -77.459
                                    [geocodingfootnote] => 
                                    [filedate] => 2024-10-01
                                    [timestamp] => 1727740800
                                    [recordDate] => MongoDB\BSON\UTCDateTime Object
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                                    [change_overall_rating] => -1
                                    [change_survey_rating] => 0
                                    [change_quality_rating] => 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
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                                                                    [min_longitude] => -77.641668723577
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                                                        )

                                                    [25] => MongoDB\Model\BSONDocument Object
                                                        (
                                                            [storage:ArrayObject:private] => Array
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                                                                    [max_longitude] => -77.002328191058
                                                                    [min_longitude] => -77.915671808942
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                                                        )

                                                )

                                        )

                                    [overallRatingNumber] => 4
                                    [website] => https://wcrichmond.org/
                                    [count10] => 26
                                    [count25] => 33
                                    [rank10] => 4
                                    [rank25] => 5
                                    [worstNation] => 0
                                    [bestNation] => 0
                                    [worstState] => 0
                                    [worstCity] => 0
                                    [bestState] => 0
                                    [bestCity] => 1
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                        )

                    [3] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => MongoDB\BSON\ObjectId Object
                                        (
                                            [oid] => 67229947d55c337c9a751a6f
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                                    [provnum] => 495311
                                    [provname] => Our Lady of Hope Health Center
                                    [web] => our-lady-of-hope-health-center
                                    [address] => 13700 NORTH GAYTON ROAD
                                    [city] => RICHMOND
                                    [state] => VA
                                    [zip] => 23233
                                    [phone] => 8043601960
                                    [county_ssa] => 430
                                    [county_name] => Henrico
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                                    [provnum] => 495413
                                    [provname] => Autumn Care of Mechanicsville
                                    [web] => autumn-care-of-mechanicsville
                                    [address] => 7600 AUTUMN PARKWAY
                                    [city] => MECHANICSVILLE
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                                    [cycle_1_survey_date] => 2022-12-01
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                                    [location] => 7600 AUTUMN PARKWAY,MECHANICSVILLE,VA,23116
                                    [latitude] => 37.6283
                                    [longitude] => -77.353
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                                    [filedate] => 2024-10-01
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                                    [nhd-snf-summary] => Autumn Care of Mechanicsville, a for-profit organization located in Mechanicsville, VA, provides a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The facility offers a modern environment designed to enhance the quality of life for its residents, with a focus on personalized care plans and community engagement. Notably, Autumn Care of Mechanicsville holds a 3-star CMS rating out of 5, indicating a moderate level of quality. However, there are areas for improvement, as evidenced by a worsening trend in facility performance over time. Specifically, the total nursing hours spent per resident per day is below the national average at 3.30 hours, and 28.22% of short-stay residents were re-hospitalized after admission. Fortunately, there is no indication of abuse occurring at the facility, according to CMS data.
                                    [nhd-snf-ratings-detail] => The Autumn Care of Mechanicsville facility has received ratings and inspection scores from the Centers for Medicare and Medicaid (CMS). The overall rating is 3 out of 5 stars, indicating a neutral quality. Broken down by category, the Health Inspection Rating is also 3 out of 5 stars, while the Quality Rating stands at 4 out of 5 stars, suggesting better performance in this area. In contrast, the Staffing Rating falls to 3 out of 5 stars. Inspection scores over three cycles (as of December 2022, June 2021, and August 2019) show a decline from 60 to 24 to 44 points, respectively, with a weighted average score of 45. These ratings suggest a facility that has faced challenges in maintaining quality standards across various aspects, but still shows strengths in some areas.
                                    [nhd-snf-nursing-analysis] => The data reveals that Autumn Care of Mechanicsville nursing staff spends significantly less time with residents compared to the state average and national average for various categories. For Registered Nurses, Licensed Practical Nurses, Certified Nursing Assistants, and Total Licensed Staff, hours spent per patient are lower than both state and national averages. In contrast, Physical Therapist hours are higher than the national average. The facility's adjusted hours, which account for case mix and other factors, show similar trends. Specifically, Registered Nurse hours are 15% lower, Certified Nursing Assistant hours are 12%, Licensed Practical Nurse hours are 25% lower, Total Licensed Staff hours are 20% lower, and Physical Therapist hours are 56% higher than their respective state and national averages.
                                    [nhd-snf-quality-measures] => The table shows the percentage of long-stay residents who were physically restrained (qm409), experienced one or more falls with major injury (qm410), received an antipsychotic medication (qm419), and made improvements in function (qm471). The percentages are compared to benchmarks. From the table, we can see that:- The percentage of long-stay residents who were physically restrained decreased from 0.1% to 0%, which is better than the benchmark.- The percentage of long-stay residents experiencing one or more falls with major injury decreased from 3.5% to 1.9%, which is better than the benchmark.- The percentage of long-stay residents who received an antipsychotic medication increased from 13.1% to 9.2%, which is worse than the benchmark.- The percentage of short-stay residents who made improvements in function decreased from 77.4% to 69.3%, which is worse than the benchmark.Overall, it seems that some care areas have improved certain outcomes for long-stay residents and short-stay residents, while others have worsened these outcomes.
                                )

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                                    [provnum] => 495428
                                    [provname] => August Healthcare at Richmond
                                    [web] => august-healthcare-at-richmond
                                    [address] => 1503 MICHAEL ROAD
                                    [city] => RICHMOND
                                    [state] => VA
                                    [zip] => 23229
                                    [phone] => 8042886245
                                    [county_ssa] => 430
                                    [county_name] => Henrico
                                    [ownership] => For profit - Corporation
                                    [bedcert] => 32
                                    [restot] => 29.8
                                    [restot_fn] => 
                                    [certification] => Medicare and Medicaid
                                    [inhosp] => N
                                    [lbn] => HENRICO VA OPCO LLC
                                    [participation_date] => 2021-06-01
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                        )

                    [17] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-23
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3806
                                    [allBeds] => 4087
                                    [occupied] => 3654
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 4499
                                )

                        )

                    [18] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-16
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3790
                                    [allBeds] => 4087
                                    [occupied] => 3618
                                    [hospital] => 0
                                    [staffWeekly] => 2
                                    [staffTotal] => 4498
                                )

                        )

                    [19] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-09
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3775
                                    [allBeds] => 3882
                                    [occupied] => 3449
                                    [hospital] => 0
                                    [staffWeekly] => 4
                                    [staffTotal] => 4496
                                )

                        )

                    [20] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-06-02
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3758
                                    [allBeds] => 4040
                                    [occupied] => 3629
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 4492
                                )

                        )

                    [21] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-26
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3748
                                    [allBeds] => 3991
                                    [occupied] => 3576
                                    [hospital] => 0
                                    [staffWeekly] => 0
                                    [staffTotal] => 4491
                                )

                        )

                    [22] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-19
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3732
                                    [allBeds] => 4087
                                    [occupied] => 3617
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 4491
                                )

                        )

                    [23] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-12
                                    [weeklyNewCases] => 16
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3719
                                    [allBeds] => 4087
                                    [occupied] => 3587
                                    [hospital] => 0
                                    [staffWeekly] => 7
                                    [staffTotal] => 4490
                                )

                        )

                    [24] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-05-05
                                    [weeklyNewCases] => 0
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3701
                                    [allBeds] => 4040
                                    [occupied] => 3580
                                    [hospital] => 1
                                    [staffWeekly] => 1
                                    [staffTotal] => 4483
                                )

                        )

                    [25] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-28
                                    [weeklyNewCases] => 1
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3681
                                    [allBeds] => 4087
                                    [occupied] => 3660
                                    [hospital] => 0
                                    [staffWeekly] => 4
                                    [staffTotal] => 4482
                                )

                        )

                    [26] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-21
                                    [weeklyNewCases] => 6
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3672
                                    [allBeds] => 4087
                                    [occupied] => 3656
                                    [hospital] => 0
                                    [staffWeekly] => 1
                                    [staffTotal] => 4478
                                )

                        )

                    [27] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-14
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3661
                                    [allBeds] => 4087
                                    [occupied] => 3704
                                    [hospital] => 0
                                    [staffWeekly] => 2
                                    [staffTotal] => 4477
                                )

                        )

                    [28] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-04-07
                                    [weeklyNewCases] => 5
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3648
                                    [allBeds] => 4087
                                    [occupied] => 3702
                                    [hospital] => 0
                                    [staffWeekly] => 5
                                    [staffTotal] => 4473
                                )

                        )

                    [29] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-31
                                    [weeklyNewCases] => 10
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3629
                                    [allBeds] => 4087
                                    [occupied] => 3707
                                    [hospital] => 0
                                    [staffWeekly] => 5
                                    [staffTotal] => 4468
                                )

                        )

                    [30] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-24
                                    [weeklyNewCases] => 9
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 3623
                                    [allBeds] => 4040
                                    [occupied] => 3633
                                    [hospital] => 0
                                    [staffWeekly] => 3
                                    [staffTotal] => 4462
                                )

                        )

                    [31] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-17
                                    [weeklyNewCases] => 12
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3610
                                    [allBeds] => 4087
                                    [occupied] => 3647
                                    [hospital] => 1
                                    [staffWeekly] => 5
                                    [staffTotal] => 4459
                                )

                        )

                    [32] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-03-10
                                    [weeklyNewCases] => 10
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 3594
                                    [allBeds] => 4087
                                    [occupied] => 3657
                                    [hospital] => 0
                                    [staffWeekly] => 10
                                    [staffTotal] => 4452
                                )

                        )

                    [33] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-25
                                    [weeklyNewCases] => 27
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3562
                                    [allBeds] => 4087
                                    [occupied] => 3707
                                    [hospital] => 0
                                    [staffWeekly] => 12
                                    [staffTotal] => 4422
                                )

                        )

                    [34] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-18
                                    [weeklyNewCases] => 16
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3547
                                    [allBeds] => 4283
                                    [occupied] => 3880
                                    [hospital] => 0
                                    [staffWeekly] => 15
                                    [staffTotal] => 4406
                                )

                        )

                    [35] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-11
                                    [weeklyNewCases] => 13
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3529
                                    [allBeds] => 4283
                                    [occupied] => 3901
                                    [hospital] => 0
                                    [staffWeekly] => 10
                                    [staffTotal] => 4388
                                )

                        )

                    [36] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-02-04
                                    [weeklyNewCases] => 4
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 3517
                                    [allBeds] => 4025
                                    [occupied] => 3653
                                    [hospital] => 0
                                    [staffWeekly] => 34
                                    [staffTotal] => 4378
                                )

                        )

                    [37] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-28
                                    [weeklyNewCases] => 26
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3500
                                    [allBeds] => 4087
                                    [occupied] => 3717
                                    [hospital] => 3
                                    [staffWeekly] => 23
                                    [staffTotal] => 4344
                                )

                        )

                    [38] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-14
                                    [weeklyNewCases] => 45
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3455
                                    [allBeds] => 4087
                                    [occupied] => 3666
                                    [hospital] => 1
                                    [staffWeekly] => 25
                                    [staffTotal] => 4293
                                )

                        )

                    [39] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2024-01-07
                                    [weeklyNewCases] => 53
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3430
                                    [allBeds] => 4087
                                    [occupied] => 3642
                                    [hospital] => 0
                                    [staffWeekly] => 26
                                    [staffTotal] => 4267
                                )

                        )

                    [40] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-31
                                    [weeklyNewCases] => 34
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3413
                                    [allBeds] => 4087
                                    [occupied] => 3605
                                    [hospital] => 1
                                    [staffWeekly] => 26
                                    [staffTotal] => 4241
                                )

                        )

                    [41] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-24
                                    [weeklyNewCases] => 32
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3394
                                    [allBeds] => 3997
                                    [occupied] => 3588
                                    [hospital] => 4
                                    [staffWeekly] => 23
                                    [staffTotal] => 4215
                                )

                        )

                    [42] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-10
                                    [weeklyNewCases] => 76
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 3353
                                    [allBeds] => 4283
                                    [occupied] => 3810
                                    [hospital] => 2
                                    [staffWeekly] => 19
                                    [staffTotal] => 4165
                                )

                        )

                    [43] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-12-03
                                    [weeklyNewCases] => 69
                                    [weeklyDeaths] => 2
                                    [totalDeaths] => 3338
                                    [allBeds] => 4283
                                    [occupied] => 3806
                                    [hospital] => 5
                                    [staffWeekly] => 44
                                    [staffTotal] => 4142
                                )

                        )

                    [44] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-26
                                    [weeklyNewCases] => 92
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 3307
                                    [allBeds] => 3907
                                    [occupied] => 3511
                                    [hospital] => 1
                                    [staffWeekly] => 49
                                    [staffTotal] => 4096
                                )

                        )

                    [45] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-19
                                    [weeklyNewCases] => 37
                                    [weeklyDeaths] => 1
                                    [totalDeaths] => 3286
                                    [allBeds] => 4087
                                    [occupied] => 3671
                                    [hospital] => 0
                                    [staffWeekly] => 19
                                    [staffTotal] => 4047
                                )

                        )

                    [46] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-11-05
                                    [weeklyNewCases] => 2
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3244
                                    [allBeds] => 4283
                                    [occupied] => 3851
                                    [hospital] => 0
                                    [staffWeekly] => 5
                                    [staffTotal] => 4023
                                )

                        )

                    [47] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-29
                                    [weeklyNewCases] => 10
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3230
                                    [allBeds] => 4087
                                    [occupied] => 3652
                                    [hospital] => 1
                                    [staffWeekly] => 6
                                    [staffTotal] => 4016
                                )

                        )

                    [48] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-22
                                    [weeklyNewCases] => 17
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3212
                                    [allBeds] => 4283
                                    [occupied] => 3779
                                    [hospital] => 0
                                    [staffWeekly] => 15
                                    [staffTotal] => 4010
                                )

                        )

                    [49] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-15
                                    [weeklyNewCases] => 43
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3200
                                    [allBeds] => 4187
                                    [occupied] => 3677
                                    [hospital] => 1
                                    [staffWeekly] => 14
                                    [staffTotal] => 3992
                                )

                        )

                    [50] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-08
                                    [weeklyNewCases] => 30
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3185
                                    [allBeds] => 4283
                                    [occupied] => 3803
                                    [hospital] => 0
                                    [staffWeekly] => 24
                                    [staffTotal] => 3978
                                )

                        )

                    [51] => MongoDB\Model\BSONDocument Object
                        (
                            [storage:ArrayObject:private] => Array
                                (
                                    [_id] => 2023-10-01
                                    [weeklyNewCases] => 26
                                    [weeklyDeaths] => 0
                                    [totalDeaths] => 3172
                                    [allBeds] => 4283
                                    [occupied] => 3794
                                    [hospital] => 1
                                    [staffWeekly] => 24
                                    [staffTotal] => 3954
                                )

                        )

                )

        )

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